Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT06474182

Comparison of the Effects of Apixaban on Thrombin Generation in Patients With de Novo Multiple Myeloma

Led by Centre Hospitalier Universitaire de Saint Etienne · Updated on 2025-09-25

32

Participants Needed

1

Research Sites

102 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Patients with multiple myeloma (MM) are at high risk of venous thromboembolism (VTE) and these patients require adequate thromboprophylaxis. Following the publication of the AVERT clinical study, Apixaban is strongly recommended as a prophylactic treatment option for patients with cancer, based on high quality of evidence and a favorable efficacy/safety profile. A multicenter and ancillary study - APIXABOR - that measured the plasmatic concentration of Apixaban in patients with MM and treated with preventive dose has been conducted. The peak drug concentration was superior in MM plasma, as compared to non-myeloma patients under prophylaxis. Therefore, the present study evaluated whether differences in pharmacokinetics have an impact on pharmacodynamics (i.e. decrease in coagulability in MM patients as compared to non-MM patients undergoing a surgery for total knee replacement who also have VTE prophylaxis). In fine, this study may inform to better manage thromboprophylaxis in MM patients.

CONDITIONS

Official Title

Comparison of the Effects of Apixaban on Thrombin Generation in Patients With de Novo Multiple Myeloma

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Signed informed consent
  • Covered by a social security scheme
  • Group 1: Diagnosed with de novo multiple myeloma and prescribed Apixaban for thromboprophylaxis
  • Group 2: Scheduled for total knee replacement surgery and prescribed Apixaban for thromboprophylaxis
Not Eligible

You will not qualify if you...

  • Receiving curative doses of anticoagulation treatment
  • Contraindication to Apixaban
  • Pregnant or breastfeeding woman
  • Refusal to sign consent
  • Under legal protection

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

CHU de Saint-Etienne

Saint-Etienne, France, 42055

Actively Recruiting

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Research Team

E

Emilie CHALAYER, MD

CONTACT

F

Florence RANCON

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

OTHER

Number of Arms

2

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Comparison of the Effects of Apixaban on Thrombin Generation in Patients With de Novo Multiple Myeloma | DecenTrialz