Trial Outcomes & Findings for American Trial Using Tranexamic Acid in Thrombocytopenia (NCT NCT02578901)

NCT ID: NCT02578901

Last Updated: 2021-03-24

Results Overview

Proportion of patients with bleeding of WHO grade 2 or above, over the study period of 30 days after activation of study drug.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

330 participants

Primary outcome timeframe

30 days after activation of study drug

Results posted on

2021-03-24

Participant Flow

Participant milestones

Participant milestones
Measure
Tranexamic Acid (TXA)
IV or PO administered after meeting inclusion/exclusion criteria Tranexamic Acid: Doses will be given intravenous (IV) or orally (PO) per the discretion of the treating investigator. Doses are administered every 8 hours. When given IV, TXA 1.0 gram will be administered. When given PO, TXA 1.3 grams will be administered
Placebo
IV Normal Saline or PO placebo pills administered after meeting inclusion/exclusion criteria Placebo: Doses will be given intravenous (IV) or orally (PO) per the discretion of the treating investigator. Doses are administered every 8 hours. When given IV, Normal Saline will be administered. When given PO, placebo pills will be administered
Overall Study
STARTED
165
165
Overall Study
COMPLETED
145
144
Overall Study
NOT COMPLETED
20
21

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

American Trial Using Tranexamic Acid in Thrombocytopenia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Tranexamic Acid (TXA)
n=165 Participants
IV or PO administered after meeting inclusion/exclusion criteria Tranexamic Acid: Doses will be given intravenous (IV) or orally (PO) per the discretion of the treating investigator. Doses are administered every 8 hours. When given IV, TXA 1.0 gram will be administered. When given PO, TXA 1.3 grams will be administered
Placebo
n=165 Participants
IV Normal Saline or PO placebo pills administered after meeting inclusion/exclusion criteria Placebo: Doses will be given intravenous (IV) or orally (PO) per the discretion of the treating investigator. Doses are administered every 8 hours. When given IV, Normal Saline will be administered. When given PO, placebo pills will be administered
Total
n=330 Participants
Total of all reporting groups
Age, Continuous
54.1 years
STANDARD_DEVIATION 13.0 • n=5 Participants
54.3 years
STANDARD_DEVIATION 13.2 • n=7 Participants
54.2 years
STANDARD_DEVIATION 13.1 • n=5 Participants
Sex: Female, Male
Female
73 Participants
n=5 Participants
65 Participants
n=7 Participants
138 Participants
n=5 Participants
Sex: Female, Male
Male
92 Participants
n=5 Participants
100 Participants
n=7 Participants
192 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
9 Participants
n=7 Participants
12 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
11 Participants
n=5 Participants
12 Participants
n=7 Participants
23 Participants
n=5 Participants
Race (NIH/OMB)
White
141 Participants
n=5 Participants
129 Participants
n=7 Participants
270 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
5 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 30 days after activation of study drug

Proportion of patients with bleeding of WHO grade 2 or above, over the study period of 30 days after activation of study drug.

Outcome measures

Outcome measures
Measure
Tranexamic Acid (TXA)
n=145 Participants
IV or PO administered after meeting inclusion/exclusion criteria Tranexamic Acid: Doses will be given intravenous (IV) or orally (PO) per the discretion of the treating investigator. Doses are administered every 8 hours. When given IV, TXA 1.0 gram will be administered. When given PO, TXA 1.3 grams will be administered
Placebo
n=144 Participants
IV Normal Saline or PO placebo pills administered after meeting inclusion/exclusion criteria Placebo: Doses will be given intravenous (IV) or orally (PO) per the discretion of the treating investigator. Doses are administered every 8 hours. When given IV, Normal Saline will be administered. When given PO, placebo pills will be administered
Bleeding Within 30 Days
73 Participants
78 Participants

SECONDARY outcome

Timeframe: 30 days after activation of study drug

Number of platelet transfusions per patient during the first 30 days post prescription activation of study drug

