Review Article

Management of Venous Thromboembolism in Patients with Advanced Gastrointestinal Cancers: What Is the Role of Novel Oral Anticoagulants?

Table 4

Summary of completed phase III trials of novel oral anticoagulants.

StudyAgent investigatedControlSettingTreatment durationN/N with cancer-related VTEPrimary
outcome
HR (95% CI) 𝑃 valueVTE recurrenceClinically relevant bleeding

RE-COVERDabigatran etexilate*Warfarin*Acute symptomatic VTE6 months2539/121Non-inferiority1.1 (0.65, 1.84)<0.001E: 2.4%
C: 2.1%
E: 5.6%
C: 8.8%
RE-SONATEaDabigatran etexilatePlacebo Treated VTE6 months1343/NA**Superiority0.08 (0.02, 0.25)<0.0001E: 0.4%
C: 5.6%
E: 5.3%
C: 1.8%
RE-MEDYaDabigatran etexilateWarfarinTreated VTE6–36 months2856/NANon-inferiority1.44 (0.78, 2.64)0.03E: 1.8%
C: 1.3%
NA**
NA**
EINSTEIN-DVTRivaroxabanLMWH/VKAAcute DVT3, 6 or 12 months3449/207Non-inferiority0.68 (0.44, 1.04)<0.001E: 2.1%
C: 3%
E: 8.1%
C: 8.1%
EINSTEIN-ExtensionRivaroxabanPlaceboTreated VTE6 or 12 months1196/54Superiority0.18 (0.09, 0.39)<0.001E: 1.3%
C: 7.1%
E: 6%
C: 1.2%

*Following initial treatment with intravenous anticoagulation.
**Not available.
*Abstract only.