RecruitingNot ApplicableNCT07384013

Study Protocol: Impact of Metamizole (Optalgin®) on Anti-Xa Concentrations in Oncology Patients Receiving DOACs

Impact of Metamizole (Optalgin®) on Anti-Xa Concentrations in Oncology Patients Receiving DOACs


Sponsor

Rambam Health Care Campus

Enrollment

30 participants

Start Date

Nov 1, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

Evaluation of the Effect of metamizole (Optalgin®) on Anti-Xa Levels in Oncology Patients Receiving Direct Oral Anticoagulants (DOACs)


Eligibility

Min Age: 18 Years

Inclusion Criteria6

  • Adult oncology patients (≥18 years old).
  • Receiving apixaban or rivaroxaban for anticoagulation.
  • New/current metamizole users taking at least 1g TID for pain management.
  • Platelets ≥100×10⁹/L
  • ECOG PS\<3
  • Provided informed consent

Exclusion Criteria2

  • History of allergic reaction to metamizole or DOACs.
  • Individuals with significant gastrointestinal disorders that may affect absorption, including (but not limited to) diagnosed bowel obstruction, persistent diarrhea, or the presence of a nasogastric tube (NGT/zonda)

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Interventions

DRUGmetamizole

chronic metamizole use

DRUGmetamizole

New metamizole users


Locations(1)

Rambam Health Care Campus

Haifa, Israel

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NCT07384013


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