New blood thinner tested for cancer Patients' clots – study halted early
NCT ID NCT05171075
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 3 trial tested a new drug, abelacimab, against a standard blood thinner (dalteparin) to prevent dangerous blood clots from returning in people with gastrointestinal or genitourinary cancers. The study enrolled 417 adults with advanced cancer and a recent clot. It was terminated early, so results are limited.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Abelacimab (a biologic drug) and dalteparin (a standard blood thinner)
- What this could lead to
- If successful, abelacimab could offer a new, possibly safer option to prevent dangerous blood clots in people with certain cancers.
- What could go wrong
- The study was terminated early, so we may not get clear answers. Abelacimab is still experimental, and any blood thinner carries bleeding risks.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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417 people
The number who actually took part.
- Started
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Sep 2022
- Finished
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Apr 2026
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Male or female subjects ≥18 years old or other legal maturity age according to the country of residence * Confirmed GI (colorectal, pancreatic, gastric, esophageal, gastro-esophageal junction or hepatobiliary) or confirmed GU (renal, ureteral, bladder, prostate, or urethra) cancers if: * Unresectable, locally advanced, metastatic, or non-metastatic GI/GU cancer and * No intended curative surgery during the study * Confirmed symptomatic or incidental proximal lower limb deep vein thrombosis (DVT) (i.e., popliteal, femoral, iliac, and/or inferior vena cava vein thrombosis) and/or a confirmed symptomatic pulmonary embolism (PE), or an incidental PE in a segmental, or larger pulmonary artery. Patients are eligible within 120 hours from diagnosis of the qualifying VTE. * Anticoagulation therapy with LMWH for at least 6 months is indicated * Able to provide written informed consent Exclusion Criteria: * Thrombectomy, insertion of a caval filter, or use of a fibrinolytic agent to treat the current (index) occurrence of DVT and/or PE * More than 120 hours of pre-treatment with therapeutic doses of UFH, LMWH, or other anticoagulants * An indication to continue treatment with therapeutic doses of an anticoagulant other than for VTE treatment prior to randomization (e.g., atrial fibrillation, mechanical heart valve, prior VTE) * PE leading to hemodynamic instability (systolic BP \<90 mmHg or shock). * Acute ischemic or hemorrhagic stroke or intracranial hemorrhage, in the last 4 weeks preceding screening. * Brain trauma, or cerebral or a spinal cord surgery or spinal procedures such as lumbar puncture or epidural/spinal anesthesia within 4 weeks of screening * Need for aspirin in a dosage of more than 100 mg/day or, any other antiplatelet agent alone or in combination with aspirin * Bleeding requiring medical attention at the time of randomization or in the preceding 4 weeks * Planned brain, spinal cord, cardiac, vascular, major thoracic and/or major abdominal surgery in the 4 weeks following randomization * History of heparin induced thrombocytopenia * Infective acute or subacute endocarditis at the time of presentation * Primary brain cancer or untreated intracranial metastasis * Eastern Cooperative Oncology Group (ECOG) performance status of 3 or 4 at screening * Life expectancy of \<3 months at randomization * Calculated creatinine clearance (CrCl) \<30 mL/min at the screening visit * Platelet count \<50,000/ mm3 at the screening visit * Hemoglobin \<8 g/dL at the screening visit * Acute hepatitis, chronic active hepatitis, liver cirrhosis; or an alanine aminotransferase ≥3 times and/or bilirubin ≥2 times the upper limit of normal (ULN) at the screening visit in the absence of clinical explanation * Uncontrolled hypertension (systolic blood pressure \[BP\] \> 180 mm Hg or diastolic BP \>100 mm Hg despite antihypertensive treatment) * Women of child-bearing potential (WOCBP) who are unwilling or unable to use highly effective contraceptive measures during the study from screening up to 3 days after last treatment of dalteparin or 100 days after administration of abelacimab * Sexually active males with sexual partners of childbearing potential must agree to use a condom or other reliable contraceptive measure up to 3 days after last treatment of dalteparin or 100 days after administration of abelacimab * Pregnant or breast-feeding women * History of hypersensitivity to any of the study drugs (including dalteparin) or its excipients, to drugs of similar chemical classes, or any contraindication listed in the label for dalteparin * Subjects with any condition that in the judgement of the Investigator would place the subject at increased risk of harm if he/she participated in the study * Use of other investigational (not-registered) drugs within 5 half-lives prior to enrollment or until the expected pharmacodynamic effect has returned to baseline, whichever is longer. Participation in academic non-interventional studies or interventional studies, comprising testing different strategies or different combinations of registered drugs is permitted.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Akershus Univeristy Hospital
Lørenskog, 1478, Norway
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Albert Schweitzer Ziekenhuis, Dordwijk
Dordrecht, 3317 NM, Netherlands
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Amsterdam University Medical Center
Holland, 1105AZ, Netherlands
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Arcispedale S. Maria Nuova Azienda Ospedaliera di Reggio Emilia
Bologna, 40133, Italy
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Azienda Ospedale - Università Padova
Padova, 35128, Italy
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Azienda Ospedaliero Universitaria Pisana
Pisa, 56126, Italy
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Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII
Bergamo, 24127, Italy
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Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo
Milan, 20142, Italy
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Barnes-Jewish Hospital
St Louis, Missouri, 63110, United States
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Beaumont Hospital
Dublin, D09V2N0, Ireland
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Beijing Shijitan Hosp.
