Status:

RECRUITING

Single Versus Multi-Dose Oral and Intravenous Tranexamic Acid Patients at High Risk for Blood Transfusion After Spine Surgery

Lead Sponsor:

Rush University Medical Center

Conditions:

Open Posterior Thoracolumbar Spinal Fusion Procedure

Eligibility:

All Genders

18+ years

Phase:

EARLY_PHASE1

Brief Summary

As tranexamic acid (TXA) becomes more prevalent, all patients are receiving the same dose and method of delivery regardless of their pre-operative risk of transfusion. Therefore, the aim of the study ...

Detailed Description

Background/Scientific review: Open lumbar spine surgery is associated with the risk of moderate to significant blood loss. Because TXA has been shown to significantly reduce the need for blood produc...

Eligibility Criteria

Inclusion

  • Any patient older than 18 years old
  • Scheduled for an open posterior thoracolumbar spinal fusion procedure

Exclusion

  • Allergy to TXA
  • Acquired disturbances of color vision
  • Refusal of blood products
  • Pre-op use of anticoagulant therapy within five days before surgery
  • History of arterial or venous thromboembolic disease (such as DVT, PE, CVA, TIA)
  • Pregnancy
  • Breastfeeding
  • Severe ischemic heart disease \[New York Heart Association Class III or IV\]
  • Previous myocardial infarction
  • Severe pulmonary disease
  • Renal impairment
  • Hepatic failure
  • Patients who decline to participate
  • Intolerance or sensitivity to Vitamin C

Key Trial Info

Start Date :

August 26 2019

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 1 2027

Estimated Enrollment :

604 Patients enrolled

Trial Details

Trial ID

NCT03849443

Start Date

August 26 2019

End Date

January 1 2027

Last Update

January 8 2026

Active Locations (1)

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1

Rush University Medical Center

Chicago, Illinois, United States, 6060712