WEDNESDAY, Feb. 15 (HealthDay News) -- A new blood-thinning
medication called semuloparin reduces the risk of blood clots in
people undergoing certain cancer treatments, new research
shows.
When people with cancer are treated with chemotherapy, they have
an increased risk of developing blood clots (venous
thromboembolism). These clots can be dangerous, and have the
potential to cause heart attacks or strokes.
This new drug reduced the risk of blood clots by 64 percent,
according to the study, which was funded by Sanofi, the drug's
manufacturer. Sanofi was also responsible for the analysis of the
study's results.
Semuloparin, which is not currently approved by the U.S. Food
and Drug Administration, didn't appear to increase the risk of
excessive bleeding, which can be a side effect of blood
thinners.
"Thromboembolism and the effects are very significant," said Dr. Stephanie Bernik, chief of surgical oncology at Lenox Hill Hospital in New York City. Even if blood clots don't cause life-threatening complications, they can cause lifelong problems, such as pain and a decreased ability to exercise, she explained.
"What's interesting about this paper is that they're decreasing the rate of thromboembolism without increasing bleeding. This needs to be confirmed in other studies, but this drug may play an important role for cancer patients in the future," said Bernik, who was not involved with the research.
The current study included more than 3,000 people from 47
countries. All had been diagnosed with cancer, including cancers of
the lung, pancreas, stomach, colon, rectum, bladder or ovary.
The study volunteers were randomly assigned to one of two
groups. One group received treatment with semuloparin, which is a
type of heparin, while they were undergoing chemotherapy. The other
group received a placebo.
The medication or the placebos were given as an injection once a
day. Treatment lasted an average of 3.5 months.
Blood clots occurred in just 1.2 percent of those taking
semuloparin compared to 3.4 percent of those on the placebo,
according to the study.
The incidence of any type of excessive bleeding was 2.8 percent
for the semuloparin group and 2.0 percent in those on placebo.
Major bleeding occurred in 1.2 percent of those on semuloparin and
1.1 percent of those on placebo.
Results of the study are published in the Feb. 16 issue of the
New England Journal of Medicine.
In addition to preventing clots, heparin medications may also
help fight cancer tumors, according to the authors of an
accompanying editorial in the same issue of the journal.
"This study by itself did not show any effect on mortality, but when we included it in a meta-analysis, we found that there is a likely survival benefit," said one of the editorial's
authors, Dr. Elie Akl, an associate professor of medicine at the
State University of New York at Buffalo.
The meta-analysis done by Akl and his co-author reviewed 11
studies including more than 6,000 people taking heparin medications
during chemotherapy. They concluded that for every 1,000 people
being treated with chemotherapy for cancer, there would be 30 fewer
deaths if people were also treated with heparin during their
chemotherapy. They also estimated that there would be 20 fewer
blood clots. And, they estimated that there would be one more major
bleeding episode and five more minor bleeding episodes if everyone
on chemotherapy were to receive heparin treatment.
"Patients with cancer, who have a low risk of bleeding and who have no problem with injecting themselves with heparin, are likely to benefit in terms of survival from heparin treatment," he said.
What isn't yet clear, Akl said, is if heparin would provide more
or less benefit depending on the type of cancer someone has, and
how far advanced the cancer is. He said that there are currently
six different studies under way to help answer those questions. The
cost of the medication is also unclear, since it has not been
approved for use in the United States yet.
More information
To learn more about blood clots and cancer, read this
information from the
American Society of Clinical Oncology.