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CompletedNCT01228136Updated Dec 22, 2010

Tranexamic Acid and Pediatric Adenotonsillectomy

A Phase 4 interventional study of Tranexamic Acid and normal saline solution in Tonsillectomy, Adenoidectomy and Tranexamic Acid, sponsored by Irmandade Santa Casa de Misericórdia de Porto Alegre. Completed at 1 site in Brazil. Open to participants aged 4 Years to 12 Years. Per ClinicalTrials.gov, last updated 2010-12-22.

Sponsored by Irmandade Santa Casa de Misericórdia de Porto Alegre · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
95
Allocation
Randomized
Ages
4 Years to 12 Years
Sex
All
01

Study summary

The purpose of this study is to determine if the use of tranexamic acid prior adenotonsillectomy in children can reduce surgical and postoperative bleeding.

Read the detailed description

Tonsillectomy with or without adenoidectomy is the most common major surgical procedure performed in children. Although it's a relatively simple procedure, may present complications as hemorrhage and death. The mortality associated to the surgery range between 1/1.000 and 1/27.000 in the literature, with approximately 30% due to hemorrhage.

Tranexamic acid is an antifibrinolytic hemostatic indicated to control bleeding in cases of hyperfibrinolysis or defective hemostasis diseases. It's major indications are prostatic surgery and menorrhagia.

02

Conditions studied

  • Tonsillectomy
  • Adenoidectomy
  • Tranexamic Acid

Keywords

  • Adenotonsillectomy
  • Tranexamic acid
  • Blood loss
  • Postoperative hemorrhage
03

In context

Lead sponsor

Irmandade Santa Casa de Misericórdia de Porto Alegre is the lead sponsor of 8 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
4 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • children with 4 to 12 years
  • adenotonsillar hypertrophy
  • indication of adenotonsillectomy

Exclusion criteria

Exclusion Criteria:

  • patients with blood dyscrasia
  • patients with history of bleeding of difficult control or spontaneous hematoma
  • patients with coagulation tests altered
  • patients with evidence of hematopoietic, cardiovascular, hepatic, renal, neurologic, psychiatric or auto immune disease
05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
95 participants (actual)

Study arms

  • Active comparator
    Tranexamic acid

    Drug: Tranexamic Acid

  • Placebo comparator
    Placebo

    Other: normal saline solution

Interventions

  • DrugTranexamic Acid

    10mg/Kg, IV (in the vein), first dose 30 minutes before surgery, second dose 8 hours after first dose, third dose 8 hours after second dose

    Also known as: Transamin, Hemoblock

  • Othernormal saline solution

    normal saline solution in the same volume calculated as treatment (tranexamic acid 250mg/mL, 10mg/Kg), IV (in the vein) first dose 30 minutes before surgery, second dose 8 hours after first dose, third dose 8 hours after second dose

06

What researchers measure

Primary outcomes

  1. volume of intraoperative bleeding

    intraoperative bleeding (in mL of aspirated blood) measured at the end of the surgical procedure

    Time frame: one day

Secondary outcomes

  1. incidence of postoperative bleeding

    incidence of oral bleeding at the ten days after surgery, evaluated by a patient's diary and postoperative medical evaluations

    Time frame: ten days

07

Study locations

1 site
  • Hospital da Criança Santo Antônio
    Porto Alegre, Rio Grande do Sul 90035-074, Brazil
08

References and documents

Publications

  • Brum MR, Miura MS, Castro SF, Machado GM, Lima LH, Lubianca Neto JF. Tranexamic acid in adenotonsillectomy in children: a double-blind randomized clinical trial. Int J Pediatr Otorhinolaryngol. 2012 Oct;76(10):1401-5. doi: 10.1016/j.ijporl.2012.04.028. Epub 2012 Jun 16. PubMed 22704676 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 22, 2010, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01228136
Lead sponsor
Irmandade Santa Casa de Misericórdia de Porto Alegre
First posted
Oct 26, 2010
Start date
Jan 2010
Primary completion
Nov 2010
Completion
Dec 2010
Last update
Dec 22, 2010

Study contacts

Marília R Brum, MD
principal investigator · Irmandade Santa Casa de Misericórdia de Porto Alegre
José Faibes Lubianca Neto, MD
study director · Irmandade Santa Casa de Misericórdia de Porto Alegre

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2010. You cannot join it, but the record below documents what was studied.

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