Tranexamic Acid in Urologic Surgery (TRANEX-URO)
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Purpose
This prospective randomized double-blind placebo vs control study aims at verifying the efficacy of tranexamic acid administration in reducing perioperative bleeding in patients undergoing open radical prostatectomy. Two recent meta-analysis confirmed that tranexamic acid administration does not increase mortality, myocardial infarction, deep venous thrombosis, pulmonary embolism, stroke and renal failure.
200 patients undergoing open radical prostatectomy will be enrolled. Patients will receive a slow endovenous infusion of 500 mg of tranexamic acid before surgical incision, followed by 250 mg/h of tranexamic acid by continuous infusion.
Patients belonging to the control group will receive the same volume of saline infusions.
| Condition | Intervention | Phase |
|---|---|---|
|
Bleeding Prostatectomy |
Drug: Tranexamic Acid Drug: Placebo |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | Efficacy of Tranexamic Acid in Reducing Perioperative Bleeding in Patients Undergoing Radical Prostatectomy. A Randomized Controlled Double-blind Study. |
| Study Start Date: | April 2008 |
| Study Completion Date: | June 2010 |
| Primary Completion Date: | May 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Patients will receive a slow endovenous infusion of 500 mg of tranexamic acid before surgical incision, followed by 250 mg/h of tranexamic acid by continuous infusion.
|
Drug: Tranexamic Acid
Patients will receive a slow endovenous infusion of 500 mg of tranexamic acid before surgical incision, followed by 250 mg/h of tranexamic acid by continuous infusion.
Other Names:
|
|
Placebo Comparator: 2
Patients belonging to the control group will receive the same volume of saline infusions.
|
Drug: Placebo
Patients belonging to the control group will receive the same volume of saline infusions.
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Adult patients
- Patients undergoing open radical prostatectomy
Exclusion Criteria:
- Age < 18 years
- Patients with drug eluting stent with a double antiplatelet therapy
- Atrial fibrillation
- Thrombophilic diathesis
- Allergy to tranexamic acid
Contacts and Locations| Italy | |
| Università Vita-Salute San Raffaele, Milano, Italia e Istituto Scientifico San Raffaele, Milano, Italia | |
| Milano, Italy, 20132 | |
| Study Director: | Giovanni Landoni, MD | Università Vita-Salute San Raffaele, Milano, Italia e Istituto Scientifico San Raffaele, Milano, Italia |
| Principal Investigator: | Antonella Crescenti, MD | Università Vita-Salute San Raffaele, Milano, Italia e Istituto Scientifico San Raffaele, Milano, Italia |
More Information
No publications provided by Università Vita-Salute San Raffaele
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00670345 History of Changes |
| Other Study ID Numbers: | GO/URC/ER/mm 139/DG |
| Study First Received: | April 29, 2008 |
| Last Updated: | July 7, 2010 |
| Health Authority: | Italy: Ministry of Health |
Keywords provided by Università Vita-Salute San Raffaele:
|
tranexamic acid prostatectomy surgery |
Additional relevant MeSH terms:
|
Hemorrhage Pathologic Processes Tranexamic Acid Antifibrinolytic Agents Fibrin Modulating Agents Molecular Mechanisms of Pharmacological Action |
Pharmacologic Actions Hemostatics Coagulants Hematologic Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 23, 2013