Dose Effect of Tranexamic Acid on the Incidence of Deep Venous Thrombus in Cardiac Surgery

NCT ID: NCT03838328

Last Updated: 2019-02-12

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

360 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-01

Study Completion Date

2020-03-31

Brief Summary

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In recent years, the lysine analogs tranexamic acid (TXA) has gained wide use in cardiac surgery as a blood-sparing agent. However, the safety of the drug and its impact on overall outcomes of cardiac surgery remains debated. The current study evaluates the dose effect of TXA on the incidence of deep venous thrombus (DVT) in cardiac surgery with cardiopulmonary bypass. Also, the dose effect of TXA on bleeding and allogeneic transfusion is evaluated.

Detailed Description

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Conditions

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Thromboses, Deep Vein Tranexamic Acid Adverse Reaction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
The allocation is masked for the participant, care provider, investigator and outcomes assessor.

Study Groups

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Dose group 1

The dose regimen of tranexamic acid in group 1 includes a loading dose of 30mg/kg before skin incision and a maintenance dose of 20mg/kg/hr until the end of the operation.

Group Type EXPERIMENTAL

Tranexamic Acid

Intervention Type DRUG

Tranexamic acid will be delivered by loading dose plus maintenance infusion until the end of the operation.

Dose group 2

The dose regimen of tranexamic acid in group 2 includes a loading dose of 20mg/kg before skin incision and a maintenance dose of 15mg/kg/hr until the end of the operation.

Group Type EXPERIMENTAL

Tranexamic Acid

Intervention Type DRUG

Tranexamic acid will be delivered by loading dose plus maintenance infusion until the end of the operation.

Dose group 3

The dose regimen of tranexamic acid in group 3 includes a loading dose of 10mg/kg before skin incision and a maintenance dose of 10mg/kg/hr until the end of the operation.

Group Type ACTIVE_COMPARATOR

Tranexamic Acid

Intervention Type DRUG

Tranexamic acid will be delivered by loading dose plus maintenance infusion until the end of the operation.

Interventions

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Tranexamic Acid

Tranexamic acid will be delivered by loading dose plus maintenance infusion until the end of the operation.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients receiving selective cardiac surgery with cardiopulmonary bypass due to coronary, valvular or congenital heart disease
* Written consent obtained

Exclusion Criteria

* Allergy or contraindication to tranexamic acid
* Severe renal impairment (serum creatinine \>250 μmol/l, or estimated creatinine clearance \<25 ml/min)
* Thromboembolic disease including but not limited to: history of pulmonary embolism, spontaneous arterial thrombosis or familial hypercoaguability (eg. Lupus anticoagulant, protein C deficiency)
* Thrombocytopenia defined as a platelet count \<100,000/ml
* Coagulopathy defined as an international normalized ratio \> 1.5 prior to surgery
* Currently enrolled in another perioperative interventional study
* Pregnancy or lactation
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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SHI Jia

OTHER

Sponsor Role lead

Responsible Party

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SHI Jia

Associate Professor and Vice Chair of the Anesthesiology Department

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Jia Shi, M.D.

Role: PRINCIPAL_INVESTIGATOR

Chinese Academy of Medical Sciences, Fuwai Hospital

Locations

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Chinese Academy of Medical Sciences, Fuwai Hospital

Beijing, , China

Site Status

Countries

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China

Central Contacts

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Jia Shi, M.D.

Role: CONTACT

86 10 88322467

Other Identifiers

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Dose effect of TA on DVT

Identifier Type: -

Identifier Source: org_study_id

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