Outcome measures

Outcome measures
Measure
Tranexamic Acid (TXA)
n=165 Participants
IV or PO administered after meeting inclusion/exclusion criteria Tranexamic Acid: Doses will be given intravenous (IV) or orally (PO) per the discretion of the treating investigator. Doses are administered every 8 hours. When given IV, TXA 1.0 gram will be administered. When given PO, TXA 1.3 grams will be administered
Placebo
n=165 Participants
IV Normal Saline or PO placebo pills administered after meeting inclusion/exclusion criteria Placebo: Doses will be given intravenous (IV) or orally (PO) per the discretion of the treating investigator. Doses are administered every 8 hours. When given IV, Normal Saline will be administered. When given PO, placebo pills will be administered
Number of Platelet Transfusions
7.7 platelet transfusions
Standard Deviation 8.7
7.6 platelet transfusions
Standard Deviation 10.1

SECONDARY outcome

Timeframe: during the first 30 days post activation of study drug

Number of days alive and without WHO grade 2 bleeding or greater during the first 30 days post activation of study drug

Outcome measures

Outcome measures
Measure
Tranexamic Acid (TXA)
n=136 Participants
IV or PO administered after meeting inclusion/exclusion criteria Tranexamic Acid: Doses will be given intravenous (IV) or orally (PO) per the discretion of the treating investigator. Doses are administered every 8 hours. When given IV, TXA 1.0 gram will be administered. When given PO, TXA 1.3 grams will be administered
Placebo
n=132 Participants
IV Normal Saline or PO placebo pills administered after meeting inclusion/exclusion criteria Placebo: Doses will be given intravenous (IV) or orally (PO) per the discretion of the treating investigator. Doses are administered every 8 hours. When given IV, Normal Saline will be administered. When given PO, placebo pills will be administered
Number of Days Alive and Without WHO Grade 2 Bleeding
28.1 days
Standard Deviation 3.7
27.7 days
Standard Deviation 4.7

Adverse Events

Tranexamic Acid (TXA)

Serious events: 123 serious events
Other events: 161 other events
Deaths: 19 deaths

Placebo

Serious events: 110 serious events
Other events: 161 other events
Deaths: 19 deaths

