Trial Outcomes & Findings for Oral Versus Intravenous Tranexamic Acid (NCT NCT04089865)

NCT ID: NCT04089865

Last Updated: 2024-12-27

Results Overview

Calculated Blood loss (CBL) measured in mL, measured at baseline (before surgery) and in the post-operative care unit (after surgery). The following formula was used CBL = BV × (HctPre - HctPost), where BV = (k1 × H3) + (k2 × W) + k3. The variables for the formula are as followed: CBL: Calculated blood loss BV: Blood volume at baseline HctPre: Haematocrit before surgery HctPost: Haematocrit after surgery H: Patient height in meters W: Patient weight in kilograms Although measured at two time points (before and after surgery), the calculated value from those two time points is average across all participants and reported.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

400 participants

Primary outcome timeframe

post-operative day 0

Results posted on

2024-12-27

Participant Flow

Participant milestones

Participant milestones
Measure
Total Hip Arthroplasty - Oral TXA
100 Total Hip Arthroplasty (THA) patients will be randomized to receive 1950 mg of oral TXA in the pre-operative area. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Total Hip Arthroplasty - Intravenous TXA
100 Total Hip Arthroplasty (THA) patients will be randomized to receive 1 g of intravenous (IV) TXA upon transfer to the operating room. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Total Knee Arthroplasty - Oral TXA
100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1950 mg of oral TXA in the pre-operative area. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Total Knee Arthroplasty - Intravenous TXA
100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1 g of intravenous (IV) TXA upon transfer to the operating room. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Overall Study
STARTED
100
100
100
100
Overall Study
COMPLETED
98
98
93
98
Overall Study
NOT COMPLETED
2
2
7
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Total Hip Arthroplasty - Oral TXA
100 Total Hip Arthroplasty (THA) patients will be randomized to receive 1950 mg of oral TXA in the pre-operative area. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Total Hip Arthroplasty - Intravenous TXA
100 Total Hip Arthroplasty (THA) patients will be randomized to receive 1 g of intravenous (IV) TXA upon transfer to the operating room. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Total Knee Arthroplasty - Oral TXA
100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1950 mg of oral TXA in the pre-operative area. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Total Knee Arthroplasty - Intravenous TXA
100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1 g of intravenous (IV) TXA upon transfer to the operating room. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Overall Study
Withdrawal by Subject
2
2
7
2

