Could a Once-Daily pill prevent deadly clots in cancer patients?
NCT ID NCT07005024
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares two different dosing schedules of the blood thinner apixaban (Eliquis) against no blood thinner in about 996 cancer patients at moderate risk for blood clots. Participants take either 2.5 mg twice daily, 5 mg once daily, or no anticoagulant for 6 months. The goal is to see if a simpler once-daily dose is as safe and effective as the standard twice-daily dose at preventing clots and reducing deaths.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Apixaban (Eliquis), a blood thinner
- What this could lead to
- If successful, this could provide a simpler, once-daily blood thinner option to prevent dangerous clots in cancer patients, potentially reducing deaths and hospitalizations.
- What could go wrong
- This is a Phase 3 trial, but it's still testing a new dosing schedule. The once-daily dose may not work as well as the standard twice-daily dose, and any blood thinner carries a risk of serious bleeding.
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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About 996 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2025
- Expected to finish
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Aug 2035
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 years * Diagnosed with an active solid tumor or lymphoma * Starting a new systemic cancer treatment or changing cancer treatment * Khorana Risk Score of 2 (calculated based on lab and clinical data at treatment initiation) * Not currently receiving therapeutic anticoagulation * Able to provide informed consent Exclusion Criteria: * Active bleeding or high risk of bleeding (e.g., recent major surgery, CNS tumors with hemorrhagic risk) * Known contraindication to apixaban (e.g., allergy, severe liver disease, dual strong CYP3A4 and P-gp inhibitors) * Current therapeutic-dose anticoagulation for VTE or atrial fibrillation * Platelet count \< 50,000/µL * Creatinine clearance \< 25 mL/min * Life expectancy \< 3 months * Pregnant or breastfeeding * Inability to comply with study procedures
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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University of Vermont Medical Center
RECRUITINGBurlington, Vermont, 05401, United States
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