Serious adverse events

Serious adverse events
Measure
Tranexamic Acid (TXA)
n=163 participants at risk
IV or PO administered after meeting inclusion/exclusion criteria Tranexamic Acid: Doses will be given intravenous (IV) or orally (PO) per the discretion of the treating investigator. Doses are administered every 8 hours. When given IV, TXA 1.0 gram will be administered. When given PO, TXA 1.3 grams will be administered
Placebo
n=163 participants at risk
IV Normal Saline or PO placebo pills administered after meeting inclusion/exclusion criteria Placebo: Doses will be given intravenous (IV) or orally (PO) per the discretion of the treating investigator. Doses are administered every 8 hours. When given IV, Normal Saline will be administered. When given PO, placebo pills will be administered
Blood and lymphatic system disorders
Febrile neutropenia
24.5%
40/163 • 120 days after activation
22.1%
36/163 • 120 days after activation
Blood and lymphatic system disorders
Other blood/lymph disorder
1.2%
2/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Blood and lymphatic system disorders
Anemia
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Blood and lymphatic system disorders
Spleen disorder
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Blood and lymphatic system disorders
Hemolysis
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Cardiac disorders
Sinus tachycardia
6.1%
10/163 • 120 days after activation
5.5%
9/163 • 120 days after activation
Cardiac disorders
Other cardiac
1.8%
3/163 • 120 days after activation
2.5%
4/163 • 120 days after activation
Cardiac disorders
Atrial fibrillation
1.2%
2/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Cardiac disorders
Atrial flutter
1.2%
2/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Cardiac disorders
Cardiac arrest
0.61%
1/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Cardiac disorders
Ventricular arrhythmia
0.61%
1/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Cardiac disorders
Pericardial effusion
0.00%
0/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Cardiac disorders
Heart failure
0.61%
1/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Cardiac disorders
Palpitations
0.00%
0/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Cardiac disorders
Myocardial infarction
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Cardiac disorders
RV dysfunction
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Cardiac disorders
Chest pain - cardiac
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Cardiac disorders
Sinus bradycardia
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Cardiac disorders
Mitral valve disease
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Cardiac disorders
Tricuspid valve disease
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Congenital, familial and genetic disorders
Other congenital
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Ear and labyrinth disorders
Tinnitus
0.00%
0/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Ear and labyrinth disorders
Ear pain
1.2%
2/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Ear and labyrinth disorders
Other
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Eye disorders
Blurred vision
0.61%
1/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Eye disorders
Other eye disorder
1.2%
2/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Eye disorders
Eye pain
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Gastrointestinal disorders
Nausea
16.6%
27/163 • 120 days after activation
9.8%
16/163 • 120 days after activation
Gastrointestinal disorders
Diarrhea
4.9%
8/163 • 120 days after activation
6.7%
11/163 • 120 days after activation
Gastrointestinal disorders
Abdominal pain
4.9%
8/163 • 120 days after activation
6.7%
11/163 • 120 days after activation
Gastrointestinal disorders
Vomiting
5.5%
9/163 • 120 days after activation
4.3%
7/163 • 120 days after activation
Gastrointestinal disorders
Constipation
6.1%
10/163 • 120 days after activation
2.5%
4/163 • 120 days after activation
Gastrointestinal disorders
Other gastrointestinal
2.5%
4/163 • 120 days after activation
3.7%
6/163 • 120 days after activation
Gastrointestinal disorders
Mucositis oral
2.5%
4/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Gastrointestinal disorders
Dyspepsia
1.2%
2/163 • 120 days after activation
3.1%
5/163 • 120 days after activation
Gastrointestinal disorders
Dysphagia
1.2%
2/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Gastrointestinal disorders
Esophageal pain
1.2%
2/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Gastrointestinal disorders
Rectal pain
2.5%
4/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Gastrointestinal disorders
Dry mouth
1.8%
3/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Gastrointestinal disorders
Ascites
0.61%
1/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Gastrointestinal disorders
Bloating
0.61%
1/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Gastrointestinal disorders
Hemorrhoids
1.2%
2/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Gastrointestinal disorders
Rectal ulcer
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Gastrointestinal disorders
Small intestinal obstruction
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Gastrointestinal disorders
Typhlitis
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Gastrointestinal disorders
Rectal fistula
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Gastrointestinal disorders
Rectal hemorrhage
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Gastrointestinal disorders
Gastroesoph reflux disease
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Gastrointestinal disorders
Abdominal distension
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Gastrointestinal disorders
Oral pain
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
General disorders
Fatigue
10.4%
17/163 • 120 days after activation
9.2%
15/163 • 120 days after activation
General disorders
Fever
7.4%
12/163 • 120 days after activation
7.4%
12/163 • 120 days after activation
General disorders
Edema limbs
4.3%
7/163 • 120 days after activation
8.0%
13/163 • 120 days after activation
General disorders
Infusion related reaction
1.8%
3/163 • 120 days after activation
3.1%
5/163 • 120 days after activation
General disorders
Other general disorder
1.8%
3/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
General disorders
Pain
0.61%
1/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
General disorders
Chills
0.00%
0/163 • 120 days after activation
2.5%
4/163 • 120 days after activation
General disorders
Non-cardiac chest pain
0.00%
0/163 • 120 days after activation
2.5%
