Trial Outcomes & Findings for TXA in Anticoagulated Patients Study (NCT NCT04560010)

NCT ID: NCT04560010

Last Updated: 2024-03-26

Results Overview

"The volume of perioperative blood loss will be determined on the basis of the blood volume and change in hemoglobin from preoperatively to 1 day postoperatively. The volume of total perioperative blood loss will be determined according to the following formula: Total blood loss (ml) = 1000 x 〖Hb〗\_loss/〖Hb〗\_i"

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

17 participants

Primary outcome timeframe

Baseline to 24 hours post op

Results posted on

2024-03-26

Participant Flow

Participant milestones

Participant milestones
Measure
Tranexamic Acid Injection (TXA)
Subjects scheduled to undergo TSA (anatomic and reverse) will receive TXA before surgical incision and 3 hours later. Tranexamic Acid Injection (TXA): Injection of 1 gram of IV TXA before surgical plus 1 gram of IV TXA three hours later
No Tranexamic Acid Injection (TXA) Given
Subjects scheduled to undergo TSA (anatomic and reverse) will receive no TXA.
Overall Study
STARTED
8
9
Overall Study
COMPLETED
8
9
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

TXA in Anticoagulated Patients Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Tranexamic Acid Injection (TXA)
n=8 Participants
Subjects scheduled to undergo TSA (anatomic and reverse) will receive TXA before surgical incision and 3 hours later. Tranexamic Acid Injection (TXA): Injection of 1 gram of IV TXA before surgical plus 1 gram of IV TXA three hours later
No Tranexamic Acid Injection (TXA) Given
n=9 Participants
Subjects scheduled to undergo TSA (anatomic and reverse) will receive no TXA.
Total
n=17 Participants
Total of all reporting groups
Age, Continuous
71 years
STANDARD_DEVIATION 7.71 • n=5 Participants
72 years
STANDARD_DEVIATION 6.944 • n=7 Participants
72 years
STANDARD_DEVIATION 7.511 • n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
7 Participants
n=7 Participants
9 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
2 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=5 Participants
8 Participants
n=7 Participants
15 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 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
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Region of Enrollment
United States
8 participants
n=5 Participants
9 participants
n=7 Participants
17 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to 24 hours post op

"The volume of perioperative blood loss will be determined on the basis of the blood volume and change in hemoglobin from preoperatively to 1 day postoperatively. The volume of total perioperative blood loss will be determined according to the following formula: Total blood loss (ml) = 1000 x 〖Hb〗\_loss/〖Hb〗\_i"

Outcome measures

Outcome measures
Measure
Tranexamic Acid Injection (TXA)
n=8 Participants
Subjects scheduled to undergo TSA (anatomic and reverse) will receive TXA before surgical incision and 3 hours later. Tranexamic Acid Injection (TXA): Injection of 1 gram of IV TXA before surgical plus 1 gram of IV TXA three hours later
No Tranexamic Acid Injection (TXA) Given
n=9 Participants
Subjects scheduled to undergo TSA (anatomic and reverse) will receive no TXA.
Calculated Total Blood Loss
0.6632 Milliliters
Standard Deviation 0.2569
0.602 Milliliters
Standard Deviation 0.2228

PRIMARY outcome

Timeframe: Up to 24 hours post-op

Surgical drain output will be recorded by floor nurse every 8 hours in EPIC. Data will be recorded up to 24 hours post-op if needed.

Outcome measures

Outcome measures
Measure
Tranexamic Acid Injection (TXA)
n=8 Participants
Subjects scheduled to undergo TSA (anatomic and reverse) will receive TXA before surgical incision and 3 hours later. Tranexamic Acid Injection (TXA): Injection of 1 gram of IV TXA before surgical plus 1 gram of IV TXA three hours later
No Tranexamic Acid Injection (TXA) Given
n=9 Participants
Subjects scheduled to undergo TSA (anatomic and reverse) will receive no TXA.
Total Surgical Drain Output
131.3 Milliliters
Standard Deviation 71.81
146.7 Milliliters
Standard Deviation 75.7

SECONDARY outcome

Timeframe: 2 weeks post-op

Surgeon will assess for presence of hematoma at the 2-week follow up visit.

Outcome measures

Outcome measures
Measure
Tranexamic Acid Injection (TXA)
n=8 Participants
Subjects scheduled to undergo TSA (anatomic and reverse) will receive TXA before surgical incision and 3 hours later. Tranexamic Acid Injection (TXA): Injection of 1 gram of IV TXA before surgical plus 1 gram of IV TXA three hours later
No Tranexamic Acid Injection (TXA) Given
n=9 Participants
Subjects scheduled to undergo TSA (anatomic and reverse) will receive no TXA.
Number of Participants With Presence of Hematoma
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Up to 24 hours post-op

Outcome measures

Outcome measures
Measure
Tranexamic Acid Injection (TXA)
n=8 Participants
Subjects scheduled to undergo TSA (anatomic and reverse) will receive TXA before surgical incision and 3 hours later. Tranexamic Acid Injection (TXA): Injection of 1 gram of IV TXA before surgical plus 1 gram of IV TXA three hours later
No Tranexamic Acid Injection (TXA) Given
n=9 Participants
Subjects scheduled to undergo TSA (anatomic and reverse) will receive no TXA.
Number of Participants Who Needed a Post-op Blood Transfusion
0 Participants
0 Participants

SECONDARY outcome

Timeframe: During operation, up to 4 hours

Outcome measures

Outcome measures
Measure
Tranexamic Acid Injection (TXA)
n=8 Participants
Subjects scheduled to undergo TSA (anatomic and reverse) will receive TXA before surgical incision and 3 hours later. Tranexamic Acid Injection (TXA): Injection of 1 gram of IV TXA before surgical plus 1 gram of IV TXA three hours later
No Tranexamic Acid Injection (TXA) Given
n=9 Participants
Subjects scheduled to undergo TSA (anatomic and reverse) will receive no TXA.
Average Operative Time
88.25 minutes
Standard Deviation 24.85
96 minutes
Standard Deviation 19.33

SECONDARY outcome

Timeframe: Up until 30 days after last day of study participation, an average of 6 weeks

Outcome measures

Outcome measures
Measure
Tranexamic Acid Injection (TXA)
n=8 Participants
Subjects scheduled to undergo TSA (anatomic and reverse) will receive TXA before surgical incision and 3 hours later. Tranexamic Acid Injection (TXA): Injection of 1 gram of IV TXA before surgical plus 1 gram of IV TXA three hours later
No Tranexamic Acid Injection (TXA) Given
n=9 Participants
Subjects scheduled to undergo TSA (anatomic and reverse) will receive no TXA.
Number of Patients Who Developed Adverse Events Such as Myocardial Infarction (MI), Pulmonary Embolus (PE), and/or Deep Vein Thrombosis (DVT)
0 Participants
0 Participants

Adverse Events

Tranexamic Acid Injection (TXA)

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

No Tranexamic Acid Injection (TXA) Given

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Arthur Hertling, MD

NYU Langone

Phone: 212-263-5072

Results disclosure agreements

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