Tranexamic Acid During Excisional Burn Surgery

NCT ID: NCT05507983

Last Updated: 2024-03-13

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

96 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-01

Study Completion Date

2025-04-01

Brief Summary

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The purpose of this study is to access the efficacy of the drug tranexamic acid in reducing blood loss during burn excision surgery.

Detailed Description

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This study is a double-blinded, randomized placebo-controlled trial. After informed consent patients will be randomized in either the placebo or the tranexamic acid group (1500 mg). The intervention will be conducted during burn excisional surgery. First, the participant with be anesthetized, whereafter the study medication is administered.

Conditions

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Burns Blood Loss, Surgical Blood Loss Tranexamic Acid Burn Excisional Surgery

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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Tranexamic acid arm

Tranexamic acid 1500 mg dissolved in 100 ml sodium chloride, once, directly after anesthetizing the participant.

In participants with renal insufficiency (creatinine \>120 umol/L) the dose will be reduced to 1000 mg.

Group Type EXPERIMENTAL

Tranexamic acid

Intervention Type DRUG

Tranexamic acid 1500 mg

Placebo arm

100ml sodium chloride 0.9%, once, directly after anesthetizing the participant.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo, sodium chloride 0.9%

Interventions

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Tranexamic acid

Tranexamic acid 1500 mg

Intervention Type DRUG

Placebo

Placebo, sodium chloride 0.9%

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients scheduled for burn excisional surgery
* An expected blood loss of ≥250ml based on the estimation by the performing surgeon on the basis of: (1) ≥ 2 % body surface area excision planned (100-200 cc / % total body surface area, (2) operation technique used (some techniques show more blood loss than others), (3) time after burn trauma (i.e. expected healing)
* ≥18 year
* informed consent of patient or legal representative
* Patients or legal representative should have enough knowledge of Dutch to provide informed consent

Exclusion Criteria

* Patients with a recorded coagulopathy in their history
* The use of anticoagulants (except acetylsalicylic acid or (intensive) prophylaxis low molecular weight heparin \>12 hours before surgery)
* Severe kidney failure (creatinine \>500 μmol/L)
* Allergy for tranexamic acid
* Diagnosis of acute venous-/arterial thrombosis within 3 months before inclusion
* Diffuse intravascular coagulation (based on the diffuse intranasal coagulation-score \>5)
* Pregnancy
* Active breastfeeding
* History of epilepsy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Association of Dutch Burn Centres

OTHER

Sponsor Role collaborator

Martini Hospital Groningen

OTHER

Sponsor Role collaborator

Red Cross Hospital Beverwijk

OTHER

Sponsor Role collaborator

Maasstad Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Red Cross Hospital

Beverwijk, North Holland, Netherlands

Site Status NOT_YET_RECRUITING

Maasstad Hospital

Rotterdam, South Holland, Netherlands

Site Status RECRUITING

Martini Hospital

Groningen, , Netherlands

Site Status NOT_YET_RECRUITING

Countries

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Netherlands

Central Contacts

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C.H. van der Vlies, MD, PhD

Role: CONTACT

010 - 2911911

Facility Contacts

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A. de Vries, MD, PhD

Role: primary

0251-265555

C.H. van der Vlies

Role: primary

010-2911911

S.M.H.J. Scholten-Jaegers

Role: primary

050 - 524 52 45

References

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Gigengack RK, Slob J, Vries AM, Bosma E, Loer SA, Koopman JSHA, van der Vlies CH. Efficacy of tranexamic acid versus placebo in reducing blood loss during burn excisional surgery: a multi-center, double-blind, parallel, randomized placebo-controlled clinical trial (TRANEX). Trials. 2024 Aug 2;25(1):520. doi: 10.1186/s13063-024-08332-1.

Reference Type DERIVED
PMID: 39095919 (View on PubMed)

Other Identifiers

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WO 19.102

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

NL69319.100.20

Identifier Type: -

Identifier Source: org_study_id

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