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TerminatedNCT01683747Updated Nov 17, 2015

Single Dose Enteral Tranexamic Acid in Critically Ill Patients

A Phase 2 interventional study of Tranexamic Acid and Control Intervention (Carrier fluid only) in Shock, Sepsis and Hypotension, sponsored by San Diego Veterans Healthcare System. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-11-17.

Sponsored by San Diego Veterans Healthcare System · Phase 2, Interventional, and Treatment

Why this study was terminated
Lower than anticipated enrollment
Phase
Phase 2
Study type
Interventional
Enrollment
4
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The premise of this study is that enteral tranexamic acid will help to maintain small bowel integrity, which is often compromised by critical illness due to inadequate cardiovascular perfusion (i.e., shock), and that maintenance of small bowel integrity will decrease morbidity in critically ill patients.

Read the detailed description

The primary objective of this study is to provide preliminary efficacy and safety data on the enteral administration of a one-time dose of tranexamic acid to critically ill patients for the reduction of morbidity at 28 days after enrollment in the study.

Secondary objectives of this study are to determine the efficacy of administration of enteral tranexamic acid in reducing intensive care unit (ICU) and hospital length-of-stay, as well and mortality and morbidity at 6 months.

02

Conditions studied

  • Shock
  • Sepsis
  • Hypotension
  • Critical Illness

Keywords

  • sepsis
  • shock
  • placebo controlled
  • double blinded
  • interventional
03

In context

Hypotension

1,003 studies on the registry are indexed under Hypotension; 173 are open to participants now.

This study's enrollment of 4 is below the median of 80 across 675 interventional studies indexed under Hypotension.

Browse Hypotension studies →

Lead sponsor

San Diego Veterans Healthcare System is the lead sponsor of 10 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Critically ill patients admitted to ICU within 48 hours of onset of illness
  • Patients with feeding tubes (e.g., orogastric, nasogastric, PEG, etc.)

Exclusion criteria

Exclusion Criteria:

  • primary admitting diagnosis of cancer
  • primary admitting diagnosis of acute congestive heart failure
  • primary admitting diagnosis of chronic obstructive pulmonary disease (COPD)
  • primary admitting diagnosis of acute myocardial infarction or unstable cardiac arrythmia
  • primary admitting diagnosis of amyotrophic lateral sclerosis (ALS) or other non-infectious disease
  • primary admitting diagnosis of post-operative neurosurgical procedure
  • known hypersensitivity to tranexamic acid
  • acquired disturbances of color vision
  • hematuria cause by disease of the renal parenchyma
  • active thromboembolic disease such as deep venous thrombosis or pulmonary embolism
  • patients with known clotting disorders or other known bleeding disorders
  • recent (within 3 months) or active cerebrovascular bleed
  • pregnancy
  • inability to take study medicine (i.e., ileus with > 500ml stomach residuals, NPO status)
  • patients excluded at the discretion of the treating physician
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
4 participants (actual)

Study arms

  • Experimental
    Tranexamic acid

    Study group receives enteral tranexamic acid in normal saline in addition to usual care.

    Drug: Tranexamic Acid

  • Placebo comparator
    Control group

    Control group receives vehicle (normal saline) without study drug and usual care.

    Drug: Control Intervention (Carrier fluid only)

Interventions

  • DrugTranexamic Acid

    Also known as: Cyclokapron

  • DrugControl Intervention (Carrier fluid only)
06

What researchers measure

Primary outcomes

  1. Morbidity

    Morbidity will be assessed at 28 days as measured by the validated Self-Administered Quality of Well-being Scale (QWB-SA) and 5-Point modified Oxford Handicap Scale \[secondary scale\]

    Time frame: 28 days

Secondary outcomes

  1. morbidity

    Morbidity will be assessed at 28 days as measured by the validated Self-Administered Quality of Well-being Scale (QWB-SA) and 5-Point modified Oxford Handicap Scale \[secondary scale\]

    Time frame: 6 months

  2. mortality

    All-cause death will be measured at 28 days

    Time frame: 28 days

  3. mortality

    All cause mortality will be measured at 6 months

    Time frame: 6 months

  4. ICU length of stay

    Time spent as a patient in the ICU will be measured

    Time frame: up to 6 months

  5. Hospital length of stay

    Time spent in the hospital as a patient will be measured

    Time frame: up to 6 months

07

Study locations

1 site
  • VA San Diego Health Care System
    San Diego, California 92161, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 17, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01683747
Lead sponsor
San Diego Veterans Healthcare System
Collaborators
Inflammagen/Leading Ventures
Responsible party
Erik B. Kistler, MD, PhD (Principal Investigator, Assistant Professor, San Diego Veterans Healthcare System) — Principal investigator
First posted
Sep 12, 2012
Start date
Jun 2012
Primary completion
Nov 2014
Completion
Nov 2014
Last update
Nov 17, 2015

Study contacts

Erik B Kistler, MD, PhD
principal investigator · VA San Diego Healthcare/University of California, San Diego

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Nov 2015. You cannot join it, but the record below documents what was studied.

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