NCT01643135

Brief Summary

Tranexamic acid has benn widely used to reduce perioperative bleeding in several operations such as cardiac surgery, liver transplant and joint arthroplasty with good results. Few studies in laminectomy had conflicting results and varying in doses. The objective is to compare perioperative bleeding in major laminectomy between patients receive doubles doses of tranexamic acids (15 mg/kg and 15 mg/kg) with who receive pacebo (0.9% NaCl).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
78

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Jun 2012

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2012

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

July 16, 2012

Completed
2 days until next milestone

First Posted

Study publicly available on registry

July 18, 2012

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2013

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2013

Completed
Last Updated

December 18, 2013

Status Verified

December 1, 2013

Enrollment Period

1.5 years

First QC Date

July 16, 2012

Last Update Submit

December 17, 2013

Conditions

Keywords

tranexamic acidbleedingblood transfusionspine surgery

Outcome Measures

Primary Outcomes (1)

  • perioperative blood loss

    Intraoperative and postoperative blood loss will be measured by from swab, suction and vaccum drainage

    24 hours

Secondary Outcomes (1)

  • perioperative blood transfusion

    24 hours

Study Arms (2)

tranexamic acid

ACTIVE COMPARATOR

Tranexamic acid (15 mg/kg in 0.9% NaCl and the total volume is 100 ml) will given before induction and the second dose(15 mg/kg in 0.9% NaCl and the total volume is 100 ml) will be given at 3 hours after the first dose.

Drug: tranexamic acid

0.9% NaCl

PLACEBO COMPARATOR

0.9% NaCl 100 ml will be given as a placebo before induction and 3 hours after the first dose

Drug: 0.9% NaCl

Interventions

Transamine acts as antifibrinolysis which looks alike 0.9% NaCl (placebo)

Also known as: transamine (Daiichi-Sankyo, Japan)
tranexamic acid

0.9% NaCL (NSS) is clear fluid which looks alike tranexamic acid

Also known as: NSS
0.9% NaCl

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • has laminectomy with instrumentation or equal or more than 3 levels laminectomy
  • age 18-65 years
  • ASA 1-3
  • elective operation

You may not qualify if:

  • allergy to tranexamic acid
  • anemia (Hb\<12 g/dl in female or Hb\<13 g/dl in male)
  • history of CVT, IHD, PE, strokes
  • liver disease
  • chronic kidney disease with creatinie\>2.0 mg/dl
  • receive anticoagulant or coagulopathy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Manee Raksakietisak

Bangkok, 10700, Thailand

Location

MeSH Terms

Conditions

Hemorrhage

Interventions

Tranexamic AcidTranylcypromineSaline Solution

Condition Hierarchy (Ancestors)

Pathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Cyclohexanecarboxylic AcidsAcids, CarbocyclicCarboxylic AcidsOrganic ChemicalsPropylaminesAminesCrystalloid SolutionsIsotonic SolutionsSolutionsPharmaceutical Preparations

Study Officials

  • Manee Raksakietisak, MD

    Mahidol University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate professor

Study Record Dates

First Submitted

July 16, 2012

First Posted

July 18, 2012

Study Start

June 1, 2012

Primary Completion

December 1, 2013

Study Completion

December 1, 2013

Last Updated

December 18, 2013

Record last verified: 2013-12

Locations