Trial Outcomes & Findings for Effect of Tranexamic Acid on Postoperative Bleeding Following Sinus and Nasal Surgery (NCT NCT04754230)

NCT ID: NCT04754230

Last Updated: 2023-04-05

Results Overview

Patient-reported Visual Analog Scale - Bleeding Score Day 1. Score range: 0 (no bleeding) to 10 (uncontrolled bleeding).

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

40 participants

Primary outcome timeframe

Postoperative Day 1 (assessed within first 24 hours following surgery)

Results posted on

2023-04-05

Participant Flow

Participant milestones

Participant milestones
Measure
Normal Saline
Participants continue to receive their normal saline infusion during surgery.
1,000mg IV Tranexamic Acid
1,000mg dose of intravenous tranexamic acid via saline infusion 15 minutes prior to the completion of surgery.
Overall Study
STARTED
19
21
Overall Study
COMPLETED
19
21
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Normal Saline
n=19 Participants
Participants continue to receive their normal saline infusion during surgery.
1,000mg IV Tranexamic Acid
n=21 Participants
1,000mg dose of intravenous tranexamic acid via saline infusion 15 minutes prior to the completion of surgery.
Total
n=40 Participants
Total of all reporting groups
Age, Continuous
56.0 years
STANDARD_DEVIATION 16.2 • n=19 Participants
41.5 years
STANDARD_DEVIATION 18.6 • n=21 Participants
48.4 years
STANDARD_DEVIATION 18.8 • n=40 Participants
Sex: Female, Male
Female
11 Participants
n=19 Participants
10 Participants
n=21 Participants
21 Participants
n=40 Participants
Sex: Female, Male
Male
8 Participants
n=19 Participants
11 Participants
n=21 Participants
19 Participants
n=40 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
19 Participants
n=19 Participants
21 Participants
n=21 Participants
40 Participants
n=40 Participants

PRIMARY outcome

Timeframe: Postoperative Day 1 (assessed within first 24 hours following surgery)

Patient-reported Visual Analog Scale - Bleeding Score Day 1. Score range: 0 (no bleeding) to 10 (uncontrolled bleeding).

Outcome measures

Outcome measures
Measure
Normal Saline
n=19 Participants
Participants continue to receive their normal saline infusion during surgery.
1,000mg IV Tranexamic Acid
n=21 Participants
1,000mg dose of intravenous tranexamic acid via saline infusion 15 minutes prior to the completion of surgery.
Bleeding VAS - POD1
5.03 score on a scale
Standard Deviation 2.14
4.82 score on a scale
Standard Deviation 2.18

PRIMARY outcome

Timeframe: Postoperative Day 2

Patient-reported Visual Analog Scale - Bleeding Score Day 2. Score range: 0 (no bleeding) to 10 (uncontrolled bleeding).

Outcome measures

Outcome measures
Measure
Normal Saline
n=19 Participants
Participants continue to receive their normal saline infusion during surgery.
1,000mg IV Tranexamic Acid
n=21 Participants
1,000mg dose of intravenous tranexamic acid via saline infusion 15 minutes prior to the completion of surgery.
Bleeding VAS - POD2
4.47 score on a scale
Standard Deviation 2.61
3.89 score on a scale
Standard Deviation 2.01

PRIMARY outcome

Timeframe: Postoperative Day 3

Patient-reported Visual Analog Scale - Bleeding Score Day 3. Score range: 0 (no bleeding) to 10 (uncontrolled bleeding).

Outcome measures

Outcome measures
Measure
Normal Saline
n=19 Participants
Participants continue to receive their normal saline infusion during surgery.
1,000mg IV Tranexamic Acid
n=21 Participants
1,000mg dose of intravenous tranexamic acid via saline infusion 15 minutes prior to the completion of surgery.
Bleeding VAS - POD3
2.93 score on a scale
Standard Deviation 2.44
2.29 score on a scale
Standard Deviation 1.21

PRIMARY outcome

Timeframe: Postoperative Day 4

Patient-reported Visual Analog Scale - Bleeding Score Day 4. Score range: 0 (no bleeding) to 10 (uncontrolled bleeding).

Outcome measures

Outcome measures
Measure
Normal Saline
n=19 Participants
Participants continue to receive their normal saline infusion during surgery.
1,000mg IV Tranexamic Acid
n=21 Participants
1,000mg dose of intravenous tranexamic acid via saline infusion 15 minutes prior to the completion of surgery.
Bleeding VAS - POD4
2.12 score on a scale
Standard Deviation 2.04
1.44 score on a scale
Standard Deviation 1.23

PRIMARY outcome

Timeframe: Postoperative Day 5

Patient-reported Visual Analog Scale - Bleeding Score Day 5. Score range: 0 (no bleeding) to 10 (uncontrolled bleeding).

