Semuloparin Prophylaxis Effective in Cancer Patients
(HealthDay News) – Semuloparin, a hemisynthetic, ultra-low-molecular-weight heparin, reduces the incidence of thromboembolic events in cancer patients receiving chemotherapy, with no increased risk of a major bleeding event, according to a study published in the Feb. 16 issue of the New England Journal of Medicine.
Giancarlo Agnelli, MD, of the University of Perugia in Italy, and colleagues conducted a double-blind, multicenter trial in patients with metastatic or locally advanced solid tumors who were beginning to receive a course of chemotherapy. Patients were randomly assigned to receive either subcutaneous semuloparin (20mg once daily; 1,608 patients) or placebo (1,604 patients) until there was a change of chemotherapy regimen.
The researchers found that, during a mean treatment duration of 3.5 months, venous thromboembolism occurred in significantly fewer patients receiving semuloparin versus placebo (1.2% vs. 3.4%; hazard ratio [HR], 0.36; P<0.001). There was consistent efficacy among subgroups defined by origin and stage of cancer, and by baseline risk of venous thromboembolism. The incidence of clinically relevant bleeding was 2.8% and 2% in the semuloparin and placebo groups, respectively (HR, 1.40; 95% CI, 0.89–2.21) with major bleeding occurring in 1.2% of patients receiving semuloparin and 1.1% receiving placebo (HR, 1.05; 95% CI, 0.55–1.99). All other adverse events had similar incidences in the two study groups.
"Semuloparin reduces the incidence of thromboembolic events in patients receiving chemotherapy for cancer, with no apparent increase in major bleeding," the authors write.
The study was funded by Sanofi; several authors disclosed financial relationships with pharmaceutical companies, including Sanofi.