Comparison of Three Tranexamic Acid Dose Regimens in Patients Undergoing Cardiac Valve Surgery

NCT ID: NCT04911413

Last Updated: 2021-08-31

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

210 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-01

Study Completion Date

2021-06-15

Brief Summary

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This study compares the effect of three different dose levels of tranexamic acid(TXA)in reducing blood loss and transfusion requirements in cardiac valve surgery.

Detailed Description

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The effect of TXA to reduce perioperative blood loss and blood transfusion has been well established in many trials, but the optimal dosage of TXA in cardiac surgery has always been a problem of debate. This is a single-center randomized controlled trial to study different dose regimens of TXA in cardiac surgery. We use three different dose levels of TXA in cardiac valve surgery with CPB, and see if there are any differences in perioperative blood loss and transfusion requirements. Serious adverse events and seizure attacks are also recorded until three months after surgery.

Conditions

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Cardiac Surgical Procedures Blood Transfusion Tranexamic Acid

Keywords

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Cardiac Surgery Blood transfusion Blood loss Tranexamic Acid Dose regimen

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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low-dose group,

A bolus of 10 mg/kg Tranexamic Acid followed by a maintenance dose of 10 mg/kg/h Tranexamic Acid until the end of surgery

Group Type EXPERIMENTAL

Tranexamic acid

Intervention Type DRUG

The drug used in this RCT is tranexamic acid. We used three different doses of TXA in three groups.

middle-dose group,

A bolus of 20 mg/kg Tranexamic Acid followed by a maintenance dose of 15 mg/kg/h Tranexamic Acid until the end of surgery

Group Type EXPERIMENTAL

Tranexamic acid

Intervention Type DRUG

The drug used in this RCT is tranexamic acid. We used three different doses of TXA in three groups.

high-dose group

A bolus of 30 mg/kg Tranexamic Acid followed by a maintenance dose of 20 mg/kg/h Tranexamic Acid until the end of surgery

Group Type EXPERIMENTAL

Tranexamic acid

Intervention Type DRUG

The drug used in this RCT is tranexamic acid. We used three different doses of TXA in three groups.

Interventions

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Tranexamic acid

The drug used in this RCT is tranexamic acid. We used three different doses of TXA in three groups.

Intervention Type DRUG

Other Intervention Names

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Cyklokapron Transamin

Eligibility Criteria

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Inclusion Criteria

* patients aged between 18 to 60 years old scheduled for cardiac valve surgery (replacement or plasty) requiring CPB

Exclusion Criteria

* known allergy to TXA, combined CABG operation or other cardiac procedures other than valve surgery, previous cardiac surgery, EF\<45% or cardiothoracic ratio\>0.65, serious coagulation disorder, serious hepatic insufficiency, receiving antiplatelet therapy at any time within 7 days of surgery, receiving low molecular weight heparin at any time within 24 hours of surgery, and pregnancy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chinese Academy of Medical Sciences, Fuwai Hospital

OTHER

Sponsor Role lead

Responsible Party

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SHI Jia

Director,the department of Anesthesiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Fuwai Hospital, National Center for Cardiovascular Diseases

Beijing, Beijing Municipality, China

Site Status

Countries

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China

Other Identifiers

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TXA dosage trial 2

Identifier Type: -

Identifier Source: org_study_id