Beijing, 100038, China
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Blacktown Hospital
Blacktown, New South Wales, 2148, Australia
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Bon Secour Hospital
Cork, T12 DV56, Ireland
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CH Le Puy en Velay
Le Puy-en-Velay, Chantemesse, 43 000, France
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CHU Angers - Hôpital Hôtel Dieu
Angers, 49933, France
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CHU Clermont Ferrand - Hopital Gabriel Montpied
Clermont-Ferrand, 63003, France
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CHU Strasbourg - Nouvel Hôpital Civil
Strasbourg, 67091, France
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CHU de Limoges - Hôpital Dupuytren
Limoges, Cedex, 87042, France
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CHU de Limoges - Hôpital Dupuytren
Limoges, 87042, France
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CHU de Nancy - Hôpital de Brabois Adultes
Vandœuvre-lès-Nancy, Rue Du Morvan, 54500, France
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CHU de Nancy - Hôpital de Brabois Adultes
Vandœuvre-lès-Nancy, 54511, France
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CHU de Rouen - Hôpital de Bois Guillaume
Rouen, 76031, France
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CHU de Saint-Etienne - Hopital Nord
Saint-Etienne, 42000, France
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Castle Hill Hospital, Department of Oncology & Haematology
Cottingham, ENG, HU16 5JQ, United Kingdom
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Centre Hospitalier Intercommunal de Toulon
Toulon, 83000, France
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Clinica Universidad de Navarra
Madrid, 28027, Spain
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Clinica Universidad de Navarra
Pamplona, 31008, Spain
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Complejo Hospitalario Universitario de Ourense
Ourense, Spain
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Cork University Hospital
Cork, T12 DC4A, Ireland
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Corporacio Sanitaria Parc Tauli
Sabadell, 8208, Spain
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Daugavpils Regional Hospital
Daugavpils, LV-5417, Latvia
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Debreceni Egyetem
Debrecen, 4032, Hungary
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Duke University Medical Center
Durham, North Carolina, 27705, United States
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Ewha Womans University Mokdong Hospital
Seoul, 7985, South Korea
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Far Eastern Memorial Hospital
New Taipei City, 220, Taiwan
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Groupe Hospitalier Pitie-Salpetriere
Paris, 75013, France
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Haga Ziekenhuis
The Hague, 2545 AA, Netherlands
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Hamilton Health Sciences, Juravinski Hospital and Cancer Centre
Hamilton, Ontario, L8V 1C3, Canada
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Hopital Universitaire Geneve
Geneva, 1205, Switzerland
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Hospices Civils de Lyon (HCL) - Centre Hospitalier Lyon-Sud
Pierre-Bénite, 69310, France
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Hospital General Universitario Gregorio Marañon
Madrid, 28007, Spain
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Hospital General Universitario de Elche
Elche, 3203, Spain
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Hospital Universitario Central de Asturia
Oviedo, 33011, Spain
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Hospital Universitario Ciudad de Jaen
Jaén, 23007, Spain
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Hospital Universitario Del Vinalopo
Alicante, 03293, Spain
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Hospital Universitario Lucus Augusti
Lugo, 27003, Spain
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Hospital Universitario Marques de Valdecilla
Santander, 39012, Spain
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Hospital Universitario Puerta de Hierro Majadahonda
Majadahonda, 28222, Spain
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Hospital Universitario Reina Sofia
Córdoba, 14004, Spain
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Hospital Universitario Virgen de las Nieves
Granada, 18014, Spain
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Hospital Universitario Virgen del Rocio
Seville, 41013, Spain
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Hubei Cancer Hospital
Wuhan, 430079, China
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Huizhou Municipal Central Hospital
Huizhou, 516001, China
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Hôpital Européen Georges Pompidou
Paris, 75015, France
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Hôpital Louis Mourier
Colombes, Renouiflers, 92700, France
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IRCCS Istituto Tumori Giovanni Paolo II
Bari, 70124, Italy
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Ikazia Ziekenhuis
Rotterdam, 3083 AN, Netherlands
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Istituto Nazionale Tumori Fondazione G. Pascale
Naples, 80131, Italy
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Jeonbuk National University Hospital
Jeonju, 54907, South Korea
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Jilin Province Tumor Hospital
Ch’ang-ch’un, 130012, China
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LK Wiener Neustadt
Neustadt, 2700, Austria
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Leids Universitair Medisch Centrum
Leiden, 2333 ZA, Netherlands
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Liepaja Regional Hospital
Liepāja, LV3414, Latvia
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Länssjukhuset Sundsvall-Härnösand
Sundsvall, 85186, Sweden
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MD Anderson Cancer Centre
Madrid, 28033, Spain
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Markhot Ferenc Oktatokorhaz es Rendelointezet
Eger, H-3300, Hungary
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Masarykuv onkologicky ustav
