Pulmonary vascular disease & thromboembolism

Edoxaban for 12 Months Versus 3 Months in Patients With Cancer With Isolated Distal Deep Vein Thrombosis (ONCO DVT Study): An Open-Label, Multicenter, Randomized Clinical Trial

CirculationPublished Randomised controlled trial

Primary resultResult — go to the resultOdds ratio 0.13 95% CI 0.03–0.44

Authors' conclusion

In patients with cancer with isolated distal deep vein thrombosis, 12 months was superior to 3 months for an edoxaban treatment with respect to the composite outcome of a symptomatic recurrent VTE or VTE-related death.

Study context

Population
Patients with cancer with isolated distal DVT601 in ITT population
Participants
604 patients
Comparison
Edoxaban 12 months vs 3 months
  • 12-month edoxabann = 296
  • 3-month edoxabann = 305reference
Primary endpoint
Symptomatic recurrent venous thromboembolism (VTE) or VTE-related death
Follow-up
12 months
Methodological detailsopen-label, adjudicator-blinded, multicentre, 60 institutions in Japan
  • Open-label
  • Adjudicator-blinded
  • Multicentre
  • 60 institutions in Japan

Primary result

As reported in the abstract

Odds ratio

0.13

95% CI 0.03–0.44

Events by treatment group

12-month edoxaban vs 3-month edoxaban
OR 0.13 (95% CI 0.03–0.44)

Secondary outcomes

Prespecified subgroups did not affect the estimates on the primary end point

Safety

Outcome12-month edoxaban3-month edoxabanOR (95% CI)
Major bleeding (ISTH; major secondary end point) · 12 months9.5%7.2%1.34 (0.75–2.41)

Original publication

Edoxaban for 12 Months Versus 3 Months in Patients With Cancer With Isolated Distal Deep Vein Thrombosis (ONCO DVT Study): An Open-Label, Multicenter, Randomized Clinical Trial. Circulation. Published 28 August 2023. doi:10.1161/circulationaha.123.066360

Summarised from the published abstract; every number is checked against it

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