Participants will be randomized (like flipping a coin) to one of two arms: Arm 1 - anticoagulation therapy with a low molecular weight heparin (LMWH) alone or followed by warfarin (the usual approach). Arm 2 - anticoagulation therapy with a direct oral anticoagulant (DOAC) (the “study approach”). All of the medications used in this study have already been FDA-approved to treat blood clots. Therapy with a DOAC is already FDA-approved for use as anticoagulation therapy, but DOACs have not been studied extensively in patients with cancer. This study will allow the researchers to gather information about whether anticoagulation therapy with a LMWH alone or followed by warfarin is better, the same, or worse than anticoagulation therapy with a DOAC in patients with cancer.
Wendy Loeser RN OCN Clinical Research Dana-Farber Cancer Institute at St. Elizabeth's Medical Center 736 Cambridge St Boston, MA 02135 617-789-3385 Wendy_loeser@DFCI.harvard.edu
The purpose of this study is to compare two
different approaches to anticoagulation therapy in patients with cancer.
Your doctor intends you to be on anticoagulation therapy for at least 3 months. Your blood counts meet the study criteria You are 21 years of age or older You are willing to be randomly assigned (like a flip of a coin) to one of two groups You may not be eligible to participate if: You have acute leukemia You have ever received or are scheduled to receive a stem cell transplant You are pregnant or nursing