TABLE 4

Major randomised trials in cancer-associated thrombosis primary prophylaxis

TrialYearPatients nDrugs evaluatedMajor findings
ENOXACAN II [32]2002332 (submitted for abdominal or pelvic surgery)Enoxaparin (31 days) versus placebo (after 10 days of surgery)Enoxaparin patients presented less VTE events than placebo after 1 (p=0.02) and 3 months (p=0.01). No difference in major bleeding.
PROTECHT [27]20091150Nadroparin (4 months) versus placeboNadroparin patients presented less thrombotic events (venous and arterial) than placebo (p=0.02). No statistical difference in major bleeding.
SAVE-ONCO [28]20123212Semuloparin (3.5 months) versus placeboSemuloparin patients presented less VTE events than placebo (p<0.001). No difference in major bleeding.
AVERT [30]2018563Apixaban (180 days) versus placeboApixaban patients presented less VTE events than placebo (p<0.001) and more major bleeding (p=0.046) than placebo.
CASSINI [31]2018841Rivaroxaban (180 days) versus placeboStatistical trend of less VTE events and VTE-related death in rivaroxaban patients (p=0.10). No difference in major bleeding.

VTE: venous thromboembolism.