4/163 • 120 days after activation
General disorders
Multi-organ failure
0.00%
0/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
General disorders
Edema face
0.61%
1/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
General disorders
Malaise
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
General disorders
Neck edema
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
General disorders
Facial pain
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Hepatobiliary disorders
Other hepatobiliary
1.2%
2/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Hepatobiliary disorders
Hepatic failure
0.00%
0/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Hepatobiliary disorders
Cholecystitis
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Immune system disorders
Other immune disorder
11.0%
18/163 • 120 days after activation
7.4%
12/163 • 120 days after activation
Immune system disorders
Allergic reaction
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Infections and infestations
Other infection
11.7%
19/163 • 120 days after activation
13.5%
22/163 • 120 days after activation
Infections and infestations
Sepsis
3.1%
5/163 • 120 days after activation
6.1%
10/163 • 120 days after activation
Infections and infestations
Lung infection
1.2%
2/163 • 120 days after activation
4.9%
8/163 • 120 days after activation
Infections and infestations
Sinusitis
1.8%
3/163 • 120 days after activation
3.1%
5/163 • 120 days after activation
Infections and infestations
Upper respiratory infection
2.5%
4/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Infections and infestations
Urinary tract infection
2.5%
4/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Infections and infestations
Skin infection
1.2%
2/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Infections and infestations
Abdominal infection
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Infections and infestations
Papulopustular rash
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Infections and infestations
Meningitis
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Infections and infestations
Catheter related infection
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Injury, poisoning and procedural complications
Fall
2.5%
4/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Injury, poisoning and procedural complications
Other injury
1.8%
3/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Injury, poisoning and procedural complications
Bruising
1.8%
3/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Injury, poisoning and procedural complications
Gastric anastomotic leak
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Investigations
ALT increased
0.61%
1/163 • 120 days after activation
2.5%
4/163 • 120 days after activation
Investigations
Creatinine increased
1.8%
3/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Investigations
Weight gain
1.8%
3/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Investigations
AST increased
0.61%
1/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Investigations
Blood bilirubin increased
0.61%
1/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Investigations
Other investigation abnormal
0.61%
1/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Investigations
Urine output decreased
0.61%
1/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Investigations
Weight loss
0.00%
0/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Investigations
Alk phos increased
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Metabolism and nutrition disorders
Anorexia
6.7%
11/163 • 120 days after activation
3.1%
5/163 • 120 days after activation
Metabolism and nutrition disorders
Other metabolism disorder
2.5%
4/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Metabolism and nutrition disorders
Hyperglycemia
2.5%
4/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Metabolism and nutrition disorders
Hypomagnesemia
1.8%
3/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Metabolism and nutrition disorders
Acidosis
0.61%
1/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Metabolism and nutrition disorders
Hyperkalemia
1.2%
2/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Metabolism and nutrition disorders
Hypokalemia
0.61%
1/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Metabolism and nutrition disorders
Dehydration
1.2%
2/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Metabolism and nutrition disorders
Hypernatremia
0.00%
0/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Metabolism and nutrition disorders
Hypoglycemia
1.2%
2/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Metabolism and nutrition disorders
Hyponatremia
0.61%
1/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Metabolism and nutrition disorders
Hyperuricemia
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Metabolism and nutrition disorders
Iron overload
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Metabolism and nutrition disorders
Hypercalcemia
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Back pain
4.3%
7/163 • 120 days after activation
4.9%
8/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Pain in extremity
4.3%
7/163 • 120 days after activation
3.1%
5/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Arthralgia
3.1%
5/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
1.2%
2/163 • 120 days after activation
2.5%
4/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Neck pain
0.61%
1/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Other musculoskeletal disorder
0.00%
0/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Bone pain
0.00%
0/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Myalgia
1.2%
2/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Joint ROM decreased
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Arthritis
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Other neoplasm
0.00%
0/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Nervous system disorders
Headache
9.8%
16/163 • 120 days after activation
6.1%
10/163 • 120 days after activation
Nervous system disorders
Dizziness
5.5%
9/163 • 120 days after activation
3.1%
5/163 • 120 days after activation
Nervous system disorders
Other nervous sys disorder
1.8%
3/163 • 120 days after activation
3.1%
5/163 • 120 days after activation
Nervous system disorders
Paresthesia
2.5%
4/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Nervous system disorders
Syncope
1.8%
3/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Nervous system disorders
Peripheral sensory neuropathy
1.8%
3/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Nervous system disorders
Intracranial hemorrhage
0.61%
