Table 1 Description of study and participants. NR, not reported. *type of cancer diagnosis was only reported for 114 patients.

From: Efficacy and safety of direct oral anticoagulants for secondary prevention of cancer associated thrombosis: a meta-analysis of randomized controlled trials

Clinical trial

% cancer patients in study

RCT design

Follow up

Primary outcome

Study participants

Characteristic

DOAC

Comparator

ADAM VTE

100%

Open label, superiority

6 months

Major bleeding

Drug

Number patients

Age, gender

Most common cancer

Metastatic cancer

Anticancer therapy

Apixaban

150

64, 48% male

Lung 22% (32/150)

65% (96/150)

73% (108/150)

Dalteparin

150

64, 49% male

Pancreatic 16% (24/150)

66% (97/150)

74% (110/150)

Hokusai 2018

100%

Open label, non-inferiority

12 months

VTE recurrence

Drug

Number patients

Age, gender

Most common cancer

Metastatic cancer

Anticancer therapy

Edoxaban

522

64, 53% male

Colorectal (16%)

53% (274/522)

72% (374/522)

Dalteparin

524

64, 50% male

Colorectal (15%)

53% (280/524)

73% (383/524)

SELECT-D

100%

Open label, pilot trial

6 months

VTE recurrence

Drug

Number patients

Age, gender

Most common cancer

Metastatic cancer

Anticancer therapy

Rivaroxaban

203

67, 57% male

Colorectal 27% (55/203)

58% (118/203)

69% (140/203)

Dalteparin

203

67, 48% male

Colorectal 23% (47/203)

58% (118/203)

70% (142/203)

Caravaggio

100%

Open label, non-inferiority

6 months

VTE recurrence

Drug

Number patients

Age, gender

Most common cancer

Metastatic cancer

Anticancer therapy

Apixaban

576

67, 51% male

Colorectal 21% (121/576)

68% (389/576)

61% (350/576)

Dalteparin

579

67, 48% male

Colorectal 19% (113/579)

69% (396/579)

63% (350/579)

Amplify

2.5%

Double- blind, non-inferiority

6 months

VTE recurrence

Drug

Number patients

Age, gender

Most common cancer

Metastatic cancer

Anticancer therapy

Apixaban

88

66, 57% male

Prostate %NR

“approximately 1/3”

NR

Warfarin

81

65, 61% male

Prostate %NR

“approximately 1/3”

NR

Hokusai 2013

2.5%

Double-blind, non-inferiority

12 months

VTE recurrence

Drug

Number patients

Age, gender

Most common cancer

Metastatic cancer

Anticancer therapy

Edoxaban

109

NR

NR

NR

NR

Warfarin

99

NR

NR

NR

NR

RE-COVER I & II

7.0%

Double-blind, double-dummy, non-inferiority

6 months

VTE recurrence

Drug

Number patients

Age, gender

Most common cancer

Metastatic cancer

Anticancer therapy

Dabigatran

173

63, 64% male

Prostate 20% (23/114)*

9% (11/114)*

NR

Warfarin

162

65, 62% male

Prostate 21% (22/107)*

16% (17/107)*

NR

EINSTEIN DVT/PE

7.2%

Open label, non-inferiority

3–12 months

VTE recurrence

Drug

Number patients

Age, gender

Most common cancer

Metastatic cancer

Anticancer therapy

Rivaroxaban

316

NR

NR

NR

NR

Warfarin or acenocoumerol

281

NR

NR

NR

NR