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.
COMPLETED
PHASE4
400 participants
post-operative day 0
2024-12-27
Participant Flow
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
| 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
| 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 0Calculated 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
| 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 2To assess how many participants required a blood transfusion during their hospital stay. This will be measured in binary responses (yes/no).
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 surgeryTime to discharge from physical therapy (in minutes)
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
| 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
Intravenous (IV) Tranexamic Acid (TXA) Total Hip Arthroplasty
Oral Tranexamic Acid (TXA) Total Knee Arthroplasty
Intravenous (IV) Tranexamic Acid (TXA) Total Knee Arthroplasty
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
| 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
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place