CClinicalTrials.gg
Status unknownNCT02625948TRAIGEUpdated Sep 14, 2016

Tranexamic Acid for Acute ICH Growth prEdicted by Spot Sign

A Phase 2 interventional study of Tranexamic Acid in Intracerebral Hemorrhage and Stroke, sponsored by Ministry of Science and Technology of the People´s Republic of China. Status unknown at 11 sites in China. Open to participants aged 18 Years to 79 Years. Per ClinicalTrials.gov, last updated 2016-09-14.

Sponsored by Ministry of Science and Technology of the People´s Republic of China · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Sep 2016), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
18 Years to 79 Years
Sex
All
01

Study summary

The purpose of this study is to determine if computed tomography angiography can predict which individuals with intracerebral hemorrhage will experience significant growth in the size of the hemorrhage. For individuals who are at high risk for hemorrhage growth, the study will compare the drug Tranexamic acid to placebo to determine the effect and safety of on intracerebral hemorrhage growth

Read the detailed description

The Tranexamic Acid for Acute ICH Growth prEdicted by Spot Sign (TRAIGE) is a is a multicentre, randomized, placebo-controlled, double-blind, prospective, investigator-led, clinical trial of tranexamic acid within 6 hours of intracerebral hemorrhage in patients with contrast extravasation on CTA, 'the spot sign'. ICH patients within 6 hours of symptom onset, with the spot sign as a biomarker for ongoing hemorrhage, and no contraindications for antifibrinolytic therapy were enrolled in TRAIGE. The patient with a spot sign will be randomized to receive either the active treatment or placebo, the patient with no spot sign will be given regular treatment as observation. The trial is anticipated to complete in 36 months from the first subject recruitment , with 240 subjects recruited. A Data and Safety Monitoring Board (DSMB) will regularly monitor safety during the study. The trial has been approved by IRB(Institutional Review Board) /EC(Ethics Committee) in Beijing Tiantan hospital, Capital Medical University.

02

Conditions studied

  • Intracerebral Hemorrhage
  • Stroke

Keywords

  • Intracerebral Hemorrhage
  • tranexamic acid
  • spot sign
03

In context

Cerebral Hemorrhage

476 studies on the registry are indexed under Cerebral Hemorrhage; 181 are open to participants now.

This study's planned enrollment of 240 is above the median of 100 across 287 interventional studies indexed under Cerebral Hemorrhage.

Browse Cerebral Hemorrhage studies →

Lead sponsor

Ministry of Science and Technology of the People´s Republic of China is the lead sponsor of 21 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 79 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Patients presenting with an acute spontaneous hypertensive Intracerebral hemorrhage

  1. CTA evaluation can be accomplished within 6 hours of symptom onset, with "spot sign" positive in CTA original image
  2. Age range from 18 to 79 years
  3. Randomization can be finished and treatment can commence within 8 hours of symptom onset
  4. Informed consent has been received in accordance to local ethics committee requirements

Exclusion criteria

Exclusion Criteria:

  1. ICH known or suspected to be secondary to tumour, vascular malformation, aneurysm or trauma
  2. Infratentorial ICH
  3. Glasgow coma scale (GCS) total score of \<8
  4. ICH volume >70 ml
  5. Parenchymal hemorrhage with ventricle involved, blood completely fills one lateral ventricle or more than half of both lateral ventricles
  6. Contraindication of CTA imaging (e.g. known or suspected iodine allergy or significant renal failure)
  7. Any history or current evidence suggestive of venous or arterial thrombotic events within the previous 6 months, including clinical, ECG, laboratory, or imaging findings. Clinically silent chance findings of old ischemia are not considered exclusion.
  8. Planned surgery for ICH
  9. Pregnancy or within 30 days after delivery, or during lactation
  10. Use of heparin, low-molecular weight heparin, or oral anticoagulation within the previous 1 week, with abnormal laboratory values
  11. Known allergy to tranexamic acid
  12. Prestroke modified mRS score of >2
05

