Low-molecular-weight heparin adherence and effects on survival within a randomised phase III lung cancer trial (RASTEN)

E. Gezelius, P.O. Bendahl, K. Gonçalves de Oliveira, L. Ek, B. Bergman, J. Sundberg, K. Strandberg, R. Krämer, M. Belting
2019 European Journal of Cancer  
Coagulation activation is a hallmark of cancer, and anticoagulants have shown tumour-inhibiting properties. However, recent trials have failed to demonstrate improved survival with low-molecular-weight heparin (LMWH) in cancer populations. This has raised the question of suboptimal adherence as a possible explanation for the lack of benefit. Still, there is no standardised method to directly monitor LMWH in patient plasma. Here, we directly determine LMWH levels in patients using the Heparin
more » ... assay to objectively assess adherence and how this associates with the patient outcome in the RASTEN trial.
doi:10.1016/j.ejca.2019.06.015 pmid:31326730 fatcat:tqjluclgkbaebpsxqm3qh2lfau