Expanding the possibilities of treatment and prevention of venous thromboembolic complications in cancer patients. The role of oral anticoagulants
- Authors: Bredikhin R.A.1,2, Akhmetzyanov R.V.1,2, Khayrullin R.N.2
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Affiliations:
- Kazan State Medical University, Ministry of Health of Russia
- Interregional Clinical and Diagnostic Center
- Issue: Vol 16, No 2 (2022)
- Pages: 17-26
- Section: REVIEW
- Published: 10.10.2022
- URL: https://klinitsist.abvpress.ru/Klin/article/view/494
- DOI: https://doi.org/10.17650/1818-8338-2022-16-2-K667
- ID: 494
Cite item
Full Text
Abstract
Improving the quality of care for patients with oncological diseases due to the improvement of methods of chemoradiotherapy and surgical interventions, accessibility and modernization of diagnostic potential, is accompanied by a steady increase in the frequency of venous thromboembolic complications, which occupy one of the leading places among the causes of death.
Patients with oncological diseases are subject to various risk factors for thromboembolic complications, which are caused by the presence of a malignant neoplasm, due to the development of many coagulation abnormalities, initiating not only an increased tendency to thrombosis, but also a tendency to bleeding. Cancer-associated venous thrombosis, growing out of the framework of certain medical specialties, act as comorbid pathological conditions that require an interdisciplinary approach in developing rational methods of prevention and treatment. Improving the understanding of the pathophysiological mechanisms of venous thrombosis in cancer patients contributes to the development of modern methods of prevention and treatment, among which anticoagulant therapy plays a dominant role. The appearance of oral anticoagulants on the pharmaceutical market, the effectiveness and safety of which is confirmed by a series of randomized clinical trials, opens up new prospects for improving the quality of life and long-term survival in patients with malignant neoplasms.
About the authors
R. A. Bredikhin
Kazan State Medical University, Ministry of Health of Russia; Interregional Clinical and Diagnostic Center
Author for correspondence.
Email: rbredikhin@mail.ru
ORCID iD: 0000-0001-7160-3333
Roman Aleksandrovich Bredikhin
49 Butlerova St., Kazan, 420012
12a Karbysheva St., Kazan, 420101
Russian FederationR. V. Akhmetzyanov
Kazan State Medical University, Ministry of Health of Russia; Interregional Clinical and Diagnostic Center
ORCID iD: 0000-0001-8146-2263
49 Butlerova St., Kazan, 420012
12a Karbysheva St., Kazan, 420101
Russian FederationR. N. Khayrullin
Interregional Clinical and Diagnostic Center
ORCID iD: 0000-0002-2160-7720
12a Karbysheva St., Kazan, 420101
Russian FederationReferences
- Farge D., Frere C., Connors J.M. et al. International Initiative on Thrombosis and Cancer (ITAC) advisory panel. 2022 International Clinical Practice Guidelines for the treatment and prophylaxis of venous thromboembolism in patients with cancer, including patients with COVID-19. Lancet Oncol 2022;23(7):e334–47. doi: 10.1016/S1470-2045(22)00160-7
- Sushinskaya T.V., Stuklov N.I., Dobrokhotova Yu.E. Hemostasis and cancer-associated thrombosis: modern prevention and treatment. Onkologiya. Zhurnal im. P.A. Gertsena = P.A. Herzen Journal of Oncology 2018;4:64–72. (In Russ.). DOI: 1017116/onkolog20187464
- Plokhova E.V., Dundua D.P. Thrombosis in patients with malignancy. Kardiologiya = Kardiologiia 2018;58(9S):19–28. (In Russ.). doi: 10.18087/cardio.2523
- Piccioli A., Prandoni P. Idiopathic venous thromboembolism as a first manifestation of cancer. Haemostasis 2001;31(1):37–9. PMID: 11990473
- Robin P., Carrier M. Revisiting occult cancer screening in patients with unprovoked venous thromboembolism. Thromb Res 2018;164(1):7–11. doi: 10.1016/j.thromres.2017.12.024
- Shaib W., Deng Y., Zilterman D. et al. Assessing risk and mortality of venous thromboembolism in pancreatic cancer patients. Anticancer Res 2010;30(10):4261–4. PMID: 21036750
- Ashrani A.A., Marks R.S., Petterson T.M. et al. Predictors of venous thromboembolism recurrence and bleeding among active cancer patients: a population-based cohort study. Blood 2014;123(25):3972–8. doi: 10.1182/blood-2014-01-549733
- Khorana A.A., Francis C.W., Culakova E. et al. Thromboembolism is a leading cause of death in cancer patients receiving outpatient chemotherapy. J Thromb Haemost 2007;5(3):632–4. doi: 10.1111/j.1538–7836.2007.02374.x
- Barsam S.J., Patel R., Arya R. Anticoagulation for prevention and treatment of cancer-related venous thromboembolism. Br J Haematol 2013;161(6):764–77. doi: 10.1111/bjh.12314
- Trousseau A. Clinique Médicale de L’hôtel-dieu de Paris. 2nd ed. Vol. 3. Phlegmatia alba dolens. Paris, France: J.-B. Baillière et fils, 1865. Pp. 654–712.
