Evaluating the Effect of Tranexamic Acid on the Clinical Outcomes in Patients With Traumatic Brain Injury

NCT ID: NCT06330935

Last Updated: 2024-05-10

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

PHASE1/PHASE2

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-25

Study Completion Date

2025-03-31

Brief Summary

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Evaluate the effect of tranexamic acid on mortality in pediatric patients with traumatic brain injury. This could potentially lead to improved treatment protocols and better outcomes for this vulnerable population.

Detailed Description

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Conditions

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Traumatic Brain Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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TXA dose A arm

Subjects will receive a 15 mg/kg bolus of Tranexamic acid over 20 minutes followed by 2 mg/kg/hr. infusion over 8 hours. The maximum bolus dose is 1000 mg, the maximum rate of infusion is 50 mg/min, and the maximum total maintenance dose is 1000 mg

Group Type ACTIVE_COMPARATOR

Tranexamic Acid (TXA)

Intervention Type DRUG

30 patients will be randomized to A arm and 30 patients to B arm

TXA dose B arm

Subjects will receive a 30 mg/kg bolus of Tranexamic acid over 20 minutes followed by 4 mg/kg/hr. infusion over 8 hours. The maximum bolus dose is 2000 mg, the maximum rate of infusion is 100 mg/min, and the maximum total maintenance dose is 2000 mg

Group Type ACTIVE_COMPARATOR

Tranexamic Acid (TXA)

Intervention Type DRUG

30 patients will be randomized to A arm and 30 patients to B arm

Placebo arm C

Subjects in the placebo group will receive a bolus dose of normal saline over 20 minutes followed by a normal saline infusion over 8 hours (in the same weight-based volume as the other study arms)

Group Type PLACEBO_COMPARATOR

Normal saline

Intervention Type DRUG

30 patients will be randomized this arm C

Interventions

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Tranexamic Acid (TXA)

30 patients will be randomized to A arm and 30 patients to B arm

Intervention Type DRUG

Normal saline

30 patients will be randomized this arm C

Intervention Type DRUG

Other Intervention Names

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TXA dose A arm &TXA dose B arm Placebo arm C

Eligibility Criteria

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Inclusion Criteria

1. Age Less than 18 years old
2. Clinical diagnose of trauma to the Head and GCS score less than or equal to 13 with associated intracranial haemorrhage on cranial CT scan
3. Time of admission within 3 hour of injury.

Exclusion Criteria

1. Patient Known pregnancy.
2. patient had Cardiac arrest prior to randomization
3. GCS score of 3 with bilateral unresponsive pupils
4. Known bleeding/clotting disorders.
5. Known seizure disorders.
6. Known history of severe renal impairment
7. Unknown time of injury
8. Prior TXA for current injury
9. Known venous or arterial thrombosis
Minimum Eligible Age

1 Month

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mansoura University

OTHER

Sponsor Role lead

Responsible Party

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Noha Mansour

Lecturer of Clinical Pharmacy- Faculty of Pharmacy - Mansoura University

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Al-Azhar University Hospital in New Damietta

Damietta, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Mohamed Shams, Professor

Role: CONTACT

201556300563

Facility Contacts

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Adel Diab, professor

Role: primary

Other Identifiers

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192-2023

Identifier Type: -

Identifier Source: org_study_id

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