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Table 1 Characteristics of studies included in the meta-analysis

From: The use of direct oral anticoagulants for thromboprophylaxis or treatment of cancer-associated venous thromboembolism: a meta-analysis and review of the guidelines

Study

Age (years)

mean ± SD

Male sex

n (%)

DOACs drug

Comparator

Follow-up

(months)

Cancer patients (%)

Main efficacy outcome

Main safety outcome

Phase

Study design

Type

Name

Year

Thromboprophylaxis

MAGELLAN [24]

2013

NR

NR

Rivaroxaban

Enoxaparin

3 months

7.3%

Composite of asymptomatic proximal DVT, symptomatic proximal or distal DVT, symptomatic nonfatal PE, and death from VTE

Clinically relevant bleeding

Phase 3

Subgroup analysis

APEX [14]

2016

76.8 ± 9.3

240 (48.1)

Betrixaban

Enoxaparin

1 month

12.8%

Composite of asymptomatic proximal DVT, symptomatic proximal or distal DVT, symptomatic nonfatal PE, or fatal PE

Major bleeding

Phase 3

Subgroup analysis

CASSINI [12]

2019

63a

222 (52.9)

Rivaroxaban

Placebo

6 months

100%

Composite of symptomatic or asymptomatic proximal DVT in a lower limb, symptomatic DVT in an upper limb or distal DVT in a lower limb, symptomatic or incidental PE, and death from VTE

Major bleeding

Phase 3

RCT

AVERT [13]

2019

61.2 ± 12.4

121 (41.6)

Apixaban

Placebo

6 months

100%

VTE

Major bleeding

Phase 3

RCT

Treatment

SELECT-D [16]

2018

67a

116 (57)

Rivaroxaban

Dalteparin

24 months

100%

Recurrent VTE

Major bleeding

Pilot

RCT

Hokusai VTE Cancer [17]

2018

64.3 ± 11

277 (53.1)

Edoxaban

Dalteparin

12 months

100%

Recurrent VTE

Major bleeding

Phase 3

RCT

ADAM VTE [7]

2019

64.4 ± 11.3

72 (48)

Apixaban

Dalteparin

6 months

100%

Recurrent VTE

Major bleeding

Phase 3

RCT

Caravaggio [15]

2020

67.2 ± 11.3

292 (50.7)

Apixaban

Dalteparin

7 months

100%

Recurrent VTE

Major bleeding

Phase 3

RCT

  1. Abbreviations: DOAC direct oral anticoagulant, DVT deep vein thrombosis. PE pulmonary embolism, VTE venous thromboembolism, RCT randomized clinical trial
  2. a Median age