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癌症相关血栓栓塞患儿的利伐沙班治疗:真实世界数据。

Rivaroxaban treatment among children with cancer-associated thromboembolism: Real-world data.

机构信息

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

National Hemophilia Center, Thrombosis Unit and Amalia Biron Research Institute of Thrombosis and Hemostasis, Sheba Medical Center, Tel Hashomer, Israel.

出版信息

Pediatr Blood Cancer. 2022 Oct;69(10):e29888. doi: 10.1002/pbc.29888. Epub 2022 Jul 20.

Abstract

This is the first study examining real-life data of pediatric cancer patients treated with rivaroxaban. Children with thrombocytopenia and high bleeding risk were excluded from previous clinical trials. Data regarding the safety and efficacy of rivaroxaban in pediatric cancer-associated thrombosis are scarce. Our case series included 16 children aged 7.5-17 years. Thrombus resolution rate in our study was comparable to results of previous studies. However, higher rates of thrombotic and bleeding complications were seen in our study as compared to previous reports, especially among patients with relapsed or refractory disease.

摘要

这是第一项研究,调查了接受利伐沙班治疗的儿科癌症患者的真实数据。以前的临床试验排除了血小板减少症和高出血风险的儿童。关于利伐沙班在儿科癌症相关血栓形成中的安全性和疗效的数据很少。我们的病例系列包括 16 名年龄在 7.5-17 岁的儿童。我们的研究中血栓溶解率与以前的研究结果相当。然而,与以前的报告相比,我们的研究中血栓形成和出血并发症的发生率更高,尤其是在复发或难治性疾病的患者中。

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