Outcome measures

Outcome measures
Measure
Normal Saline
n=19 Participants
Participants continue to receive their normal saline infusion during surgery.
1,000mg IV Tranexamic Acid
n=21 Participants
1,000mg dose of intravenous tranexamic acid via saline infusion 15 minutes prior to the completion of surgery.
Bleeding VAS - POD5
1.32 score on a scale
Standard Deviation 1.63
1.15 score on a scale
Standard Deviation 0.94

PRIMARY outcome

Timeframe: Postoperative Day 6

Patient-reported Visual Analog Scale - Bleeding Score Day 6. Score range: 0 (no bleeding) to 10 (uncontrolled bleeding).

Outcome measures

Outcome measures
Measure
Normal Saline
n=19 Participants
Participants continue to receive their normal saline infusion during surgery.
1,000mg IV Tranexamic Acid
n=21 Participants
1,000mg dose of intravenous tranexamic acid via saline infusion 15 minutes prior to the completion of surgery.
Bleeding VAS - POD6
1.36 score on a scale
Standard Deviation 1.30
0.76 score on a scale
Standard Deviation 0.83

PRIMARY outcome

Timeframe: Postoperative Day 7

Patient-reported Visual Analog Scale - Bleeding Score Day 7. Score range: 0 (no bleeding) to 10 (uncontrolled bleeding).

Outcome measures

Outcome measures
Measure
Normal Saline
n=19 Participants
Participants continue to receive their normal saline infusion during surgery.
1,000mg IV Tranexamic Acid
n=21 Participants
1,000mg dose of intravenous tranexamic acid via saline infusion 15 minutes prior to the completion of surgery.
Bleeding VAS - POD7
0.97 score on a scale
Standard Deviation 1.09
0.72 score on a scale
Standard Deviation 0.89

PRIMARY outcome

Timeframe: Postoperative Day 2 through Postoperative Day 7

Patient-reported Visual Analog Scale - Guaze Saturation Score through Postoperative Day 7. Score range: 0 (not at all) to 10 (dripping blood).

Outcome measures

Outcome measures
Measure
Normal Saline
n=19 Participants
Participants continue to receive their normal saline infusion during surgery.
1,000mg IV Tranexamic Acid
n=21 Participants
1,000mg dose of intravenous tranexamic acid via saline infusion 15 minutes prior to the completion of surgery.
Guaze Saturation VAS Though POD7
Postoperative day 2
5.16 score on a scale
Standard Deviation 2.89
4.56 score on a scale
Standard Deviation 2.50
Guaze Saturation VAS Though POD7
Postoperative day 3
3.03 score on a scale
Standard Deviation 3.05
2.09 score on a scale
Standard Deviation 1.81
Guaze Saturation VAS Though POD7
Postoperative day 4
1.74 score on a scale
Standard Deviation 2.10
0.76 score on a scale
Standard Deviation 1.34
Guaze Saturation VAS Though POD7
Postoperative day 5
1.11 score on a scale
Standard Deviation 1.56
0.40 score on a scale
Standard Deviation 0.86
Guaze Saturation VAS Though POD7
Postoperative day 6
0.99 score on a scale
Standard Deviation 1.45
0.29 score on a scale
Standard Deviation 1.81
Guaze Saturation VAS Though POD7
Postoperative day 7
0.80 score on a scale
Standard Deviation 1.05
0.28 score on a scale
Standard Deviation 0.57

SECONDARY outcome

Timeframe: Day of surgery through 1 week

Number of patients in each arm requiring evaluation by the resident service for bleeding concerns expressed by the recovery nurse (in PACU), had any follow-up visit or phone call outside of regularly scheduled follow-up

Outcome measures

Outcome measures
Measure
Normal Saline
n=19 Participants
Participants continue to receive their normal saline infusion during surgery.
1,000mg IV Tranexamic Acid
n=21 Participants
1,000mg dose of intravenous tranexamic acid via saline infusion 15 minutes prior to the completion of surgery.
Frequency of Participant Follow-up
PACU
0 Participants
0 Participants
Frequency of Participant Follow-up
Follow-up visit
0 Participants
1 Participants
Frequency of Participant Follow-up
Follow-up phone call
2 Participants
2 Participants

Adverse Events

Normal Saline

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

1,000mg IV Tranexamic Acid

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

Zara M. Patel, MD

Stanford University

Phone: 650-723-5651

Results disclosure agreements

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