About this trial
The goal of this clinical trial is to learn if the administration of tranexamic acid can reduce the necessity of blood transfusions in adult patients undergoing major abdominal surgery. . It will also inform about safety of tranexamic acid in this setting.
The main question it aims to answer is: Does tranexamic acid lower the probability of receiving at least one blood transfusion during or after surgery?
Participants will compare tranexamic acid o a placebo (a look-alike substance that contains no drug) to see if tranexamic acid works to reduce the necessity of a blood transfusion.
Eligibility criteria
Qualifiers
Age 18 years or above
Planned elective esophagectomy, gastrectomy, colectomy, rectal resection, pancreatic resection, or hepatectomy
Adequate renal function with serum creatinine <250 µmol/L (2.82 mg/dL)
Written informed consent obtained before randomization
Disqualifiers
Clinical signs of tachycardia, e.g., resting heart rate >100 beats/minute, palpitation etc.
Clinical signs of hypotension, e.g., resting systolic blood pressure <100 mmHg, orthostatic dysregulation etc.
Clinical signs of dyspnea, e.g., speech dyspnea, resting respiratory rate >20 breaths/min.
Thrombocytopenia with platelets <60 x 109 /L
Trial design
Treatments tested in this trial
- Tranexamic Acid
- Placebo
Treatment groups
Sponsors and collaborators
Ulrich Ronellenfitsch, MD
Lead sponsor
Martin-Luther-Universität Halle-Wittenberg
Sponsor institution
German Federal Ministry of Education and Research
Collaborator
Coordinating Centre for Clinical Trials Halle
Collaborator