Trial Outcomes & Findings for Oral vs. Intravenous TXA Study Proposal: TJA (NCT NCT02233101)

NCT ID: NCT02233101

Last Updated: 2017-11-28

Results Overview

Patient hemoglobin will be measured during and after surgery for the first 24 hours to determine if a blood transfusion is indicated.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

167 participants

Primary outcome timeframe

during or within 24 hours after surgery

Results posted on

2017-11-28

Participant Flow

Participant milestones

Participant milestones
Measure
Oral Tranexamic Acid
Patients will receive either oral or intravenous Tranexamic Acid Oral Tranexamic Acid: patients will receive 1950mg of oral prior to surgery to help reduce blood loss during total joint replacement
Intravenous Tranexamic Acid
Patients will receive either oral or intravenous Tranexamic Acid Intravenous Tranexamic Acid: Patients will receive 1950mg of intravenous Tranexamic Acid prior to total joint arthroplasty and blood loss or need for transfusion within 24 hours post operative
Overall Study
STARTED
86
81
Overall Study
COMPLETED
74
80
Overall Study
NOT COMPLETED
12
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Oral vs. Intravenous TXA Study Proposal: TJA

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Oral Tranexamic Acid
n=86 Participants
Patients will receive either oral or intravenous Tranexamic Acid Oral Tranexamic Acid: patients will receive 1950mg of oral prior to surgery to help reduce blood loss during total joint replacement
Intravenous Tranexamic Acid
n=81 Participants
Patients will receive either oral or intravenous Tranexamic Acid Intravenous Tranexamic Acid: Patients will receive 1950mg of intravenous Tranexamic Acid prior to total joint arthroplasty and blood loss or need for transfusion within 24 hours post operative
Total
n=167 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
52 Participants
n=5 Participants
49 Participants
n=7 Participants
101 Participants
n=5 Participants
Age, Categorical
>=65 years
34 Participants
n=5 Participants
32 Participants
n=7 Participants
66 Participants
n=5 Participants
Age, Continuous
61 years
n=5 Participants
58 years
n=7 Participants
60 years
n=5 Participants
Sex: Female, Male
Female
48 Participants
n=5 Participants
48 Participants
n=7 Participants
96 Participants
n=5 Participants
Sex: Female, Male
Male
38 Participants
n=5 Participants
33 Participants
n=7 Participants
71 Participants
n=5 Participants
Region of Enrollment
United States
86 Participants
n=5 Participants
81 Participants
n=7 Participants
167 Participants
n=5 Participants

PRIMARY outcome

Timeframe: during or within 24 hours after surgery

Patient hemoglobin will be measured during and after surgery for the first 24 hours to determine if a blood transfusion is indicated.

Outcome measures

Outcome measures
Measure
Oral Tranexamic Acid
n=74 Participants
Patients will receive either oral or intravenous Tranexamic Acid Oral Tranexamic Acid: patients will receive 1950mg of oral prior to surgery to help reduce blood loss during total joint replacement
Intravenous Tranexamic Acid
n=80 Participants
Patients will receive either oral or intravenous Tranexamic Acid Intravenous Tranexamic Acid: Patients will receive 1950mg of intravenous Tranexamic Acid prior to total joint arthroplasty and blood loss or need for transfusion within 24 hours post operative
Number of Participants Who Required Blood Transfusion
4 participants
2 participants

SECONDARY outcome

Timeframe: participants will be followed for the duration of hospital stay, an expected average of no more than 30 days

Any other complications listed below: 1. DVT or PE 2. Return to the OR within 30 days 3. Re-admission within 30 days 4. Superficial infection 5. Deep infection 6. Periprosthetic fracture 7. Cerebrovascular accident or Transient ischemic attack 8. Dislocation

Outcome measures

Outcome measures
Measure
Oral Tranexamic Acid
n=74 Participants
Patients will receive either oral or intravenous Tranexamic Acid Oral Tranexamic Acid: patients will receive 1950mg of oral prior to surgery to help reduce blood loss during total joint replacement
Intravenous Tranexamic Acid
n=80 Participants
Patients will receive either oral or intravenous Tranexamic Acid Intravenous Tranexamic Acid: Patients will receive 1950mg of intravenous Tranexamic Acid prior to total joint arthroplasty and blood loss or need for transfusion within 24 hours post operative
Other Complications
0 participants
0 participants

Adverse Events

Oral Tranexamic Acid

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Intravenous Tranexamic Acid

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Craig J. Della Valle, MD

Rush University Medical Center

Phone: 312-432-2350

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place