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Cited by 288

The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.

Aspirin or enoxaparin thromboprophylaxis for patients with newly diagnosed multiple myeloma treated with lenalidomide

Larocca, Alessandra, Cavallo, Federica, Bringhen, Sara, Di Raimondo, Francesco, Falanga, Anna, Evangelista, Andrea, Cavalli, Maide, Stanevsky, Anfisa, Corradini, Paolo, Pezzatti, Sara, Patriarca, Francesca, Cavo, Michele, Peccatori, Jacopo, Catalano, Lucio, Carella, Angelo Michele, Cafro, Anna Maria, Siniscalchi, Agostina, Crippa, Claudia, Petrucci, Maria Teresa, Yehuda, Dina Ben, Beggiato, Eloise, Di Toritto, Tommaso Caravita, Boccadoro, Mario, Nagler, Arnon, Palumbo, Antonio·2012·Blood

Abstract

Lenalidomide plus dexamethasone is effective in the treatment of multiple myeloma (MM) but is associated with an increased risk of venous thromboembolism (VTE). This prospective, open-label, randomized substudy of a phase 3 trial compared the efficacy and safety of thromboprophylaxis with low-dose aspirin (ASA) or low-molecular-weight heparin (LMWH) in patients with newly diagnosed MM, treated with lenalidomide and low-dose dexamethasone induction and melphalan-prednisone-lenalidomide consolidation. Overall, 342 patients who did not have clinical indications or contraindications to antiplatelet or anticoagulant therapy were randomly assigned to receive ASA 100 mg/d (n = 176) or LMWH enoxaparin 40 mg/d (n = 166). The incidence of VTE was 2.27% in the ASA group and 1.20% in the LMWH group. Compared with LMWH, the absolute difference in the proportion of VTE was 1.07% (95% confidence interval, −1.69-3.83; P = .452) in the ASA group. Pulmonary embolism was observed in 1.70% of patients in the ASA group and none in the LMWH group. No arterial thrombosis, acute cardiovascular events, or sudden deaths were reported. No major hemorrhagic complications were reported. In previously untreated patients with MM receiving lenalidomide with a low thromboembolic risk, ASA could be an effective and less-expensive alternative to LMWH thromboprophylaxis. This study was registered at www.clinicaltrials.gov as #NCT00551928.

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Metadata

Authors
Larocca, A., Cavallo, F., Bringhen, S., Di Raimondo, F., Falanga, A., Evangelista, A., Cavalli, M., Stanevsky, A., Corradini, P., Pezzatti, S., Patriarca, F., Cavo, M., Peccatori, J., Catalano, L., Carella, A. M., Cafro, A. M., Siniscalchi, A., Crippa, C., Petrucci, M. T., Yehuda, D. B., Beggiato, E., Di Toritto, T. C., Boccadoro, M., Nagler, A., & Palumbo, A.
Venue
Blood
Published
2012-01-26
Volume
119
Issue
4
Pages
933-939
ISSN
  • 0006-4971 (ISSN-L)
  • 1528-0020
OpenAlex
W2026895719
Cited by
288
References
27
FWCI
21.27
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Aspirin or enoxaparin thromboprophylaxis for patients with newly diagnosed multiple myeloma treated with lenalidomide. https://app.cochat.ai/papers/10.1182/blood-2011-03-344333
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Larocca, A., Cavallo, F., Bringhen, S., Di Raimondo, F., Falanga, A., Evangelista, A., Cavalli, M., Stanevsky, A., Corradini, P., Pezzatti, S., Patriarca, F., Cavo, M., Peccatori, J., Catalano, L., Carella, A. M., Cafro, A. M., Siniscalchi, A., Crippa, C., Petrucci, M. T., . . . Palumbo, A. (2012). Aspirin or enoxaparin thromboprophylaxis for patients with newly diagnosed multiple myeloma treated with lenalidomide. Blood. https://doi.org/10.1182/blood-2011-03-344333

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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