Can newer blood thinners beat aspirin for clot prevention in blood cancer patients?
NCT ID NCT05198960
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 3 trial is testing whether direct oral anticoagulants (DOACs) like apixaban or rivaroxaban are better than low-dose aspirin at preventing blood clots in people with JAK2V617F-positive myeloproliferative neoplasms (blood cancers). The study plans to enroll 1308 high-risk patients. The goal is to see if these newer blood thinners reduce the risk of dangerous clots without causing too much bleeding.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Apixaban or Rivaroxaban (blood thinners)
- What this could lead to
- If successful, this could offer a more effective way to prevent dangerous blood clots in people with certain blood cancers, potentially reducing strokes and heart attacks.
- What could go wrong
- This is a large phase 3 trial, but blood thinners carry a risk of serious bleeding. It is unclear if the benefits will outweigh this risk in this specific patient group.
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
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
About 1,308 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Jul 2022
- Expected to finish
-
Jul 2027
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Patients with diagnosis of PV or ET or PreMF according to WHO or BSCH criteria (bone marrow biopsy not compulsory). * Patients with JAK2V617F mutation (threshold allele burden \> 1%). * Patients considered as "high-risk" patients: 1. based on age (\> 60-year-old) 2. based on thrombotic history (compatible with antithrombotic randomization) but aged ≥ 18-year-old. * Length of time from MPN diagnostic to inclusion will not exceed 12 months. Exclusion Criteria: * Contra-indication to aspirin or DOAC due to allergic situation or recent history of major bleeding. * Formal indication of treatment with aspirin or DOAC (thus precluding randomization). * Inability to give informed consent. * Patients under curatorship/guardianship * Concomitant use of a strong inhibitor or inducer of CYP3A4 (like ruxolitinib). * Chronic liver disease or chronic hepatitis. * Renal insufficiency with creatinine \<30 ml/mn on Cockcroft and Gault Formula * Patient considered at high-risk of bleeding: patients with current or recent major or clinical relevant non major bleeding gastrointestinal or cerebral bleedings * Planned pregnancy within 24 months * No appropriate contraception (estrogen contraception or no contraception) in women of childbearing age or breastfeeding woman * PS\>2 or life expectancy \<12 months.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Essential thrombocythemia are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The places running it
42 sites. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
-
CH Bretagne Atlantique Vannes
RECRUITINGVannes, 56017, France
-
CH Le Mans
NOT_YET_RECRUITINGLe Mans, 72000, France
-
CH Libourne
NOT_YET_RECRUITINGLibourne, 33500, France
-
CH Paul-Brousse (APHP)
NOT_YET_RECRUITINGVillejuif, 94800, France
-
CH d'Annecy
NOT_YET_RECRUITINGAnnecy, 74374, France
-
CH d'Argenteuil
NOT_YET_RECRUITINGArgenteuil, 95100, France
-
CH d'Avignon
RECRUITINGAvignon, 84000, France
-
CH de Béziers
NOT_YET_RECRUITINGBéziers, 34500, France
-
CH de Morlaix
RECRUITINGMorlaix, 29600, France
-
CH de Perpignan
NOT_YET_RECRUITINGPerpignan, 66000, France
-
CH de Périgueux
RECRUITINGPérigueux, 24019, France
-
CH de Rochefort
NOT_YET_RECRUITINGRochefort, 17300, France
-
CH de Roubaix
RECRUITINGRoubaix, 59100, France
-
CH de Versailles
NOT_YET_RECRUITINGVersailles, 78150, France
-
CH de la Côte Basque Bayonne
NOT_YET_RECRUITINGBayonne, 64100, France
-
CHD Vendée La Roche Sur Yon
RECRUITINGLa Roche-sur-Yon, 85925, France
-
CHIC de Quimper
RECRUITINGQuimper, 29107, France
-
CHR d'Orléans
RECRUITINGOrléans, 45100, France
-
CHU Bordeaux
RECRUITINGBordeaux, 33604, France
-
CHU Brest
RECRUITINGBrest, 29609, France
-
CHU Grenoble Alpes
RECRUITINGGrenoble, 38043, France
-
CHU La Réunion - Site Nord Félix GUYON
NOT_YET_RECRUITINGSaint-Denis, 97405, France
-
CHU La Réunion - Site Sud
NOT_YET_RECRUITINGSaint-Pierre, 97410, France
-
CHU Le Havre
NOT_YET_RECRUITINGLe Havre, 76083, France
-
CHU d'Angers
RECRUITINGAngers, 49933, France
-
CHU de Clermont-Ferrand
NOT_YET_RECRUITINGClermont-Ferrand, 63003, France
-
CHU de Limoges - Hôpital Dupuytren
RECRUITINGLimoges, France
-
CHU de Montpellier
NOT_YET_RECRUITINGMontpellier, 34295, France
-
CHU de Nancy
RECRUITINGNancy, 54511, France
-
CHU de Nantes - Hôtel-Dieu
NOT_YET_RECRUITINGNantes, 44093, France
-
CHU de Rennes
NOT_YET_RECRUITINGRennes, 35033, France
-
CHU de Tours
RECRUITINGTours, 37044, France
-
Centre Henri Becquerel de Rouen
RECRUITINGRouen, 76038, France
-
Centre Léon Bérard Lyon
NOT_YET_RECRUITINGLyon, 69000, France
-
Clinique Sainte Anne Strasbourg
NOT_YET_RECRUITINGStrasbourg, 92210, France
-
Hôpital Cochin (APHP)
NOT_YET_RECRUITINGParis, 75679, France
-
Hôpital Henri Mondor (APHP)
RECRUITINGCréteil, 94010, France
-
Hôpital Privé du Confluent Nantes
NOT_YET_RECRUITINGNantes, 44202, France
-
Hôpital St-Louis (APHP)
RECRUITINGParis, 75010, France
-
Hôpital privé Cesson-Sévigné
NOT_YET_RECRUITINGCesson-Sévigné, 35510, France
-
Institut de Cancérologie Lucien Neuwirth St-Priest-en-Jarez
RECRUITINGSaint-Priest-en-Jarez, 42271, France
-
Médipôle Hôpital Mutualiste Villeurbanne
RECRUITINGVilleurbanne, 69616, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Pens and vouchers: can small rewards boost participation in blood cancer research?
- Can a new injection tame overactive blood cell production?
- Can a hormone mimic curb the need for bloodletting in a blood cancer?
- Can a Dual-Action pill tame bone marrow tumors?
- Can a new drug reduce bloodletting for polycythemia vera?
- A simple Note-Taking change could transform blood cancer care