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.

Ejhaem
|June 10, 2026
PubMed
Abstract

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.