Study design

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

Study arms

  • Active comparator
    tranexamic acid

    tranexamic acid

    Drug: Tranexamic Acid

  • Placebo comparator
    Placebo

    0.9% NaCl

    Drug: Tranexamic Acid

  • No intervention
    observation(spot sign -)

    regular clinical treatment

Interventions

  • DrugTranexamic Acid
06

What researchers measure

Primary outcomes

  1. hemorrhage growth

    either \>33% or \>6 ml increase from baseline, adjusted for baseline ICH volume

    Time frame: 24±2 hours

Secondary outcomes

  1. Major thromboembolic events

    (1) acute myocardial ischemia; (2) acute cerebral ischemia; and (3) acute pulmonary embolism

    Time frame: 30±4 days

  2. Poor clinical outcome

    The Number of patients that is Death or major disability(mRS 4-6)

    Time frame: 90±7 days

  3. short-term outcome

    The Number of patients that with Modified Rankin Scale (mRS) 0-2 at 30±4 days

    Time frame: 30±4 days

  4. Other thromboembolic events

    Other thromboembolic events,such as venous thrombosis and other peripheral arterial embolism

    Time frame: 90±7 days

  5. Death due to any cause

    Number of patients that is Death due to any cause by 90±7 days

    Time frame: 90±7 days

Other outcomes

  1. Absolute ICH growth volume

    The absolute ICH growth volume compared with the baseline CT scan

    Time frame: 24±2 hours

  2. Absolute IVH growth volume

    The absolute IVH growth volume compared with the baseline CT scan

    Time frame: 24±2 hours

07

Study locations

9 of 11 sites recruiting
  • Aviation General Hospital
    Beijing, Beijing 100050, China
    Not yet recruiting
  • Beijing Fangshan District Liangxiang Hospital
    Beijing, Beijing 100050, China
    Recruiting
  • Beijing Friendship Hospital
    Beijing, Beijing 100050, China
    Recruiting
  • Beijing Haidian hospital
    Beijing, Beijing 100050, China
    Recruiting
  • Beijing Huairou District Hospital
    Beijing, Beijing 100050, China
    Not yet recruiting
  • Beijing Shunyi Hospital
    Beijing, Beijing 100050, China
    Recruiting
  • Beijing Tian Tan Hospital, Capital Medical University
    Beijing, Beijing 100050, China
    • Liping Liu, MD · Contact · 8610-67098368
    Recruiting
  • Peking University Third Hospital
    Beijing, Beijing 100050, China
    Recruiting
  • Kailuan general hospital
    Tangshan, Hebei 063000, China
    Recruiting
  • Tangshan gongren hospital
    Tangshan, Hebei 063000, China
    Recruiting
  • Tangshan people's hospital
    Tangshan, Hebei 063000, China
    Recruiting
08

References and documents

Publications

  • Fu F, Sun S, Liu L, Gu H, Su Y, Li Y. Iodine Sign as a Novel Predictor of Hematoma Expansion and Poor Outcomes in Primary Intracerebral Hemorrhage Patients. Stroke. 2018 Sep;49(9):2074-2080. doi: 10.1161/STROKEAHA.118.022017. PubMed 30354984 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 14, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02625948
Lead sponsor
Ministry of Science and Technology of the People´s Republic of China
Collaborators
Beijing Municipal Science & Technology Commission
Responsible party
Liping Liu (Professor of Neurology and Stroke Center, Beijing Tiantan Hospital, Capital Medical University, Ministry of Science and Technology of the People´s Republic of China) — Principal investigator
First posted
Dec 9, 2015
Start date
Sep 2015
Primary completion
Dec 2018 (estimated)
Last update
Sep 14, 2016

Study contacts

Liping Liu, MD
Contact
lipingsister@gmail.com
8610-67098368

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Sep 2016. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion