Tranexamic Acid for Reduction of Transfusion in Abdominal Surgery

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorUlrich Ronellenfitsch, MD

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

850 Participants
are divided into 2 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