Can Tranexamic Acid Reduce Bleeding After Post Partum Hemorrhage in Cesarean Section Delivery

NCT ID: NCT01599468

Last Updated: 2012-05-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

74 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Study Completion Date

2012-04-30

Brief Summary

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The purpose of this study was to evaluate the effect of early administration of tranexamic acid (TXA) on post partum hemorrhage caused by uterine atony after cesarean section delivery.

This was a randomised, placebo controlled trial including 74 patients. The investigators included ASA1 parturients with correct haemostatic status undergoing cesarean section under spinal anesthesia. The randomization begins after the inefficacy of oxytocin injections and starting up sulprostone perfusion at the request of the surgeon. TXA Group received 10 mg/kg of tranexamic acid as induction dose within 12 minutes and 1mg/Kg/h as maintenance within the 2 following hours. Placebo Group received same volumes of normal saline. The investigators compared blood loss and transfusions in both groups.

Detailed Description

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Conditions

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Post Partum Hemorrhage

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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tranexamic acid, post partum hemorrhage

Group Type EXPERIMENTAL

Tranexamic Acid

Intervention Type DRUG

10 mg/kg of tranexamic acid as induction dose within 12 minutes and 1mg/Kg/h as maintenance within the 2 following hours

placebo

Group Type PLACEBO_COMPARATOR

saline serum

Intervention Type DRUG

The Placebo group received normal saline with the same volumes

Interventions

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Tranexamic Acid

10 mg/kg of tranexamic acid as induction dose within 12 minutes and 1mg/Kg/h as maintenance within the 2 following hours

Intervention Type DRUG

saline serum

The Placebo group received normal saline with the same volumes

Intervention Type DRUG

Other Intervention Names

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exacyl normal saline; NaCl 0.9%

Eligibility Criteria

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Inclusion Criteria

* ASA1 parturients
* aged from 20 to 40
* correct preoperative haemostatic status (prothrombine ratio \> 60 % and platelet rate \> 100 000),
* cesarean section under spinal anesthesia complicated by uterine atony needing the introduction of Sulprostone

Exclusion Criteria

* abnormal placentation
* severe pre-eclampsia
* coagulopathy and uterine rupture
* the contra indications of TXA : past history of vascular occlusive event, convulsion, and allergy.
Minimum Eligible Age

20 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Hédi Chaker Hospital

OTHER

Sponsor Role lead

Responsible Party

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mohamed ayedi

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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mohamed ayedi

Role: PRINCIPAL_INVESTIGATOR

hedi chaker university hospital of sfax, tunisia

Locations

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Hedi Chaker University Hospital of Sfax, Department of Anesthesiology and Intensive Care

Sfax, Sfax Governorate, Tunisia

Site Status

Countries

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Tunisia

References

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Ducloy-Bouthors AS, Jude B, Duhamel A, Broisin F, Huissoud C, Keita-Meyer H, Mandelbrot L, Tillouche N, Fontaine S, Le Goueff F, Depret-Mosser S, Vallet B; EXADELI Study Group; Susen S. High-dose tranexamic acid reduces blood loss in postpartum haemorrhage. Crit Care. 2011;15(2):R117. doi: 10.1186/cc10143. Epub 2011 Apr 15.

Reference Type BACKGROUND
PMID: 21496253 (View on PubMed)

Other Identifiers

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TXA-1

Identifier Type: -

Identifier Source: org_study_id

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