Incidence of thrombotic events and bleedings in patients with polycythemia vera or essential thrombocythemia
Reference . | MPN . | Design . | Patients (n) . | Total patient years . | Cyto-reduction (%) . | Anti-platelet agents (%) . | Thrombosis % per year . | Bleeding % per year . | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
All . | Arterial . | MI . | Ischemic stroke . | Venous . | DVT and/or PE . | Overall . | Intra-cranial . | Gastro-intestinal . | Other . | |||||||
GISP2 | PV | Retrospective | 1213 | 7400 | 69 | NA | 3.2 | 2.0 | 0.7 | 0.5 | 1.2 | 0.6 | NA | NA | NA | NA |
Passamonti et al3 | PV | Retrospective | 396 | 4184 | 86 | 57 | 1.1 | 0.7 | 0.2 | 0.2 | 0.4 | 0.3 | NA | NA | NA | NA |
Landolfi et al43 | PV | Prospective randomized | 518 | ∼739 per arm | 57 | 49 | 4.9*1.7† | 2.6*0.9† | 0.2*0.1† | 1.1*0.2† | 2.3*0.8† | 1.5*0.5† | 1.9*3.1† | 0.2*0.1† | 0*0.2† | 1.6*2.7† |
Marchioli et al4 | PV | Prospective observational | 1638 | 4390 | 62 | 58 | 4.9 | 2.6 | 0.9 | 0.8 | 2.3 | 1.3 | 2.9 | 0.8 | 2.1 | |
De Stefano et al29 | PV | Retrospective‡ | 235 | 1419 | 66 | 71 | 6.0 | 3.5§ | 0.3 | 1.0 | 2.5§ | 2.1 | 0.9 | 0.1 | 0.6 | 0.2 |
Cortelazzo et al30 | ET | Retrospective | 100 | 303 | 74 | 1 | 6.6 | 4.6 | 1.0 | NA | 2.0 | 1.0 | 0.3 | 0 | 0.3 | 0 |
Colombi et al31 | ET | Retrospective | 103 | 489 | 65 | 72 | 2.2 | 2.0 | 0.4 | 0.6 | 0.2 | 0.2 | 1.8 | 0 | 1.2 | 0.6 |
Harrison et al32 | ET | Prospective randomized | 809 | 2653 | 72|| | 100 | 2.6 | 2.0 | 0.7 | 0.6 | 0.6 | 0.6 | 1.1 | 0.2 | 0.6 | 0.3 |
Passamonti et al33 | ET | Retrospective | 605 | 4596 | 67 | 33¶ | 1.3 | 1.1 | 0.3 | 0.4 | 0.2 | 0.3 | NA | NA | NA | NA |
Carobbio et al34 | ET | Retrospective | 1063 | 5130 | 51 | 66 | 2.3 | 1.6 | 0.5 | NA | 0.7 | NA | 0.8 | NA | 0.6 | NA |
De Stefano et al29 | ET | Retrospective | 259‡ | 1533 | 75 | 75 | 5.2 | 3.3§ | 0.4 | 0.4 | 1.9§ | 1.5 | 0.9 | 0.3 | 0.5 | 0.1 |
Carobbio et al35 ; Finazzi et al36,# | ET | Retrospective | 891 | NA | 57 | 68 | 1.8 | 1.2 | 0.3 | NA | 0.6 | NA | 0.8 | 0.03 | 0.4 | 0.4 |
Palandri et al37 | ET | Retrospective | 565 | 4433 | 86 | 95 | NA | NA | NA | NA | NA | NA | 1.4 | 0.06 | 0.3 | 1.0 |
Reference . | MPN . | Design . | Patients (n) . | Total patient years . | Cyto-reduction (%) . | Anti-platelet agents (%) . | Thrombosis % per year . | Bleeding % per year . | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
