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Status unknownNCT04055194Updated Aug 13, 2019

Antenatal Tranexamic Acid in Women With Symptomatic Placenta Previa

A Phase 2/3 interventional study of Tranexamic acid tablets and Placebo oral tablet in Placenta Previa, sponsored by Ain Shams University. Status unknown at 1 site in Egypt. Open to female participants aged 20 Years to 40 Years. Per ClinicalTrials.gov, last updated 2019-08-13.

Sponsored by Ain Shams University · Phase 2/3, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Aug 2019), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2/3
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
20 Years to 40 Years
Sex
Female
01

Study summary

200 pregnant women with symptomatic placenta previa with previous bleeding attacks attending Ain Shams University maternity hospital will be recruited and randomized to receive either tranexamic acid tablets (500mg four times daily) or placebo. Amount of bleeding during antepartum bleeding attacks will be estimated (by hemoglobin change from baseline at admission till delivery).

02

Conditions studied

  • Placenta Previa

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03

In context

Placenta Previa

93 studies on the registry are indexed under Placenta Previa; 20 are open to participants now.

This study's planned enrollment of 200 is above the median of 100 across 53 interventional studies indexed under Placenta Previa.

Browse Placenta Previa studies →

Lead sponsor

Ain Shams University is the lead sponsor of 1,876 studies on the registry; 423 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

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Who can participate

Ages eligible
20 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Gestational age 28 weeks of gestation.
  • Definite and reliable diagnosis of placenta previa (defined as presence of a placenta within 2 cm of the internal os), using transvaginal ultrasound scan.
  • Haemodynamically stable pregnant women.
  • Maternal age:20-40years old.
  • Pregnant women with placenta previa, and had previous bleeding attacks or admitted with antepartum haemorrhage.

Exclusion criteria

Exclusion Criteria:

  • Multiple pregnancy.
  • Women with bleeding tendency due to any medical disorder (ITP, thrombocytopenia, coagulopathies),or on anticoagulants .
  • Severe antepartum hemorrhage and/or hemodynamic instability that necessitates urgent intervention and delivery.
  • Women have hypersensitivity or any contraindication to use of tranexamic acid.
  • Pregnant women with placenta previa with doppler showing morbidly adherent placenta.
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Study design

Phase
Phase 2 / Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
200 participants (estimated)

Study arms

  • Active comparator
    Tranexamic acid group

    100 pregnant women with symptomatic placenta previa with previous bleeding attacks will receive tranexamic acid tablets (500mg four times daily) till delivery.

    Drug: Tranexamic acid tablets

  • Placebo comparator
    Placebo group

    100 pregnant women with symptomatic placenta previa with previous bleeding attacks will receive placebo tablets four times daily till delivery.

    Drug: Placebo oral tablet

Interventions

  • DrugTranexamic acid tablets

    Pregnant women with symptomatic placenta previa with previous bleeding attacks will receive tranexamic acid tablets (500mg four times daily) till delivery.

    Also known as: Kapron(R)

  • DrugPlacebo oral tablet

    Pregnant women with symptomatic placenta previa with previous bleeding attacks will receive placebo tablets four times daily till delivery.

06

What researchers measure

Primary outcomes

  1. Amount of bleeding during antepartum bleeding attacks

    Amount of bleeding during antepartum bleeding attacks will be estimated by hemoglobin change from baseline at admission till delivery.

    Time frame: 9 weeks GA

Secondary outcomes

  1. Number of women requiring antepartum blood transfusion

    Number of women requiring antepartum blood transfusion for resuscitation after severe antepartum hemorrhage.

    Time frame: 9 weeks GA

  2. Number of PRBCs units required during antepartum blood transfusion

    Number of PRBCs required during antepartum blood transfusion for resuscitation after severe antepartum hemorrhage.

    Time frame: 9 weeks GA

  3. Number of pregnant women experiencing severe antepartum hemorrhage necessitating urgent delivery

    Number of pregnant women experiencing severe antepartum hemorrhage necessitating urgent delivery

    Time frame: 9 weeks GA

  4. Gestational age at delivery

    Gestational age in weeks at the time of delivery

    Time frame: 9 weeks GA

  5. Neonatal intensive care unit (NICU) admission

    Number of neonates requiring NICU admission.

    Time frame: 9 weeks

07

Study locations

1 of 1 sites recruiting
  • Ain SHams Maternity Hospital
    Cairo, Abbaseya 002, Egypt
    Recruiting
08

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 Aug 13, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04055194
Lead sponsor
Ain Shams University
Responsible party
Amal Ramadan (Clinical fellow of Obstetrics & Gynecology, Ain Shams University) — Principal investigator
First posted
Aug 13, 2019
Start date
Aug 1, 2019
Primary completion
Jul 1, 2020 (estimated)
Completion
Aug 1, 2020 (estimated)
Last update
Aug 13, 2019

Study contacts

Amal Ramadan, MBBCh
Contact
dr.amalramadan11@gmail.com
+201098093525
Amal Ramadan, MBBCh
principal investigator · A Ramadan

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 Aug 2019. You cannot join it, but the record below documents what was studied.

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