Evidence map›Paper›PMID 28623609›Full record

Trial reportInternational journal of hematology2017

Administration of direct oral anticoagulants in patients with myeloproliferative neoplasms.

Jean-Christophe Ianotto, Marie-Anne Couturier, Hubert Galinat, Dominique Mottier, Christian Berthou, Gaëlle Guillerm, Eric Lippert, Aurélien Delluc

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in International journal of hematology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02897297 (Observatoire Brestois Des Néoplasies Myéloprolifératives), which is not on this map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02897297 recruitingnot on this map

Observatoire Brestois Des Néoplasies Myéloprolifératives

TypeobservationalSponsorUniversity Hospital, BrestRan2015 to 2025Enrolled1,000ConditionsPolycythemia Vera, Essential Thrombocythemia, Primary Myelofibrosis
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Article
  5. Review
  6. Polycythemia Vera: Barriers to and Strategies for Optimal Management.Blood and lymphatic cancer : targets and therapy · 2023
    Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Platelet Heterogeneity in Myeloproliferative Neoplasms.Arteriosclerosis, thrombosis, and vascular biology · 2021
    Review
  15. Thrombophilia testing in the era of direct oral anticoagulants.Clinical medicine (London, England) · 2021
    Review
  16. Article
  17. Article
  18. Direct oral anticoagulants for the treatment and prevention of venous thromboembolism in patients with cancer: current evidence.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Jean-Christophe IanottoService d'Hématologie Clinique, Institut de Cancéro-Hématologie, CHRU de Brest, Brest, France. jean-christophe.ianotto@chu-brest.fr.
Marie-Anne CouturierService d'Hématologie Clinique, Institut de Cancéro-Hématologie, CHRU de Brest, Brest, France.
Hubert GalinatLaboratoire d'Hématologie, CHRU de Brest, Brest, France.
Dominique MottierINSERM EA-3878, GETBO (Groupe d'étude de la thrombose en Bretagne occidentale), CHRU de Brest, Brest, France.
Christian BerthouService d'Hématologie Clinique, Institut de Cancéro-Hématologie, CHRU de Brest, Brest, France.
Gaëlle GuillermService d'Hématologie Clinique, Institut de Cancéro-Hématologie, CHRU de Brest, Brest, France.
Eric LippertLaboratoire d'Hématologie, CHRU de Brest, Brest, France.
Aurélien DellucINSERM EA-3878, GETBO (Groupe d'étude de la thrombose en Bretagne occidentale), CHRU de Brest, Brest, France.
Centre Hospitalier Régional Universitaire de Brest · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Direct oral anticoagulants (DOACs) have been approved to treat and prevent thrombotic events. However, they are not yet labeled for use in patients with active cancers. Myeloproliferative neoplasms (MPNs) are clonal chronic disorders with a high incidence of thrombotic events, for which low-dose aspirin (LDA) is the standard drug treatment. We analyzed efficacy and safety of DOACs prescription in patients treated for MPNs. An MPN database, the OBENE registry, was established at our institution. We collected biological and clinical data from diagnosis to last follow-up for every patient included in this study. Thrombotic and hemorrhagic events and hematologic evolutions were categorized as major events in the database. Of the 760 MPN patients in the OBENE registry, 25 (3.3%) were treated with a DOAC. Median follow-up duration was 2.1 years (0.12-4.3 years). The reasons for prescribing DOACs were atrial fibrillation and thrombotic events for 13 and 12 patients, respectively. We only observed one thrombotic event (4%) and three major hemorrhagic events (12%). A case-control study did not detect a significant difference in thrombotic or hemorrhagic events in patients treated with LDA and DOACs. These preliminary results suggest that DOACs may be highly efficient and safe for use in MPN patients.

Indexed as

RegistriesAdministration, OralAgedAged, 80 and overAnticoagulantsFemaleFollow-Up StudiesHematologic NeoplasmsHemorrhageHumansMaleMiddle AgedMyeloproliferative DisordersThrombosisAnticoagulantsDOACEssential thrombocythemiaHemorrhagePolycythemia veraThrombosis

Identifiers

PMID28623609
OpenAlexW2625799953

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.