Baseline Characteristics

Oral Versus Intravenous Tranexamic Acid

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Total Hip Arthroplasty - Oral TXA
n=98 Participants
100 Total Hip Arthroplasty (THA) patients will be randomized to receive 1950 mg of oral TXA in the pre-operative area. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Total Hip Arthroplasty - Intravenous TXA
n=98 Participants
100 Total Hip Arthroplasty (THA) and 100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1 g of intravenous (IV) TXA upon transfer to the operating room. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Total Knee Arthroplasty - Oral TXA
n=93 Participants
100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1950 mg of oral TXA in the pre-operative area. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Total Knee Arthroplasty - Intravenous TXA
n=98 Participants
100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1 g of intravenous (IV) TXA upon transfer to the operating room. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Total
n=387 Participants
Total of all reporting groups
Age, Continuous
63.84 years
STANDARD_DEVIATION 9.14 • n=5 Participants
65.12 years
STANDARD_DEVIATION 7.32 • n=7 Participants
66 years
STANDARD_DEVIATION 7.57 • n=5 Participants
65.89 years
STANDARD_DEVIATION 7.28 • n=4 Participants
65.2 years
STANDARD_DEVIATION 7.88 • n=21 Participants
Sex: Female, Male
Female
55 Participants
n=5 Participants
42 Participants
n=7 Participants
56 Participants
n=5 Participants
56 Participants
n=4 Participants
209 Participants
n=21 Participants
Sex: Female, Male
Male
43 Participants
n=5 Participants
56 Participants
n=7 Participants
37 Participants
n=5 Participants
42 Participants
n=4 Participants
178 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
8 Participants
n=5 Participants
6 Participants
n=7 Participants
8 Participants
n=5 Participants
9 Participants
n=4 Participants
31 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
90 Participants
n=5 Participants
92 Participants
n=7 Participants
85 Participants
n=5 Participants
89 Participants
n=4 Participants
356 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
4 Participants
n=5 Participants
2 Participants
n=4 Participants
6 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
5 Participants
n=7 Participants
7 Participants
n=5 Participants
6 Participants
n=4 Participants
21 Participants
n=21 Participants
Race (NIH/OMB)
White
92 Participants
n=5 Participants
87 Participants
n=7 Participants
75 Participants
n=5 Participants
81 Participants
n=4 Participants
335 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
3 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
5 Participants
n=7 Participants
7 Participants
n=5 Participants
7 Participants
n=4 Participants
22 Participants
n=21 Participants
Region of Enrollment
United States
98 participants
n=5 Participants
98 participants
n=7 Participants
93 participants
n=5 Participants
98 participants
n=4 Participants
387 participants
n=21 Participants
American Society of Anesthesiology Status
ASA Level I
3 Participants
n=5 Participants
5 Participants
n=7 Participants
3 Participants
n=5 Participants
2 Participants
n=4 Participants
13 Participants
n=21 Participants
American Society of Anesthesiology Status
ASA Level II
82 Participants
n=5 Participants
86 Participants
n=7 Participants
76 Participants
n=5 Participants
84 Participants
n=4 Participants
328 Participants
n=21 Participants
American Society of Anesthesiology Status
ASA Level III
13 Participants
n=5 Participants
7 Participants
n=7 Participants
14 Participants
n=5 Participants
11 Participants
n=4 Participants
45 Participants
n=21 Participants
American Society of Anesthesiology Status
Unknown - ASA level missing
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
Body Mass Index, kg/m^2 Mean (Standard Deviation) Unit of measure: Kg/m^2
28.7 kg/m^2
STANDARD_DEVIATION 5.1 • n=5 Participants
29.6 kg/m^2
STANDARD_DEVIATION 4.3 • n=7 Participants
29.4 kg/m^2
STANDARD_DEVIATION 4.38 • n=5 Participants
30.8 kg/m^2
STANDARD_DEVIATION 5.1 • n=4 Participants
29.62 kg/m^2
STANDARD_DEVIATION 4.74 • n=21 Participants

PRIMARY outcome

Timeframe: post-operative day 0

Calculated Blood loss (CBL) measured in mL, measured at baseline (before surgery) and in the post-operative care unit (after surgery). The following formula was used CBL = BV × (HctPre - HctPost), where BV = (k1 × H3) + (k2 × W) + k3. The variables for the formula are as followed: CBL: Calculated blood loss BV: Blood volume at baseline HctPre: Haematocrit before surgery HctPost: Haematocrit after surgery H: Patient height in meters W: Patient weight in kilograms Although measured at two time points (before and after surgery), the calculated value from those two time points is average across all participants and reported.

Outcome measures

Outcome measures
Measure
Oral Tranexamic Acid (TXA) Total Hip Arthroplasty
n=89 Participants
100 Total Hip Arthroplasty (THA) patients will be randomized to receive 1950 mg of oral TXA in the pre-operative area. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Intravenous (IV) Tranexamic Acid (TXA) Total Hip Arthroplasty
n=90 Participants
100 Total Hip Arthroplasty (THA) patients will be randomized to receive 1 g of intravenous (IV) TXA upon transfer to the operating room. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Oral Tranexamic Acid (TXA) Total Knee Arthroplasty
n=90 Participants
100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1950 mg of oral TXA in the pre-operative area. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Intravenous (IV) Tranexamic Acid (TXA) Total Knee Arthroplasty
n=94 Participants
100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1 g of intravenous (IV) TXA upon transfer to the operating room. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Calculated Blood Loss
842 CBL (ml)
Standard Deviation 328
860 CBL (ml)
Standard Deviation 313
799 CBL (ml)
Standard Deviation 334
878 CBL (ml)
Standard Deviation 348

SECONDARY outcome

Timeframe: From Post-Operative Day 0 to Post-Operative Day 2

To assess how many participants required a blood transfusion during their hospital stay. This will be measured in binary responses (yes/no).

