Evidence mapPaperPMID 40944099Full record

ReviewJournal of clinical medicine2025

Factor XI and Cancer: Physiopathological Linkage and Clinical Perspectives.

Alfredo Mauriello, Anna Chiara Maratea, Celeste Fonderico, Vincenzo Quagliariello, Fabrizio Maurea, Nicola Maurea

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alfredo MaurielloDivision of Cardiology, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Via M. Semmola, 52, 80131 Naples, Italy.ORCID 0000-0001-7060-6938
Anna Chiara MarateaDivision of Cardiology, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Via M. Semmola, 52, 80131 Naples, Italy.
Celeste FondericoDivision of Cardiology, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Via M. Semmola, 52, 80131 Naples, Italy.ORCID 0009-0006-5648-4552
Vincenzo QuagliarielloDivision of Cardiology, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Via M. Semmola, 52, 80131 Naples, Italy.ORCID 0000-0002-4557-5401
Fabrizio MaureaDepartment of Advanced Biomedical Sciences, Federico II University of Naples, Via Pansini, 5, 80131 Naples, Italy.
Nicola MaureaDivision of Cardiology, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Via M. Semmola, 52, 80131 Naples, Italy.ORCID 0000-0003-3704-0092

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thrombotic complications are a common cause of morbidity and mortality in cancer patients. Factor XI (FXI) appears to play a direct role not only in thrombotic pathogenesis but also in cancer progression. This comprehensive review aims to define the pathophysiological relationships between FXI and cancer and to assess existing therapeutic opportunities targeting this factor. This review highlights how FXI is implicated in tumor growth, tumor cell adhesion and migration, inflammation, and angiogenesis. FXI inhibition has been shown to reduce the risk of thrombosis, with a potentially improved safety profile in terms of bleeding risk. Several molecules, such as asundexian and abelacimab, are in clinical trials for the prevention and treatment of venous thromboembolic events, catheter-related thrombosis, and arterial thromboembolic events in cancer patients. In conclusion, factor XI is closely linked to the pathogenesis of cancer and its thromboembolic complications. The use of FXI inhibitors emerges as a promising therapeutic strategy, offering potentially positive effects in the prevention and treatment of thromboembolic complications without significantly increasing the risk of bleeding, a limitation of conventional anticoagulants. The preliminary evidence is that further clinical trials are required and that the available data is not enough to make firm clinical recommendations.

Indexed as

anticoagulantbleedingcancerfactor XIfactor XI inhibitorsthromboembolism

Identifiers

PMID40944099
PMCPMC12429583

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.