Clinical trial • Phase IV • Other

TRANEXAMIC ACID for Hip fracture

Phase IV trial of TRANEXAMIC ACID for Hip fracture. Randomised, none/not specified-controlled. 644 participants.

Overview

Trial Therapeutic Area
Other
Trial Disease
Hip fracture
Trial Stage
Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
30-10-2024
First CTIS Authorization Date
11-11-2024

Trial design

Randomised, none/not specified-controlled Phase IV trial across 2 sites in Spain.

Randomised
Yes
Comparator
None/Not specified
Target Sample Size
644
Trial Duration For Participant
365

Eligibility

Recruits 644 Vulnerable population selected; informed consent will be signed by the patient or family member / legal representative depending on the degree of autonomy of the patient..

Vulnerable Population
Vulnerable population selected; informed consent will be signed by the patient or family member / legal representative depending on the degree of autonomy of the patient.

Inclusion criteria

  • {"criterion_text":"- Who is over 65 years of age, of both sexes.\n- Accept participation in the study (informed consent that will be signed by the patient or family member / legal representative depending on the degree of autonomy of the patient)."}

Exclusion criteria

  • {"criterion_text":"- In treatment with another experimental drug (not participating in another clinical trial with an experimental drug).\n- The refusal of the patient to participate in the study.\n- Known allergy to TXA.\n- Patients with a history of seizures.\n- Patients with severe kidney and liver failure."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Blood transfusion The first result of this study will be the transfusion rate from patient admission to hospital discharge. Patients will be monitored with serial measurements of hemoglobin and hematocrit levels, as well as vital signs and symptoms to assess the need for transfusion.","definition_or_measurement_approach":"Transfusion rate from patient admission to hospital discharge; patients monitored with serial measurements of hemoglobin and hematocrit levels and vital signs/symptoms to assess need for transfusion."}

Secondary endpoints

  • {"endpoint_text":"- Hb level: Hb admission, (day 0) Hb day 1, Hb day 2, Hb day 3, Hb preQ, Hb postQ1, Hb postQ2, Hb postQ3","definition_or_measurement_approach":"Serial hemoglobin measurements at specified time points (admission, day 0, day 1, day 2, day 3, pre-operative, and post-operative timepoints postQ1-postQ3)."}
  • {"endpoint_text":"- Hto level","definition_or_measurement_approach":"Measurement of haematocrit level at study-specified timepoints."}
  • {"endpoint_text":"- Occult blood loss: from fracture to admission, and from admission to surgery","definition_or_measurement_approach":"Calculated/assessed occult blood loss during specified intervals (fracture to admission; admission to surgery)."}
  • {"endpoint_text":"- Total loss of blood.","definition_or_measurement_approach":"Assessment of total blood loss (methodology not further specified in the record)."}
  • {"endpoint_text":". - Adverse events during hospital admission and 3-6-9-12 months postopitalar: DVT, PE, CVA, heart attack, wound infection, urinary infection, respiratory infection, dementia / delirium, wound hematoma-seroma, readmission , reoperation, transfusion reaction, death.","definition_or_measurement_approach":"Recording of specified adverse events during hospital admission and at 3, 6, 9 and 12 months postoperatively."}
  • {"endpoint_text":". - Charlson comorbidities index.","definition_or_measurement_approach":"Charlson comorbidity index score assessment."}
  • {"endpoint_text":"- ASA","definition_or_measurement_approach":"ASA (American Society of Anesthesiologists) classification assessment."}
  • {"endpoint_text":"- Tto. with anticoagulant, antiplatelet medication.","definition_or_measurement_approach":"Recording of anticoagulant and antiplatelet medication use."}
  • {"endpoint_text":"- Epidemiological data: age, sex, weight, height.","definition_or_measurement_approach":"Collection of standard demographic and anthropometric data."}
  • {"endpoint_text":"- Time from trauma to hospital admission (in hours).","definition_or_measurement_approach":"Measurement in hours from time of trauma to hospital admission."}
  • {"endpoint_text":"- Previous functionality.","definition_or_measurement_approach":"Assessment of pre-fracture functional status (method not specified)."}
  • {"endpoint_text":"- Date of admission.","definition_or_measurement_approach":"Recording of hospital admission date."}
  • {"endpoint_text":"- Date of surgical intervention.","definition_or_measurement_approach":"Recording of date of surgery."}
  • {"endpoint_text":"- Date of hospital discharge","definition_or_measurement_approach":"Recording of discharge date."}
  • {"endpoint_text":"- Hospital stay","definition_or_measurement_approach":"Duration of hospital stay (days)."}
  • {"endpoint_text":"- Type of fracture.","definition_or_measurement_approach":"Classification/recording of fracture type."}
  • {"endpoint_text":"- Type of surgical intervention.","definition_or_measurement_approach":"Recording of surgical intervention type."}
  • {"endpoint_text":"- Functionality per year.","definition_or_measurement_approach":"Assessment of functional outcome at one year."}

Recruitment

Planned Sample Size
644
Recruitment Window Months
42
Consent Approach
Informed consent will be obtained; the informed consent form will be signed by the patient or by a family member/legal representative depending on the degree of autonomy of the patient. A subject information and informed consent form (Adults) document is listed; languages not specified in the record.

Geography

Total Number Of Sites
2
Total Number Of Participants
644

Spain

Earliest CTIS Part Ii Submission Date
07-11-2024
Latest Decision Or Authorization Date
14-03-2025
Processing Time Days
127
Number Of Sites
2
Number Of Participants
644

Sites

Site Name
Hospital Universitario Araba
Department Name
Servicio de Traumatología y Cirugía Ortopédica
Contact Person Name
Luis Minguez Cabeza
Contact Person Email
Biogipuzkoa_PIC@hotmail.com
Site Name
Hospital Universitario Donostia
Department Name
Servicio de Traumatología y Cirugía Ortopédica
Contact Person Name
Gaspar De La Herrán Nuñez
Contact Person Email
Biogipuzkoa_PIC@hotmail.com

Sponsor

Primary sponsor

Full Name
Asociacion Instituto Biogipuzkoa
Organisation Type
Patient organisation/association
Country Of Registered Address
Spain

Investigational products

Investigational Product Name
TRANEXAMIC ACID
Active Substance
TRANEXAMIC ACID
Modality
Small molecule
Routes Of Administration
Intravenous
Route
Intravenous
Authorisation Status
prodAuthStatus 2; marketingAuthNumber '-'
Maximum Dose
40 mg/kg

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