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Updated: Jun 11, 2026

An Organotypic High Throughput System for Characterization of Drug Sensitivity of Primary Multiple Myeloma Cells
Published on: July 15, 2015
Real-World Outcomes of Thromboprophylaxis With Apixaban in Patients With Newly Diagnosed Multiple Myeloma, the
K Alexandra Sanchez1, Gabriela Cesarman-Maus1, Michelle Flores-Cruz1
1Department of Hematology Instituto Nacional de Cancerología Mexico City Mexico.
Background:
Multiple myeloma (MM) carries a high venous thromboembolism (VTE) risk; aspirin shows limited efficacy, while factor-Xa inhibitors show promise.
Objectives:
Evaluate apixaban for primary thromboprophylaxis in newly diagnosed MM (NDMM).
Methods:
Prospective single-center study of consecutive patients receiving apixaban, followed for VTE and bleeding.
Results:
Eighty-seven patients (median follow-up of 11 months) were included; no major bleeding, deep vein thrombosis, or pulmonary embolism occurred; two developed symptomatic superficial vein thrombosis.
Conclusions:
Apixaban was safe and associated with very low rates of clinically significant thrombotic and bleeding events, supporting further evaluation for thromboprophylaxis in NDMM.
Trial Registration:
The authors have confirmed clinical trial registration is not needed for this submission.
Insights
Apixaban is a safe and effective option for preventing blood clots in newly diagnosed multiple myeloma patients. This study found very low rates of thrombotic and bleeding events, supporting its use.
Area of Science:
- Hematology
- Oncology
- Pharmacology
Background:
- Multiple myeloma (MM) is associated with a high risk of venous thromboembolism (VTE).
- Current thromboprophylaxis options like aspirin have limited efficacy.
- Factor-Xa inhibitors show potential for VTE prevention in MM.
Purpose of the Study:
- To evaluate the safety and efficacy of apixaban for primary thromboprophylaxis.
- To assess apixaban's role in newly diagnosed multiple myeloma (NDMM) patients.
Main Methods:
- Prospective, single-center study design.
- Inclusion of consecutive patients receiving apixaban.
- Monitoring for VTE and bleeding events.
Main Results:
- Eighty-seven patients were included with a median follow-up of 11 months.
- No major bleeding, deep vein thrombosis, or pulmonary embolism events were recorded.
- Two patients experienced symptomatic superficial vein thrombosis.
Conclusions:
- Apixaban demonstrated safety in NDMM patients.
- Very low rates of clinically significant thrombotic and bleeding events were observed.
- Further evaluation of apixaban for thromboprophylaxis in NDMM is warranted.
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