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CompletedNCT02627560Updated May 12, 2020

The Effect of Topical Tranexamic Acid on Bleeding and Seroma Formation in After Undergoing Mastectomy

A Phase 4 interventional study of Tranexamic Acid and saline in Postoperative Hemorrhage, Breast Neoplasms and Seroma, sponsored by St. Olavs Hospital. Completed at 2 sites in Norway. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-05-12.

Sponsored by St. Olavs Hospital · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
202
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 25 studies testing Tranexamic Acid in Postoperative Hemorrhage — 5 open to participants now, 5 under way, 1 of them phase 3. Tranexamic Acid · Postoperative Hemorrhage.

Enrollment
6th of 25
202 · median 116
Started
2016
the only one that year
Phase 4
10 of 25
1 open now
Registered
8th of 25
by date
Lead sponsor
3 of 25
St. Olavs Hospital

Among the 25 studies testing Tranexamic Acid in Postoperative Hemorrhage, this one is the 6th largest by enrollment, is the only one that started in 2016, is one of 10 in phase 4, and was the 8th registered.

By phase

25 studies; the count open now beside each. This study's row is marked.

Phase 4this study10 · 1 open
No phase5 · 1 open
Phase 33 · 0 open
Phase 1/22 · 1 open
Phase 22 · 0 open
Phase 2/32 · 1 open
Phase 11 · 1 open

By the year they started

First in 2008; this study’s year is marked. 1 started in 2016.

Size and results

Median enrollment 116 across the 25 interventional studies. Of the 16 that completed or were terminated, 2 (13%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 25 studies testing Tranexamic Acid in Postoperative Hemorrhage, or all of them as a file.
02

Study summary

After surgical procedures, interventions to reduce postoperative bleeding are of great importance. In this study, the effect will be investigated of smearing tranexamic acid, which is designed for injection, directly onto the raw wound surface (topical application) created during surgery. Topical application allows a small amount of drug to reach a large wound area, higher drug concentration in the exposed wound surface but very low concentration in the body, and no risk of injury from needles. The researchers have recently shown that topically applicated tranexamic acid reduces bleeding in women who had two-sided breast reduction surgery. Now it will be studied whether topically applicated tranexamic acid reduces bleeding after breast surgery for breast cancer.

After surgery for breast cancer patients may also experience problems with long lasting seroma. Therefore it will at the same time be investigated whether topical tranexamic acid reduces the development of seroma in these patients.

03

Conditions studied

  • Postoperative Hemorrhage
  • Breast Neoplasms
  • Seroma

Keywords

  • Administration, topical
  • Tranexamic acid
  • Postoperative care
  • Mastectomy
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • breast cancer
  • undergoing unilateral mastectomy with or without axillary node dissection
  • received adequate oral and written information about the study and signed an informed-consent form

Exclusion criteria

Exclusion Criteria:

  • pregnant or breastfeeding
  • known thromboembolic disease or with high risk of thromboembolism, warranting extra anticoagulation in connection with the procedure
  • known allergy to tranexamic acid/Cyklokapron®
05

Study design

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

Study arms

  • Experimental
    topical tranexamic acid

    tranexamic acid to be smeared on surgical wounds before closure

    Drug: Tranexamic Acid

  • Placebo comparator
    placebo control

    saline to be smeared on surgical wounds before closure

    Drug: saline

Interventions

  • moisten the surgical wound surface with 20 ml tranexamic acid 25 mg/ml

  • Drugsaline

    moisten the surgical wound surface with 20 ml placebo (0.9% saline)

06

What researchers measure

Primary outcomes

  1. bleeding as defined by drain production per hour the first 24 hours

    Drains are placed in surgical wounds during operation, and amount of blood on drains measured in ml

    Time frame: 24 hours postoperatively

Secondary outcomes

  1. Daily drain production up to drain removal - cumulative volume

    Time frame: 3 weeks

  2. number of patients having surgical bleeding in need of re-operation

    Time frame: 3 weeks

  3. number of postoperative aspirations of clinical seroma

    Time frame: up to 3 months

  4. chronic seroma (lasting more than three months)

    volume of seroma aspirated

    Time frame: 3 months

07

Study locations

2 sites
  • St Olavs University Hospital
    Trondheim, 7006, Norway
  • Department of Surgery, Aalesund Hospital
    Ålesund, Norway
08

References and documents

Publications

  • Ausen K, Fossmark R, Spigset O, Pleym H. Randomized clinical trial of topical tranexamic acid after reduction mammoplasty. Br J Surg. 2015 Oct;102(11):1348-53. doi: 10.1002/bjs.9878. PubMed 26349843 ↗
  • Ausen K, Hagen AI, Ostbyhaug HS, Olafsson S, Kvalsund BJ, Spigset O, Pleym H. Topical moistening of mastectomy wounds with diluted tranexamic acid to reduce bleeding: randomized clinical trial. BJS Open. 2020 Apr;4(2):216-224. doi: 10.1002/bjs5.50248. Epub 2019 Dec 26. PubMed 32207575 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2016 to primary completion in Oct 2018, 33 months.

Of 13 phase 4 interventional studies under Postoperative Hemorrhage, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 23. This study's 33 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 2, 2015
First posted
Dec 11, 2015
StartActual
Jan 2016
Primary completionActual
Oct 1, 2018
CompletionActual
Oct 1, 2018
Last update
May 12, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 12, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02627560
Lead sponsor
St. Olavs Hospital
Collaborators
Alesund Hospital
Responsible party
Sponsor
First posted
Dec 11, 2015
Start date
Jan 2016
Primary completion
Oct 1, 2018
Completion
Oct 1, 2018
Last update
May 12, 2020

Study contacts

Petter Aadahl, MD PhD
study director · St. Olavs Hospital
Sverrir Olafsson
study director · Ålesund Sykehus

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2018. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Tranexamic Acid

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