Key result
Asymptomatic isolated distal DVT in cancer linked to ~79% lower recurrent VTE risk versus symptomatic DVT.
Why the study?
The risk of recurrent VTE in patients with isolated distal deep vein thrombosis is generally low, but cancer patients with IDDVT—even asymptomatic—may be at higher risk.
Does asymptomatic presentation reduce the risk of recurrent VTE compared to symptomatic presentation in cancer patients with isolated distal deep vein thrombosis?
Cohort (n=601)
Open-label, adjudicator-blinded
Yes
Does asymptomatic presentation reduce the risk of recurrent VTE compared to symptomatic presentation in cancer patients with isolated distal deep vein thrombosis?
Effect estimate: HR 0.21 (95% CI 0.10-0.47)
Absolute Event Rate: 2.9% vs 13.4%
p-value: p=<0.001
In cancer patients with isolated distal deep vein thrombosis, asymptomatic presentation is associated with a lower risk of recurrent symptomatic VTE compared to symptomatic presentation.
Should not yet change anticoagulation practice in cancer IDDVT; leaves open confirmation of lower recurrence in prospective trials.
Background: The risk of recurrent venous thromboembolism (VTE) in patients with isolated distal deep vein thrombosis (IDDVT) is generally low, particularly when IDDVT is asymptomatic. However, cancer patients with IDDVT, even asymptomatic IDDVT, may be at a higher risk of recurrent VTE. Objectives: To compare the clinical outcomes of cancer patients with asymptomatic and symptomatic IDDVT. Methods: = 122) groups based on IDDVT-related symptoms at diagnosis. The primary outcome was the composite of symptomatic recurrent VTE or VTE-related death at 12 months, while the major secondary outcome was major bleeding at 12 months. Results: = .048). Conclusion: The risk of recurrent symptomatic VTE was lower in cancer patients with asymptomatic IDDVT than in those with symptomatic IDDVT. Most recurrent VTE events were recurrent IDDVT, with the majority occurring after discontinuing anticoagulation therapy.
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Ogihara et al. (2025) conducted a cohort in Cancer-associated isolated distal deep vein thrombosis (n=601). Asymptomatic isolated distal deep vein thrombosis vs. Symptomatic isolated distal deep vein thrombosis was evaluated on Composite of symptomatic recurrent VTE or VTE-related death at 12 months (HR 0.21, 95% CI 0.10-0.47, p=<0.001). In cancer patients, asymptomatic isolated distal deep vein thrombosis was associated with a 79% lower risk of symptomatic recurrent VTE or VTE-related death (HR 0.21) versus symptomatic thrombosis.
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