1/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Nervous system disorders
Encephalopathy
0.00%
0/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Nervous system disorders
Seizure
0.61%
1/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Nervous system disorders
Ataxia
0.61%
1/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Nervous system disorders
Dysgeusia
1.2%
2/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Nervous system disorders
Tremor
0.61%
1/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Nervous system disorders
Akathisia
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Nervous system disorders
Ischemia cerebrovascular
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Nervous system disorders
Transient ischemic attacks
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Nervous system disorders
Stroke
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Nervous system disorders
Somnolence
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Nervous system disorders
Dysphasia
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Nervous system disorders
Dysesthesia
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Nervous system disorders
Memory impairment
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Nervous system disorders
Lethargy
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Nervous system disorders
Vasovagal reaction
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Psychiatric disorders
Insomnia
6.7%
11/163 • 120 days after activation
4.3%
7/163 • 120 days after activation
Psychiatric disorders
Other psychiatric disorder
2.5%
4/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Psychiatric disorders
Anxiety
1.2%
2/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Psychiatric disorders
Depression
1.8%
3/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Psychiatric disorders
Delirium
0.61%
1/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Psychiatric disorders
Confusion
0.00%
0/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Psychiatric disorders
Restlessness
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Renal and urinary disorders
Acute kidney injury
4.3%
7/163 • 120 days after activation
3.7%
6/163 • 120 days after activation
Renal and urinary disorders
Other renal disorder
3.1%
5/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Renal and urinary disorders
Urinary frequency
1.2%
2/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Renal and urinary disorders
Hematuria
0.61%
1/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Renal and urinary disorders
Renal calculi
0.00%
0/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Renal and urinary disorders
Urinary incontinence
0.00%
0/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Renal and urinary disorders
Urinary retention
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Renal and urinary disorders
Urinary urgency
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Reproductive system and breast disorders
Other reproductive sys disorder
1.8%
3/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Reproductive system and breast disorders
Testicular pain
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Reproductive system and breast disorders
Menorrhagia
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Reproductive system and breast disorders
Erectile dysfunction
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Dyspnea
6.1%
10/163 • 120 days after activation
6.1%
10/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Other respiratory disorder
4.9%
8/163 • 120 days after activation
6.7%
11/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Hypoxia
6.1%
10/163 • 120 days after activation
4.3%
7/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Respiratory failure
3.1%
5/163 • 120 days after activation
4.3%
7/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Cough
1.8%
3/163 • 120 days after activation
4.3%
7/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
1.8%
3/163 • 120 days after activation
4.3%
7/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Pulmonary edema
1.8%
3/163 • 120 days after activation
2.5%
4/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.61%
1/163 • 120 days after activation
3.1%
5/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Pharyngeal mucositis
1.8%
3/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Bronchopulmonary hemorrhage
1.2%
2/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.61%
1/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.00%
0/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Sore throat
1.2%
2/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Atelectasis
0.61%
1/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Pulmonary hypertension
0.61%
1/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Apnea
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Productive cough
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Skin and subcutaneous tissue disorders
Rash maculo-papular
3.1%
5/163 • 120 days after activation
7.4%
12/163 • 120 days after activation
Skin and subcutaneous tissue disorders
Other skin disorder
3.1%
5/163 • 120 days after activation
4.3%
7/163 • 120 days after activation
Skin and subcutaneous tissue disorders
Pruritus
2.5%
4/163 • 120 days after activation
2.5%
4/163 • 120 days after activation
Skin and subcutaneous tissue disorders
Dry skin
2.5%
4/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Skin and subcutaneous tissue disorders
Skin ulceration
2.5%
4/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Skin and subcutaneous tissue disorders
Hyperhidrosis
1.2%
2/163 • 120 days after activation
1.8%
3/163 • 120 days after activation
Skin and subcutaneous tissue disorders
Purpura
0.61%
1/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
0.00%
0/163 • 120 days after activation
1.2%
2/163 • 120 days after activation
Skin and subcutaneous tissue disorders
Skin induration
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Skin and subcutaneous tissue disorders
Bullous dermatitis
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation
Skin and subcutaneous tissue disorders
Pain of skin
0.00%
0/163 • 120 days after activation
0.61%
1/163 • 120 days after activation
Vascular disorders
Hypotension
8.0%
13/163 • 120 days after activation
6.7%
11/163 • 120 days after activation
Vascular disorders
Hypertension
3.7%
6/163 • 120 days after activation
4.3%
7/163 • 120 days after activation
Vascular disorders
Thromboembolic event
1.8%
3/163 • 120 days after activation
2.5%
4/163 • 120 days after activation
Vascular disorders
Flushing
0.61%
1/163 • 120 days after activation
0.00%
0/163 • 120 days after activation

