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CompletedNCT03697681Updated Oct 19, 2020

Protective Effect of Tranexamic Acid on Shedding of the Endothelial Glycocalyx in Patients Undergoing Spinal Fusion Surgery

An interventional study of Tranexamic acid and 0.9% NaCl (normal saline) in Posterior Lumbar Spinal Fusion Surgery, sponsored by Yonsei University. Completed at 1 site in Korea, Republic of. Open to participants aged 30 Years to 80 Years. Per ClinicalTrials.gov, last updated 2020-10-19.

Sponsored by Yonsei University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
128
Allocation
Randomized
Ages
30 Years to 80 Years
Sex
All
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Study summary

The aim of this study was to determine whether the administration of tranexamic acid in patients undergoing lumbar spinal fusion surgery can inhibit damage in endothelial glycocalyx layer. As a prospective double blinded randomized placebo-controlled trial, the investigators detect and compare the changes in concentrations of serum syndecan-1 and heparan sulfate before and after surgery.

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Conditions studied

  • Posterior Lumbar Spinal Fusion Surgery
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In context

Lead sponsor

Yonsei University is the lead sponsor of 1,387 studies on the registry; 232 are open to participants now.

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

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Who can participate

Ages eligible
30 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adult patients with between 30 and 80 years scheduled for posterior lumbar spinal fusion surgery.

Exclusion criteria

Exclusion Criteria:

  • emergency surgery
  • patients unable to make their own decisions, illiterate, foreigners
  • Allergy / hypersensitivity to Tranexamic acid
  • Current or past history or thrombosis / thromboembolism
  • patients who are taking oral contraceptives
  • Patients with renal insufficiency (eGFR 60 ml / min / 1.73 m 2 or less)
  • Patients receiving anticoagulants
  • pregnant and lactating women
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
128 participants (actual)

Study arms

  • Experimental
    Glutamine

    Intravenous glutamine infusion perioperatively for 18 hours (8 hours before surgery and 10 hours after induction of anesthesia)

    Drug: Tranexamic acid

  • Placebo comparator
    Placebo

    placebo

    Drug: 0.9% NaCl (normal saline)

Interventions

  • DrugTranexamic acid

    Intravenous infusion of Tranexamic acid(mixed with normal saline) at the dose of 10mg/kg(body weight) for 20 min after induction of anesthesia and then administration another 1mg/kg/hr(body weight) of Tranexamic acid(mixed with normal saline) until the end of the operation.

    Also known as: glutamine

  • Drug0.9% NaCl (normal saline)

    The same amount of normal saline solution without the addition of tranexamic acid is administered in the same manner as the experimental group(Tranexamic acid intervention group).

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What researchers measure

Primary outcomes

  1. base blood concentration of syndecan-1, heparan sulfate

    preoperative baseline serum levels of syndecan-1 and heparan sulfate

    Time frame: within 1 hour before surgery(base concentration)

  2. blood concentration of syndecan-1, heparan sulfate at the end of the surgery

    blood concentration of syndecan-1, heparan sulfate at the end of the surgery

    Time frame: within 5 minutes after the end of surgery (when thd surgical drape is removed)

  3. blood concentration of syndecan-1, heparan sulfate at 2 hours after surgery

    blood concentration of syndecan-1, heparan sulfate at 2 hours after surgery

    Time frame: 2 hours after the end of surgery

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Study locations

1 site
  • Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine
    Seoul, 03722, Korea, Republic of
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References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 19, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03697681
Lead sponsor
Yonsei University
Responsible party
Sponsor
First posted
Oct 5, 2018
Start date
Oct 16, 2018
Primary completion
Aug 12, 2020
Completion
Aug 12, 2020
Last update
Oct 19, 2020

Oversight

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

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This study is completed, as verified in Oct 2020. You cannot join it, but the record below documents what was studied.

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