Evidence map›Paper›PMID 34347201›Full record

ArticleJournal of thrombosis and thrombolysis2022

Safety of apixaban for venous thromboembolic primary prophylaxis in patients with newly diagnosed malignant glioma.

Alissa A Thomas, Heather Wright, Kelly Chan, Hannah Ross, Prachi Prasad, Andrew Goodwin, Chris E Holmes

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of thrombosis and thrombolysis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 19% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Cerebrovascular and Peripheral Vascular Complications in Cancer Patients.Current neurology and neuroscience reports · 2025
    Review
  4. Article
  5. Platelet-Neutrophil Crosstalk in Thrombosis.International journal of molecular sciences · 2023
    Review
  6. Evaluating of Existing VTE Risk Scales in Glioma Patients.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Observational
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

7 authors at 1 institution in 1 country.

Alissa A ThomasDepartment of Neurological Sciences, University of Vermont Larner College of Medicine, 149 Beaumont Ave, Given D401, Burlington, VT, 05405, USA. alissa.thomas@uvmhealth.org.ORCID http://orcid.org/0000-0002-0487-9062
Heather WrightDivision of Hematology/Oncology, Department of Medicine, University of Vermont Larner College of Medicine, Burlington, VT, USA.
Kelly ChanDepartment of Neurological Sciences, University of Vermont Larner College of Medicine, 149 Beaumont Ave, Given D401, Burlington, VT, 05405, USA.
Hannah RossDivision of Hematology/Oncology, Department of Medicine, University of Vermont Larner College of Medicine, Burlington, VT, USA.
Prachi PrasadDivision of Hematology/Oncology, Department of Medicine, University of Vermont Larner College of Medicine, Burlington, VT, USA.
Andrew GoodwinDepartment of Pathology, University of Vermont Larner College of Medicine, 149 Beaumont Avenue, Burlington, VT, 05405, USA.
Chris E HolmesDivision of Hematology/Oncology, Department of Medicine, University of Vermont Larner College of Medicine, Burlington, VT, USA.
University of Vermont · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The cumulative incidence of symptomatic venous thromboembolism (VTE) among patients with malignant gliomas (MG) is estimated to be as high as 36% during the course of therapy. Development of VTE is associated with an increased risk of hospitalization, delays in cancer treatment, and an increased risk of complications including intracranial hemorrhage as well as VTE specific symptoms. Despite the high risk of VTE and associated morbidity, there is no standard recommendations regarding long term outpatient VTE prophylaxis in patients with MG due to the lack of clinical trial evidence in this patient population. In this study, we treated ten patients with newly diagnosed MG with apixaban, 2.5 mg twice daily beginning 2-21 days after craniotomy and continuing for up to 6 months. Unacceptable toxicity was defined by ≥ grade 2 CNS or non-CNS hemorrhage, a thromboembolic event (i.e. stroke) or cardiovascular event requiring anticoagulation or anti-platelet therapy. There were no unacceptable toxicities to report and no treatment-related adverse events. None of the patients on the study were diagnosed with a VTE while receiving apixaban. We conclude that apixaban can be given safely to patients with primary MG shortly after craniotomy and should be considered for VTE prevention in these high-risk patients.

Indexed as

GliomaVenous ThromboembolismAnticoagulantsHumansPyrazolesPyridonesAnticoagulantsapixabanPyrazolesPyridonesAnti-coagulationApixabanDeep vein thrombosisGlioblastomaVenous thromboembolism

Identifiers

PMID34347201
OpenAlexW3190747619

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.