Outcome measures

Outcome measures
Measure
Oral Tranexamic Acid (TXA) Total Hip Arthroplasty
n=89 Participants
100 Total Hip Arthroplasty (THA) patients will be randomized to receive 1950 mg of oral TXA in the pre-operative area. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Intravenous (IV) Tranexamic Acid (TXA) Total Hip Arthroplasty
n=90 Participants
100 Total Hip Arthroplasty (THA) patients will be randomized to receive 1 g of intravenous (IV) TXA upon transfer to the operating room. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Oral Tranexamic Acid (TXA) Total Knee Arthroplasty
n=90 Participants
100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1950 mg of oral TXA in the pre-operative area. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Intravenous (IV) Tranexamic Acid (TXA) Total Knee Arthroplasty
n=96 Participants
100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1 g of intravenous (IV) TXA upon transfer to the operating room. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Transfusion During Hospital Stay
0 participants
0 participants
0 participants
1 participants

SECONDARY outcome

Timeframe: From 48-72 hours after surgery

Time to discharge from physical therapy (in minutes)

Outcome measures

Outcome measures
Measure
Oral Tranexamic Acid (TXA) Total Hip Arthroplasty
n=87 Participants
100 Total Hip Arthroplasty (THA) patients will be randomized to receive 1950 mg of oral TXA in the pre-operative area. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Intravenous (IV) Tranexamic Acid (TXA) Total Hip Arthroplasty
n=87 Participants
100 Total Hip Arthroplasty (THA) patients will be randomized to receive 1 g of intravenous (IV) TXA upon transfer to the operating room. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Oral Tranexamic Acid (TXA) Total Knee Arthroplasty
n=89 Participants
100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1950 mg of oral TXA in the pre-operative area. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Intravenous (IV) Tranexamic Acid (TXA) Total Knee Arthroplasty
n=92 Participants
100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1 g of intravenous (IV) TXA upon transfer to the operating room. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Time to Discharge From Physical Therapy
2091.33 minutes
Standard Deviation 1203.17
1914.45 minutes
Standard Deviation 1055.47
2244.55 minutes
Standard Deviation 1327.44
2285.09 minutes
Standard Deviation 1499.37

SECONDARY outcome

Timeframe: After surgery to the time discharged from hospital (estimated 48-72 hours after surgery)

Hospital length of stay (in minutes)

Outcome measures

Outcome measures
Measure
Oral Tranexamic Acid (TXA) Total Hip Arthroplasty
n=98 Participants
100 Total Hip Arthroplasty (THA) patients will be randomized to receive 1950 mg of oral TXA in the pre-operative area. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Intravenous (IV) Tranexamic Acid (TXA) Total Hip Arthroplasty
n=98 Participants
100 Total Hip Arthroplasty (THA) patients will be randomized to receive 1 g of intravenous (IV) TXA upon transfer to the operating room. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Oral Tranexamic Acid (TXA) Total Knee Arthroplasty
n=93 Participants
100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1950 mg of oral TXA in the pre-operative area. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Intravenous (IV) Tranexamic Acid (TXA) Total Knee Arthroplasty
n=97 Participants
100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1 g of intravenous (IV) TXA upon transfer to the operating room. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Length of Stay
2551.89 minutes
Standard Deviation 1554.4
2138.6 minutes
Standard Deviation 1126.71
2692.98 minutes
Standard Deviation 1508.65
2852.55 minutes
Standard Deviation 1511.05