Brno, 65653, Czechia
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Meander Medisch Centrum
Amersfoort, 3813, Netherlands
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Medical University of Vienna
Vienna, 1090, Austria
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Memorial Sloan Kettering Cancer Center
New York, New York, 10021-0005, United States
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Memorial Sloan Kettering Cancer Center-Commack
Commack, New York, 11725, United States
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Memorial Sloan Kettering Cancer Center-Middletown
Middletown, New Jersey, 07748, United States
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Memorial Sloan Kettering Cancer Center-West Harrison
Harrison, New York, 10604, United States
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Nanfang Hospital of Southern Medical University
Guangzhou, 510515, China
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Nanjing First Hospital
Nanjing, 210006, China
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Nantong Tumor Hospital (Tumor Hospital Affiliated to Nantong University )
Tongzhou, 226361, China
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National Cheng Kung University (NCKU) Hospital
Tainan, 704, Taiwan
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NorthShore University Health System
Evanston, Illinois, 60201, United States
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Northern Health
Epping, Victoria, 3076, Australia
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Nouvel Hôpital Civil de Strasbourg
Strasbourg, Strasbourg, 67091, France
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Onkologická klinika VFN a 1. LF UK
Prague, 128 08, Czechia
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Ospedale Civile Dell Annunziata
Cosenza, 87100, Italy
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Ospedale Degli Infermi
Faenza, 48018, Italy
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Ospedale San Bortolo di Vicenza
Vicenza, 36100, Italy
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Ospedale Universitario
Padova, 35128, Italy
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Ottawa Hospital Research Instituite
Ottawa, Ontario, K1H 8L6, Canada
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Ottawa Hospital Research Instituite
Ottawa, Ontario, K1H BL6, Canada
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Pauls Stradins CUH
Riga, LV-1002, Latvia
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Peking University Third Hospital
Beijing, 100191, China
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Praxis für Gefäßmedizin
Görlitz, 2827, Germany
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Presidio Ospedaliero di Castelfranco Veneto
Castelfranco Veneto, 31033, Italy
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Radboud Universitair Medisch Centrum
Nijmegen, 6500, Netherlands
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SS. ma Annunziata
Chieti, 66013, Italy
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Sault Area Hospital
Marie, P6A0A8, Canada
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Seoul National University Bundang Hospital
Seongnam, 13620, South Korea
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Southern Medical University - Zhujiang Hospital
Guangdong, 510280, China
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Spaarne Gasthuis (Kennemer Gasthuis) - Haarlem-Zuid
Haarlem, Netherlands
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Staedtisches Klinikum Dresden Standort Dresden-Friedrichstadt
Dresden, 01067, Germany
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The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, 325000, China
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The Newcastle Upon Tyne Hospitals
Newcastle upon Tyne, ENG, NE7 7DN, United Kingdom
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The Second Hospital of Jiaxing
Zhejiang, 314000, China
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The Sixth Affiliated Hospital of Sun Yat-Sen University
Guangzhou, 510655, China
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Thomayerova nemocnice
Prague, 14059, Czechia
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Toronto General Hospital
Toronto, M5G 2C4, Canada
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Tri-Service General Hospital
Taipei, 11490, Taiwan
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Union Hospital Tongji Medical College Huazhong University of Science &Technology
Wuhan, 430023, China
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Universitaetsklinikum Carl Gustav Carus TU Dresden
Dresden, 1307, Germany
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Universitaetsklinikum Hamburg-Eppendorf
Hamburg, 20246, Germany
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University Hospital Hradec Kralove
Hradec Králové, 50005, Czechia
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University Hospital of Wales
Cardiff, England, CF14 4XW, United Kingdom
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University of Calgary
Calgary, T2N1N4, Canada
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University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, 73104, United States
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Universitätsklinik Leipzig
Leipzig, 4103, Germany
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Washington DC VAMC
Washington D.C., District of Columbia, 20422, United States
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Weill Cornell Medical College
New York, New York, 10021, United States
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Westmead Hospital
Westmead, New South Wales, 2145, Australia
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Østfold Hospital Kalnes
Fredrikstad, 1603, Norway
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a gentler blood thinner shield cancer patients from new clots?
- Muscle loss may predict who struggles after cancer surgery
- Can a simple frailty check predict who bounces back after cancer surgery?
- Can a phone app stop deadly clots from coming back?
- Can electronic alerts and patient teaching stop deadly clots after cancer surgery?
- Can a new Five-Category system predict which pulmonary embolism patients will crash?