Recruiting

Metamizole Impact on Anti-Xa Levels in Oncology Patients on DOACs

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Study Aim

This study aims to evaluate the impact of metamizole on the levels of Direct Oral Anticoagulants (DOACs) in cancer patients, by observing changes in DOAC peak and trough concentrations during periods with and without metamizole comedication.

What is being tested

metamizole

Drug
Who is being recruted

Agnosia+10

+ Cardiovascular Diseases

+ Hematologic Diseases

Over 18 Years
+8 Eligibility Criteria
See all eligibility criteria
How is the trial designed

Other Study

Interventional
Study Start: November 2025
See protocol details

Summary

Principal SponsorRambam Health Care Campus
Study ContactLiat Rappaport
Last updated: February 4, 2026
Sourced from a government-validated database.Claim as a partner

Study start date: November 1, 2025

Actual date on which the first participant was enrolled.

This study focuses on understanding how a pain reliever called Metamizole (Optalgin®) affects the levels of a specific type of blood thinner, known as Direct Oral Anticoagulants (DOACs), in cancer patients. The goal is to see if Metamizole alters the effectiveness of DOACs. This research is important because many cancer patients need pain relief and also require blood thinners, so it's crucial to understand how these medications interact to ensure the best and safest care. During the study, participants receive both their regular DOAC medication and Metamizole at different times. The study measures the levels of DOACs in the blood at five different points, both when participants are taking Metamizole and when they are not. The main outcome being evaluated is the change in DOAC levels during these periods. This helps to determine if and how Metamizole impacts the effectiveness of DOACs.

Official TitleImpact of Metamizole (Optalgin®) on Anti-Xa Concentrations in Oncology Patients Receiving DOACs
Principal SponsorRambam Health Care Campus
Study ContactLiat Rappaport
Last updated: February 4, 2026
Sourced from a government-validated database.Claim as a partner

Protocol

This section provides details of the study plan, including how the study is designed and what the study is measuring.
Design Details

30 patients to be enrolled

Total number of participants that the clinical trial aims to recruit.

Other Study

Some studies explore topics that don't fall into a specific category. These might include innovative research, new technologies, or emerging healthcare areas.



Eligibility

Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.
Conditions
Criteria

Any sex

Biological sex of participants that are eligible to enroll.

Over 18 Years

Range of ages for which participants are eligible to join.

Healthy volunteers not allowed

If individuals who are healthy and do not have the condition being studied can participate.

Conditions

Pathology

AgnosiaCardiovascular DiseasesHematologic DiseasesHemic and Lymphatic DiseasesHemorrhagic DisordersNervous System DiseasesNeurologic ManifestationsPerceptual DisordersSigns and SymptomsPathological Conditions, Signs and SymptomsVascular DiseasesNeurobehavioral ManifestationsHemostatic Disorders

Criteria

6 inclusion criteria required to participate
New/current metamizole users taking at least 1g TID for pain management.

ECOG PS<3

Adult oncology patients (≥18 years old).

Receiving apixaban or rivaroxaban for anticoagulation.

Show More Criteria

2 exclusion criteria prevent from participating
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)

Study Plan

Find out more about all the medication administered in this study, their detailed description and what they involve.
Treatment Groups
Study Objectives

2 intervention groups are designated in this study

This study does not include a placebo group 

Treatment Groups

Group I

Experimental
Patients receiving Optalgin prior to study enrollment

Group II

Experimental
Patients receiving Optalgin after to study enrollment

Study Objectives

Primary Objectives

Study Centers

These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.

This study has 1 location

Recruiting

Rambam Health Care Campus

Haifa, IsraelOpen Rambam Health Care Campus in Google Maps
Recruiting
One Study Center