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Randomised controlled trial
Low-molecular-weight heparin for the treatment of acute venous thromboembolism in patients with active cancer
  1. Marcello Di Nisio1,
  2. Anne W S Rutjes2,3
  1. 1University G D'Annunzio, Chieti, Italy;
  2. 2Centre for Systematic Reviews at the Fondazione Università G D'Annunzio, Chieti, Italy;
  3. 3Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland
  1. Correspondence to : Dr Marcello Di Nisio, University G D'Annunzio, via dei Vestini, Chieti 66100, Italy; mdinisio{at}

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The management of acute venous thromboembolism (VTE) in patients with active cancer is challenging. In the landmark CLOT study,1 low-molecular-weight heparin (LMWH) halved the incidence of recurrent VTE compared to vitamin K antagonists (VKAs) with similar rates of major bleeding. These observations were confirmed in additional smaller studies, which, together with the more stable pharmacokinetics of LMWH, have led to the recommendation of LMWH over VKAs.2 ,3 Notwithstanding the favourable profile of LMWH, VKAs remain widely used worldwide. In this context, the results of the CATCH study were eagerly awaited.


The CATCH study was a two-arm parallel design, randomised, …

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