- Falanga A., Russo L. Epidemiology, risk and outcomes of venous thromboembolism in cancer. Hamostaseologie 2012;32(2):115–25. doi: 10.5482/ha-1170
- Monreal M., Falga C., Valdes M. et al. Fatal pulmonary embolism and fatal bleeding in cancer patients with venous thromboembolism: findings from the RIETE registry. J Thromb Haemost 2006;4(9):1950–6. doi: 10.1111/j.1538-7836. 2006.02082.x
- Falanga A., Marchetti M., Vignoli A. Coagulation and cancer: biological and clinical aspects. J Thromb Haemost 2013;11(2): 223–33. doi: 10.1111/jth.12075
- Sørensen H.T., Mellemkjær L., Olsen L.H. et al. Prognosis of cancers associated with venous thromboembolism. N Engl J Med 2000;343(25):1846–50. doi: 10.1056/NEJM200012213432504
- Bounameaux H., Haas S., Farjat A.E. et al. Comparative effectiveness of oral anticoagulants in venous thromboembolism: GARFIELD-VTE. Thromb Res 2020;191:103–12. doi: 10.1016/j.thromres.2020.04.036
- Jemal А., Bray F., Centeretal M.M. Global cancer statistics. CA Cancer J Clin 2011;61(2):69–90. doi: 10.3322/caac.20107
- Li M., Guo Q., Hu W. Incidence, risk factors, and outcomes of venous thromboembolism after oncologic surgery: a systematic review and meta-analysis. Thromb Res 2019;173:48–56. doi: 10.1016/j.thromres.2018.11.012
- Mulder F.I., Candeloro M., Kamphuisen P.W. et al. The khorana score for prediction of venous thromboembolism in cancer patients: a systematic review and meta-analysis. Haematologica 2019;104(6):1277–87. doi: 10.3324/haematol.2018.209114
- Key N.S., Khorana A.A., Kuderer N.M. et al. Venous thromboembolism prophylaxis and treatment in patients with cancer: ASCO clinical practice guideline update. J Clin Oncol 2020;38(5):496–520. doi: 10.1200/JCO.19.01461
- Blom J.W., Vanderschoot J.P.M., Oostindier M.J. et al. Incidence of venous thrombosis in a large cohort of 66,329 cancer patients: results of a record linkage study. J Thromb Haemost 2006;4(3):529–35. doi: 10.1111/j.1538-7836.2006.01804.x
- Ay C., Dunkler D., Marosi C. et al. Prediction of venous thromboembolism in cancer patients. Blood 2010;116(24):5377–82. doi: 10.1182/blood-2010-02-270116
- Rickles F.R. Mechanisms of cancer-induced thrombosis in cancer. Pathophysiol Haemost Thromb 2006;35(1–2):103–10. doi: 10.1159/000093551
- Agnelii G., Verso M. Thromboprophylaxis during chemotherapy in patients with advanced cancer. Thromb Res 2010;125(2):17–20. doi: 10.1016/S0049-3848(10)70007-4
- Khorana A.A. Venous thromboembolism and prognosis in cancer. Thromb Res 2010;125(6):490–3. doi: 10.1016/j.thromres.2009.12.023
- Somonova O.V., Elizarova A.L., Blindar V.N. et al. Treatment of cancer-related thrombosis: from recommendations to real clinical practice. Sovremennaya onkologiya = Journal of Modern Oncology 2019; 21(1):60–5. (In Russ.). doi: 10.26442/18151434.2019.1.190247
- Riedl J., Hell L., Kaider A. et al. Association of platelet activation markers with cancer-associated venous thromboembolism. Platelets 2016;27(1):80–5. doi: 10.3109/09537104.2015.1041901
- Falanga A., Marchetti M. Hemostatic biomarkers in cancer progression. Thromb Res 2018;164(1):54–61. doi: 10.1016/j.thromres.2018.01.017
- Riedl J., Preusser M., Nazari P.M. et al. Podoplanin expression in primary brain tumors induces platelet aggregation and increases risk of venous thromboembolism. Blood 2017;129(13):1831–9. doi: 10.1182/blood-2016-06-720714
- Rickles F.R. Mechanisms of cancer-induced thrombosis in cancer. Pathophysiol Haemost Thromb 2006;35(1–2):103–10. doi: 10.1159/000093551
- Demers M., Wagner D.D. Neutrophil extracellular traps: a new link to cancer-associated thrombosis and potential implications for tumor progression. Oncoimmunology 2013;2(2):e22946. doi: 10.4161/onci.22946
- Rak J., Yu J.L., Luyendyk J. et al. Oncogenes, Trousseau syndrome, and cancer-related changes in the coagulome of mice and humans. Cancer Research 2006;66(22):10643–6. doi: 10.1158/0008-5472.CAN-06-2350
