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Status unknownNCT03838328Updated Feb 12, 2019

Dose Effect of Tranexamic Acid on the Incidence of Deep Venous Thrombus in Cardiac Surgery

A Phase 4 interventional study of Tranexamic Acid in Thromboses, Deep Vein and Tranexamic Acid Adverse Reaction, sponsored by SHI Jia. Status unknown at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2019-02-12.

Sponsored by SHI Jia · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Feb 2019), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
360
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
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Study summary

In recent years, the lysine analogs tranexamic acid (TXA) has gained wide use in cardiac surgery as a blood-sparing agent. However, the safety of the drug and its impact on overall outcomes of cardiac surgery remains debated. The current study evaluates the dose effect of TXA on the incidence of deep venous thrombus (DVT) in cardiac surgery with cardiopulmonary bypass. Also, the dose effect of TXA on bleeding and allogeneic transfusion is evaluated.

02

Conditions studied

  • Thromboses, Deep Vein
  • Tranexamic Acid Adverse Reaction

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Keywords

  • dose effect
  • tranexamic acid
  • deep vein thromboses
03

In context

Venous Thrombosis

787 studies on the registry are indexed under Venous Thrombosis; 123 are open to participants now.

This study's planned enrollment of 360 is above the median of 131 across 463 interventional studies indexed under Venous Thrombosis.

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Lead sponsor

SHI Jia is the lead sponsor of 2 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
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

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Inclusion criteria

  • Patients receiving selective cardiac surgery with cardiopulmonary bypass due to coronary, valvular or congenital heart disease
  • Written consent obtained

Exclusion criteria

Exclusion Criteria:

  • Allergy or contraindication to tranexamic acid
  • Severe renal impairment (serum creatinine >250 μmol/l, or estimated creatinine clearance \<25 ml/min)
  • Thromboembolic disease including but not limited to: history of pulmonary embolism, spontaneous arterial thrombosis or familial hypercoaguability (eg. Lupus anticoagulant, protein C deficiency)
  • Thrombocytopenia defined as a platelet count \<100,000/ml
  • Coagulopathy defined as an international normalized ratio > 1.5 prior to surgery
  • Currently enrolled in another perioperative interventional study
  • Pregnancy or lactation
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Study design

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

Study arms

  • Experimental
    Dose group 1

    The dose regimen of tranexamic acid in group 1 includes a loading dose of 30mg/kg before skin incision and a maintenance dose of 20mg/kg/hr until the end of the operation.

    Drug: Tranexamic Acid

  • Experimental
    Dose group 2

    The dose regimen of tranexamic acid in group 2 includes a loading dose of 20mg/kg before skin incision and a maintenance dose of 15mg/kg/hr until the end of the operation.

    Drug: Tranexamic Acid

  • Active comparator
    Dose group 3

    The dose regimen of tranexamic acid in group 3 includes a loading dose of 10mg/kg before skin incision and a maintenance dose of 10mg/kg/hr until the end of the operation.

    Drug: Tranexamic Acid

Interventions

  • Tranexamic acid will be delivered by loading dose plus maintenance infusion until the end of the operation.

06

What researchers measure

Primary outcomes

  1. The incidence of deep venous thrombosis

    Defined as the incidence of new-onset deep venous thrombosis postoperatively diagnosed by ultrasound

    Time frame: Within 7 days postoperatively

Secondary outcomes

  1. The rate of new-onset thrombotic events

    Thrombotic events include ischemic stroke, renal failure, myocardial infarction and pulmonary embolism

    Time frame: Within 90 days postoperatively

  2. The rate of allogeneic RBC transfusion

    Allogeneic blood product includes packed red blood cell

    Time frame: Within 30 days postoperatively

  3. The volume of allogeneic RBC transfusion

    Allogeneic blood product includes packed red blood cell

    Time frame: Within 30 days postoperatively

  4. Length of stay in ICU and hospital

    The time interval between the end of the operation and the discharge from ICU or the hospital.

    Time frame: Within 90 days postoperatively

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Study locations

1 site
  • Chinese Academy of Medical Sciences, Fuwai Hospital
    Beijing, 100037, China
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 12, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03838328
Lead sponsor
SHI Jia
Responsible party
SHI Jia (Associate Professor and Vice Chair of the Anesthesiology Department, Chinese Academy of Medical Sciences, Fuwai Hospital) — Sponsor-investigator
First posted
Feb 12, 2019
Start date
Mar 1, 2019 (estimated)
Primary completion
Feb 28, 2020 (estimated)
Completion
Mar 31, 2020 (estimated)
Last update
Feb 12, 2019

Study contacts

Jia Shi, M.D.
Contact
shiandypumc@sina.com
86 10 88322467
Jia Shi, M.D.
principal investigator · Chinese Academy of Medical Sciences, Fuwai Hospital

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 status unknown, as verified in Feb 2019. 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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