Other adverse events

Other adverse events
Measure
Tranexamic Acid (TXA)
n=163 participants at risk
IV or PO administered after meeting inclusion/exclusion criteria Tranexamic Acid: Doses will be given intravenous (IV) or orally (PO) per the discretion of the treating investigator. Doses are administered every 8 hours. When given IV, TXA 1.0 gram will be administered. When given PO, TXA 1.3 grams will be administered
Placebo
n=163 participants at risk
IV Normal Saline or PO placebo pills administered after meeting inclusion/exclusion criteria Placebo: Doses will be given intravenous (IV) or orally (PO) per the discretion of the treating investigator. Doses are administered every 8 hours. When given IV, Normal Saline will be administered. When given PO, placebo pills will be administered
Blood and lymphatic system disorders
Febrile neutropenia
49.7%
81/163 • 120 days after activation
46.0%
75/163 • 120 days after activation
Cardiac disorders
Sinus tachycardia
42.9%
70/163 • 120 days after activation
39.9%
65/163 • 120 days after activation
Cardiac disorders
Sinus bradycardia
8.6%
14/163 • 120 days after activation
4.9%
8/163 • 120 days after activation
Cardiac disorders
Other cardiac
6.1%
10/163 • 120 days after activation
3.7%
6/163 • 120 days after activation
Ear and labyrinth disorders
Other
5.5%
9/163 • 120 days after activation
2.5%
4/163 • 120 days after activation
Eye disorders
Blurred vision
11.0%
18/163 • 120 days after activation
7.4%
12/163 • 120 days after activation
Eye disorders
Other eye disorder
5.5%
9/163 • 120 days after activation
11.0%
18/163 • 120 days after activation
General disorders
Fatigue
61.3%
100/163 • 120 days after activation
62.6%
102/163 • 120 days after activation
General disorders
Edema limbs
39.9%
65/163 • 120 days after activation
39.3%
64/163 • 120 days after activation
General disorders
Chills
17.2%
28/163 • 120 days after activation
16.6%
27/163 • 120 days after activation
General disorders
Infusion related reaction
16.0%
26/163 • 120 days after activation
17.8%
29/163 • 120 days after activation
General disorders
Fever
15.3%
25/163 • 120 days after activation
17.2%
28/163 • 120 days after activation
General disorders
Other general disorder
16.0%
26/163 • 120 days after activation
14.7%
24/163 • 120 days after activation
General disorders
Pain
14.1%
23/163 • 120 days after activation
9.2%
15/163 • 120 days after activation
General disorders
Injection site reaction
9.2%
15/163 • 120 days after activation
10.4%
17/163 • 120 days after activation
General disorders
Non-cardiac chest pain
9.8%
16/163 • 120 days after activation
5.5%
9/163 • 120 days after activation
General disorders
Localized edema
6.7%
11/163 • 120 days after activation
7.4%
12/163 • 120 days after activation
General disorders
Edema face
6.7%
11/163 • 120 days after activation
6.7%
11/163 • 120 days after activation
Gastrointestinal disorders
Diarrhea
69.9%
114/163 • 120 days after activation
68.7%
112/163 • 120 days after activation
Gastrointestinal disorders
Nausea
58.3%
95/163 • 120 days after activation
55.8%
91/163 • 120 days after activation
Gastrointestinal disorders
Abdominal pain
41.7%
68/163 • 120 days after activation
33.7%
55/163 • 120 days after activation
Gastrointestinal disorders
Mucositis oral
35.6%
58/163 • 120 days after activation
38.7%
63/163 • 120 days after activation
Gastrointestinal disorders
Vomiting
39.9%
65/163 • 120 days after activation
34.4%
56/163 • 120 days after activation
Gastrointestinal disorders
Constipation
26.4%
43/163 • 120 days after activation
31.9%
52/163 • 120 days after activation
Gastrointestinal disorders
Other gastrointestinal
22.1%
36/163 • 120 days after activation
25.8%
42/163 • 120 days after activation
Gastrointestinal disorders
Dry mouth
12.3%
20/163 • 120 days after activation
15.3%
25/163 • 120 days after activation
Gastrointestinal disorders
Dyspepsia
16.0%
26/163 • 120 days after activation
10.4%
17/163 • 120 days after activation
Gastrointestinal disorders
Oral pain
9.2%
15/163 • 120 days after activation
9.2%
15/163 • 120 days after activation
Gastrointestinal disorders
Gastroesoph reflux disease
8.0%
13/163 • 120 days after activation
8.6%
14/163 • 120 days after activation
Gastrointestinal disorders
Bloating
8.6%
14/163 • 120 days after activation
6.7%
11/163 • 120 days after activation
Gastrointestinal disorders