All . | Arterial . | MI . | Ischemic stroke . | Venous . | DVT and/or PE . | Overall . | Intra-cranial . | Gastro-intestinal . | Other . | |||||||
GISP2 | PV | Retrospective | 1213 | 7400 | 69 | NA | 3.2 | 2.0 | 0.7 | 0.5 | 1.2 | 0.6 | NA | NA | NA | NA |
Passamonti et al3 | PV | Retrospective | 396 | 4184 | 86 | 57 | 1.1 | 0.7 | 0.2 | 0.2 | 0.4 | 0.3 | NA | NA | NA | NA |
Landolfi et al43 | PV | Prospective randomized | 518 | ∼739 per arm | 57 | 49 | 4.9*1.7† | 2.6*0.9† | 0.2*0.1† | 1.1*0.2† | 2.3*0.8† | 1.5*0.5† | 1.9*3.1† | 0.2*0.1† | 0*0.2† | 1.6*2.7† |
Marchioli et al4 | PV | Prospective observational | 1638 | 4390 | 62 | 58 | 4.9 | 2.6 | 0.9 | 0.8 | 2.3 | 1.3 | 2.9 | 0.8 | 2.1 | |
De Stefano et al29 | PV | Retrospective‡ | 235 | 1419 | 66 | 71 | 6.0 | 3.5§ | 0.3 | 1.0 | 2.5§ | 2.1 | 0.9 | 0.1 | 0.6 | 0.2 |
Cortelazzo et al30 | ET | Retrospective | 100 | 303 | 74 | 1 | 6.6 | 4.6 | 1.0 | NA | 2.0 | 1.0 | 0.3 | 0 | 0.3 | 0 |
Colombi et al31 | ET | Retrospective | 103 | 489 | 65 | 72 | 2.2 | 2.0 | 0.4 | 0.6 | 0.2 | 0.2 | 1.8 | 0 | 1.2 | 0.6 |
Harrison et al32 | ET | Prospective randomized | 809 | 2653 | 72|| | 100 | 2.6 | 2.0 | 0.7 | 0.6 | 0.6 | 0.6 | 1.1 | 0.2 | 0.6 | 0.3 |
Passamonti et al33 | ET | Retrospective | 605 | 4596 | 67 | 33¶ | 1.3 | 1.1 | 0.3 | 0.4 | 0.2 | 0.3 | NA | NA | NA | NA |
Carobbio et al34 | ET | Retrospective | 1063 | 5130 | 51 | 66 | 2.3 | 1.6 | 0.5 | NA | 0.7 | NA | 0.8 | NA | 0.6 | NA |
De Stefano et al29 | ET | Retrospective | 259‡ | 1533 | 75 | 75 | 5.2 | 3.3§ | 0.4 | 0.4 | 1.9§ | 1.5 | 0.9 | 0.3 | 0.5 | 0.1 |
Carobbio et al35 ; Finazzi et al36,# | ET | Retrospective | 891 | NA | 57 | 68 | 1.8 | 1.2 | 0.3 | NA | 0.6 | NA | 0.8 | 0.03 | 0.4 | 0.4 |
Palandri et al37 | ET | Retrospective | 565 | 4433 | 86 | 95 | NA | NA | NA | NA | NA | NA | 1.4 | 0.06 | 0.3 | 1.0 |
Arterial thrombosis included fatal and nonfatal acute coronary syndromes (ie, MI, and unstable angina); cerebrovascular disease (ischemic stroke and transient ischemic attack); and occlusion of retinal, abdominal, or peripheral arteries. Venous thrombosis included fatal and nonfatal DVT; PE; superficial vein thrombosis; and occlusion of retinal, splanchnic, or cerebral veins.
NA, not available.
Without aspirin.
With aspirin.
Cohort with previous thrombosis, studied from first thrombosis.
Incidence of first thrombotic recurrences.
Percent of patients on cytoreduction at trial closure.
Antiplatelet agents only.
Both studies refer to the same patient cohort.