Weitz JI, Kithcart AP, O’Brien MP, Levy O, Marin E, Onisko M et al.
Lancet 2025; 406: 2551-2563.
These two RCTs included over 550 patients undergoing knee replacement. Compared with Fragmin, only REGN7508Cat (an antibody that binds to the catalytic domain of Factor XI) was superior: mean adjusted odds ratio 0.37, 95 per cent confidence interval 0.2 to 0.68.
Comment: The science of anticoagulation progresses.



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