Rectal pain
7.4%
12/163 • 120 days after activation
7.4%
12/163 • 120 days after activation
Gastrointestinal disorders
Hemorrhoids
9.8%
16/163 • 120 days after activation
4.3%
7/163 • 120 days after activation
Gastrointestinal disorders
Fecal incontinence
3.7%
6/163 • 120 days after activation
6.7%
11/163 • 120 days after activation
Gastrointestinal disorders
Abdominal distension
5.5%
9/163 • 120 days after activation
4.3%
7/163 • 120 days after activation
Hepatobiliary disorders
Other hepatobiliary
6.7%
11/163 • 120 days after activation
4.9%
8/163 • 120 days after activation
Immune system disorders
Other immune disorder
12.9%
21/163 • 120 days after activation
8.6%
14/163 • 120 days after activation
Infections and infestations
Other infection
31.9%
52/163 • 120 days after activation
31.9%
52/163 • 120 days after activation
Infections and infestations
Skin infection
8.6%
14/163 • 120 days after activation
13.5%
22/163 • 120 days after activation
Infections and infestations
Sinusitis
8.0%
13/163 • 120 days after activation
9.2%
15/163 • 120 days after activation
Infections and infestations
Lung infection
8.6%
14/163 • 120 days after activation
3.7%
6/163 • 120 days after activation
Injury, poisoning and procedural complications
Other injury
5.5%
9/163 • 120 days after activation
8.0%
13/163 • 120 days after activation
Investigations
ALT increased
16.6%
27/163 • 120 days after activation
11.7%
19/163 • 120 days after activation
Investigations
AST increased
13.5%
22/163 • 120 days after activation
9.8%
16/163 • 120 days after activation
Investigations
Weight gain
6.1%
10/163 • 120 days after activation
7.4%
12/163 • 120 days after activation
Investigations
Blood bilirubin increased
9.2%
15/163 • 120 days after activation
4.3%
7/163 • 120 days after activation
Metabolism and nutrition disorders
Anorexia
42.3%
69/163 • 120 days after activation
39.9%
65/163 • 120 days after activation
Metabolism and nutrition disorders
Hyperglycemia
18.4%
30/163 • 120 days after activation
14.1%
23/163 • 120 days after activation
Metabolism and nutrition disorders
Other metabolism disorder
15.3%
25/163 • 120 days after activation
13.5%
22/163 • 120 days after activation
Metabolism and nutrition disorders
Hypokalemia
14.7%
24/163 • 120 days after activation
11.7%
19/163 • 120 days after activation
Metabolism and nutrition disorders
Hypomagnesemia
9.2%
15/163 • 120 days after activation
11.0%
18/163 • 120 days after activation
Metabolism and nutrition disorders
Hyponatremia
8.0%
13/163 • 120 days after activation
6.7%
11/163 • 120 days after activation
Metabolism and nutrition disorders
Hypophosphatemia
5.5%
9/163 • 120 days after activation
3.7%
6/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Arthralgia
25.8%
42/163 • 120 days after activation
27.0%
44/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
19.6%
32/163 • 120 days after activation
21.5%
35/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Back pain
22.1%
36/163 • 120 days after activation
17.2%
28/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Pain in extremity
19.6%
32/163 • 120 days after activation
18.4%
30/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Neck pain
7.4%
12/163 • 120 days after activation
4.9%
8/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Myalgia
3.7%
6/163 • 120 days after activation
6.7%
11/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Bone pain
4.9%
8/163 • 120 days after activation
5.5%
9/163 • 120 days after activation
Musculoskeletal and connective tissue disorders
Other musculoskeletal disorder
2.5%
4/163 • 120 days after activation
6.1%
10/163 • 120 days after activation
Nervous system disorders
Headache
40.5%
66/163 • 120 days after activation
41.1%
67/163 • 120 days after activation
Nervous system disorders
Dizziness
23.3%
38/163 • 120 days after activation
23.3%
38/163 • 120 days after activation
Nervous system disorders
Dysgeusia
20.9%
34/163 • 120 days after activation
18.4%
30/163 • 120 days after activation
Nervous system disorders
Tremor
9.8%
16/163 • 120 days after activation
11.7%
19/163 • 120 days after activation
Nervous system disorders
Peripheral sensory neuropathy
8.6%
14/163 • 120 days after activation
8.6%
14/163 • 120 days after activation
Nervous system disorders
Paresthesia
5.5%
9/163 • 120 days after activation
9.2%