Adverse Events

Oral Tranexamic Acid (TXA) Total Hip Arthroplasty

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Intravenous (IV) Tranexamic Acid (TXA) Total Hip Arthroplasty

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

Oral Tranexamic Acid (TXA) Total Knee Arthroplasty

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

Intravenous (IV) Tranexamic Acid (TXA) Total Knee Arthroplasty

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Oral Tranexamic Acid (TXA) Total Hip Arthroplasty
n=89 participants at risk
100 Total Hip Arthroplasty (THA) patients will be randomized to receive 1950 mg of oral TXA in the pre-operative area. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Intravenous (IV) Tranexamic Acid (TXA) Total Hip Arthroplasty
n=90 participants at risk
100 Total Hip Arthroplasty (THA) patients will be randomized to receive 1 g of intravenous (IV) TXA upon transfer to the operating room. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Oral Tranexamic Acid (TXA) Total Knee Arthroplasty
n=90 participants at risk
100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1950 mg of oral TXA in the pre-operative area. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Intravenous (IV) Tranexamic Acid (TXA) Total Knee Arthroplasty
n=96 participants at risk
100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1 g of intravenous (IV) TXA upon transfer to the operating room. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Vascular disorders
CVA, cerebrovascular accident
0.00%
0/89 • From enrollment through study completion, an average of 1 week
Definition: Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research. Adverse serious events were assessed over the course of the patient's participation in the research study.
1.1%
1/90 • From enrollment through study completion, an average of 1 week
Definition: Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research. Adverse serious events were assessed over the course of the patient's participation in the research study.
0.00%
0/90 • From enrollment through study completion, an average of 1 week
Definition: Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research. Adverse serious events were assessed over the course of the patient's participation in the research study.
0.00%
0/96 • From enrollment through study completion, an average of 1 week
Definition: Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research. Adverse serious events were assessed over the course of the patient's participation in the research study.

Other adverse events

Other adverse events
Measure
Oral Tranexamic Acid (TXA) Total Hip Arthroplasty
n=89 participants at risk
100 Total Hip Arthroplasty (THA) patients will be randomized to receive 1950 mg of oral TXA in the pre-operative area. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Intravenous (IV) Tranexamic Acid (TXA) Total Hip Arthroplasty
n=90 participants at risk
100 Total Hip Arthroplasty (THA) patients will be randomized to receive 1 g of intravenous (IV) TXA upon transfer to the operating room. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Oral Tranexamic Acid (TXA) Total Knee Arthroplasty
n=90 participants at risk
100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1950 mg of oral TXA in the pre-operative area. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Intravenous (IV) Tranexamic Acid (TXA) Total Knee Arthroplasty
n=96 participants at risk
100 Total Knee Arthroplasty (TKA) patients will be randomized to receive 1 g of intravenous (IV) TXA upon transfer to the operating room. Tranexamic Acid: Tranexamic acid (TXA) is an antifibrinolytic medication used to reduce bleeding in a variety of medical settings. Patients will be randomized to receive either oral or intravenous tranexamic acid.
Blood and lymphatic system disorders
Complications
5.6%
5/89 • From enrollment through study completion, an average of 1 week
Definition: Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research. Adverse serious events were assessed over the course of the patient's participation in the research study.
2.2%
2/90 • From enrollment through study completion, an average of 1 week
Definition: Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research. Adverse serious events were assessed over the course of the patient's participation in the research study.
0.00%
0/90 • From enrollment through study completion, an average of 1 week
Definition: Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research. Adverse serious events were assessed over the course of the patient's participation in the research study.
2.1%
2/96 • From enrollment through study completion, an average of 1 week
Definition: Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research. Adverse serious events were assessed over the course of the patient's participation in the research study.

Additional Information

Stavros G. Memtsoudis, MD, PhD, MBA

Hospital for Special Surgery

Phone: (212) 606-1206

Results disclosure agreements

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