- Prandoni P. Recurrent venous thromboembolism and bleeding complications during anticoagulant treatment in patients with cancer and venous thrombosis. Blood 2002;100(10):3484–8. doi: 10.1182/blood-2002-01-0108
- Kakkos S.K., Gohel M., Baekgaard N. et al. Editor’s Choice – European Society for Vascular Surgery (ESVS) 2021 clinical practice guidelines on the management of venous thrombosis. Eur J Vasc Endovasc Surg 2021;61(1):9–82. doi: 10.1016/j.ejvs.2020.09.023
- Jara-Palomares L., Otero R., Jimenez D. et al. Development of a risk prediction score for occult cancer in patients with VTE. Chest 2017;151(3):564–71. doi: 10.1016/j.chest.2016.10.025
- Zhou M., Zhang L., Ding Y. et al. Extensive screening for occult malignancy in unprovoked venous thromboembolism: a metaanalysis. Thromb Res 2017;157:147–53. doi: 10.1016/j.thromres.2017.07.019
- Zamorano J.L., Lancellotti P., Muñoz D.R. et al. 2016 ESC position paper on cancer treatments and cardiovascular toxicity developed under the auspices of the ESC committee for practice guidelines. Kardiologia Polska 2016;74(11):1193–233. doi: 10.5603/KP.2016.0156
- Draft clinical recommendations of the Association of Phlebologists of Russia “Deep vein thrombosis of extremities”, 2022. https://phlebounion.ru/recommendations/proyekt-kr-tgv-mz-rf-20.
- Streiff M.B., Holmstrom B., Angelini D. et al. Cancer-associated venous thromboembolic disease, Version 2.2021, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw 2021;19(10):1181–201. doi: 10.6004/jnccn.2021.0047
- Carrier M., Prandoni P. Controversies in the management of cancer-associated thrombosis. Expert Rev Hematol 2017;10(1):15–22. doi: 10.1080/17474086.2017.1257935
- Vedovati M., Germini F., Agnelli G. et al. Direct oral anticoagulants in patients with VTE and cancer: a systematic review and meta-analysis. Chest 2015;147(2):475–83. doi: 10.1378/chest.14-0402
- Raskob G.E., van Es N., Verhamme P. et al. Edoxaban for the treatment of cancer-associated venous thromboembolism. N Engl J Med 2018;378(7):615–24. doi: 10.1056/NEJMoa1711948
- Young A.M., Marshall A., Thirlwall J. et al. Comparison of an oral factor Xa inhibitor with low molecular weight heparin in patients with cancer with venous thromboembolism: Results of a randomized trial (SELECT-D). J Clin Oncol 2018;36(20):2017–23. doi: 10.1200/JCO.2018.78.8034
- McBane R.D. 2nd, Wysokinski W.E., Le-Rademacher J.G. et al. Apixaban and dalteparin in active malignancy-associated venous thromboembolism: the ADAM VTE trial. J Thromb Haemost 2020;18(2):411–21. doi: 10.1111/jth.14662
- Ageno W., Vedovati M.C., Cohen A. et al. Bleeding with apixaban and dalteparin in patients with cancer-associated venous thromboembolism: results from the Caravaggio study. Thromb Haemost 2021;121(5):616–24. doi: 10.1055/s-0040-1720975
- Stevens S.M., Woller S.C., Kreuziger L.B. et al. Executive summary: antithrombotic therapy for VTE disease: second update of the CHEST guideline and expert panel report. Chest 2021;160(6):2247–59. doi: 10.1016/j.chest.2021.07.056
- Carrier M., Blais N., Crowther M. et al. Treatment algorithm in cancer-associated thrombosis: Canadian expert consensus. Curr Oncol 2018;25(5):329–37. doi: 10.3747/co.25.4266
- Katelnitskaya O.V., Kit O.I., Katelnitsky I.I. et al. Features of anticoagulant therapy of venous thromboembolism in patients with cancer. Flebologiya = Flebologiya 2020;14(2):135–41. (In Russ.). doi: 10.17116/flebo202014021135
- Riess H., Prandoni P., Harder S. et al. Direct oral anticoagulants for the treatment of venous thromboembolism in cancer patients: potential for drug-drug interactions. Crit Rev Oncol Hematol 2018;132:169–79. doi: 10.1016/j.critrevonc.2018.09.015
- Cuker A., Arepally G.M., Chong B.H. et al. American society of hematology 2018 guidelines for management of venous thromboembolism: heparin-induced thrombocytopenia. Blood Adv 2018;2(22):3360–92. doi: 10.1182/bloodadvances.2018024489
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