15/163 • 120 days after activation
Psychiatric disorders
Insomnia
22.7%
37/163 • 120 days after activation
30.1%
49/163 • 120 days after activation
Psychiatric disorders
Anxiety
18.4%
30/163 • 120 days after activation
20.2%
33/163 • 120 days after activation
Psychiatric disorders
Confusion
8.0%
13/163 • 120 days after activation
6.7%
11/163 • 120 days after activation
Psychiatric disorders
Depression
6.1%
10/163 • 120 days after activation
6.7%
11/163 • 120 days after activation
Psychiatric disorders
Other psychiatric disorder
5.5%
9/163 • 120 days after activation
4.9%
8/163 • 120 days after activation
Renal and urinary disorders
Other renal disorder
16.6%
27/163 • 120 days after activation
16.0%
26/163 • 120 days after activation
Renal and urinary disorders
Urinary frequency
11.7%
19/163 • 120 days after activation
8.0%
13/163 • 120 days after activation
Renal and urinary disorders
Acute kidney injury
4.9%
8/163 • 120 days after activation
10.4%
17/163 • 120 days after activation
Renal and urinary disorders
Urinary urgency
6.1%
10/163 • 120 days after activation
6.7%
11/163 • 120 days after activation
Renal and urinary disorders
Urinary incontinence
5.5%
9/163 • 120 days after activation
4.9%
8/163 • 120 days after activation
Renal and urinary disorders
Urinary retention
5.5%
9/163 • 120 days after activation
3.1%
5/163 • 120 days after activation
Reproductive system and breast disorders
Other reproductive sys disorder
5.5%
9/163 • 120 days after activation
6.7%
11/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Cough
23.3%
38/163 • 120 days after activation
32.5%
53/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Dyspnea
24.5%
40/163 • 120 days after activation
25.2%
41/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Other respiratory disorder
20.2%
33/163 • 120 days after activation
20.2%
33/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
19.6%
32/163 • 120 days after activation
20.2%
33/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Pharyngeal mucositis
14.7%
24/163 • 120 days after activation
19.0%
31/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Productive cough
16.0%
26/163 • 120 days after activation
12.9%
21/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Sore throat
12.3%
20/163 • 120 days after activation
12.3%
20/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Hypoxia
14.1%
23/163 • 120 days after activation
10.4%
17/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Pleural effusion
10.4%
17/163 • 120 days after activation
9.8%
16/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Pulmonary edema
9.2%
15/163 • 120 days after activation
9.8%
16/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
5.5%
9/163 • 120 days after activation
11.0%
18/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Nasal congestion
7.4%
12/163 • 120 days after activation
6.7%
11/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Wheezing
8.6%
14/163 • 120 days after activation
5.5%
9/163 • 120 days after activation
Respiratory, thoracic and mediastinal disorders
Atelectasis
5.5%
9/163 • 120 days after activation
4.9%
8/163 • 120 days after activation
Skin and subcutaneous tissue disorders
Rash maculo-papular
43.6%
71/163 • 120 days after activation
38.0%
62/163 • 120 days after activation
Skin and subcutaneous tissue disorders
Other skin disorder
24.5%
40/163 • 120 days after activation
32.5%
53/163 • 120 days after activation
Skin and subcutaneous tissue disorders
Pruritus
25.2%
41/163 • 120 days after activation
29.4%
48/163 • 120 days after activation
Skin and subcutaneous tissue disorders
Dry skin
12.3%
20/163 • 120 days after activation
19.0%
31/163 • 120 days after activation
Skin and subcutaneous tissue disorders
Hyperhidrosis
8.0%
13/163 • 120 days after activation
9.8%
16/163 • 120 days after activation
Skin and subcutaneous tissue disorders
Skin ulceration
10.4%
17/163 • 120 days after activation
6.1%
10/163 • 120 days after activation
Vascular disorders
Hypotension
32.5%
53/163 • 120 days after activation
34.4%
56/163 • 120 days after activation
Vascular disorders
Hypertension
30.7%
50/163 • 120 days after activation
34.4%
56/163 • 120 days after activation

Additional Information

Dr. Susanne May

University of Washington

Phone: 206-685-1302

Results disclosure agreements

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