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CompletedNCT04691362Updated Dec 15, 2022

Noninferiority Oral Tranexamic Acid vs Intravenous Administration in Total Hip Arthroplasty

A Phase 4 interventional study of Tranexamic Acid Oral Product and Tranexamic acid injection in Hemorrhage Postoperative, Total Blood Loss and Arthroplasty Complications, sponsored by University of Liege. Completed at 1 site in Belgium. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2022-12-15.

Sponsored by University of Liege · Phase 4, Interventional, and Supportive care

Phase
Phase 4
Study type
Interventional
Enrollment
230
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
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Study summary

To find noninferiority relationship between oral and intravenous administration of tranexamic acid on peroperative and postoperative blood loss and serum concentration during primary total hip arthroplasty.

Read the detailed description

Tranexamic acid is an anti-fibrinolytic drug, recommended in total hip arthroplasty to reduce peroperative and postoperative hemorrhagic complications. The original character of our study lies in the serum dosage of tranexamic acid, allowing to correlate the primary objective (blood loss) with this one. The investigators will focus on the reduction of the risks associated with the administration of intravenous medicines, the economic aspect and the ease of use.

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Conditions studied

  • Hemorrhage Postoperative
  • Total Blood Loss
  • Arthroplasty Complications
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In context

Hemorrhage

3,000 studies on the registry are indexed under Hemorrhage; 474 are open to participants now.

This study's enrollment of 230 is above the median of 100 across 1,985 interventional studies indexed under Hemorrhage.

Browse Hemorrhage studies →

Lead sponsor

University of Liege is the lead sponsor of 242 studies on the registry; 46 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • ASA physical status 1, 2 and 3 scheduled for primary total hip arthroplasty

Exclusion criteria

Exclusion Criteria:

  • Renal failure with serum creatinine level higher than 1,40 mg/dL
  • Thromboembolic events in last 12 months before surgery
  • Pregnancy
  • Congenital or acquired coagulation diseases
  • History of gastric surgery that could lead to malabsorption
  • Diabetic gastro-paresis
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Study design

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

Study arms

  • Active comparator
    Oral Tranexamic Acid

    128 patients scheduled for primary total hip arthroplasty

    Drug: Tranexamic Acid Oral Product

  • Active comparator
    Intravenous Tranexamic Acid

    128 patients scheduled for primary total hip arthroplasty

    Drug: Tranexamic acid injection

Interventions

  • DrugTranexamic Acid Oral Product

    Oral administration of 2 grammes tranexamic acid 2 hours before skin incision and 2 grammes oral tranexamic acid 4 hours after first administration

  • DrugTranexamic acid injection

    Intravenous administration of 1 gramme tranexamic acid 30 minutes before skin incision and 1 gramme intravenous tranexamic acid 4 hours after first administration

06

What researchers measure

Primary outcomes

  1. Total blood loss

    Peroperative (suction) and postoperative (drainage) total blood loss

    Time frame: First 48 hours after surgery

Secondary outcomes

  1. Serum concentration of tranexamic acid

    Monitoring of serum dosage of tranxemaic acid in randomized subpopulation of each group

    Time frame: 2 hours after oral administration

  2. Serum concentration of tranexamic acid

    Monitoring of serum dosage of tranxemaic acid in randomized subpopulation of each group

    Time frame: 6 hours after oral administration

  3. Serum concentration of tranexamic acid

    Monitoring of serum dosage of tranxemaic acid in randomized subpopulation of each group

    Time frame: 30 minutes after intravenous administration

  4. Serum concentration of tranexamic acid

    Monitoring of serum dosage of tranxemaic acid in randomized subpopulation of each group

    Time frame: 4 hours after intravenous administration

  5. Serum hemoglobin variation

    Variation of serum hemoglobin between preoperative and postoperative period

    Time frame: 24 hours after surgery

  6. Serum hemoglobin variation

    Variation of serum hemoglobin between preoperative and postoperative period

    Time frame: 72 hours after surgery

  7. Incidence of blood transfusion

    Incidence of blood transfusion in two groups

    Time frame: 72 hours after surgery

  8. Incidence of thromboembolic complications

    Incidence of thromboembolic complications such as pulmonary embolism or deep venous thrombosis

    Time frame: 72 hours after surgery

  9. Length of hospitalisation stay

    Difference between two groups of total hospitalisation days

    Time frame: 1 week after surgery

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Study locations

1 site
  • CHU de Liège
    Liège, 4000, Belgium
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References and documents

Publications

  • Fillingham YA, Ramkumar DB, Jevsevar DS, Yates AJ, Bini SA, Clarke HD, Schemitsch E, Johnson RL, Memtsoudis SG, Sayeed SA, Sah AP, Della Valle CJ. Tranexamic acid in total joint arthroplasty: the endorsed clinical practice guides of the American Association of Hip and Knee Surgeons, American Society of Regional Anesthesia and Pain Medicine, American Academy of Orthopaedic Surgeons, Hip Society, and Knee Society. Reg Anesth Pain Med. 2019 Jan;44(1):7-11. doi: 10.1136/rapm-2018-000024. No abstract available. PubMed 30640647 ↗
  • Wu Y, Zeng Y, Hu Q, Li M, Bao X, Zhong J, Shen B. Blood loss and cost-effectiveness of oral vs intravenous tranexamic acid in primary total hip arthroplasty: A randomized clinical trial. Thromb Res. 2018 Nov;171:143-148. doi: 10.1016/j.thromres.2018.10.006. Epub 2018 Oct 6. PubMed 30312799 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 15, 2022, 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
NCT04691362
Lead sponsor
University of Liege
Responsible party
Jean François Brichant (Head of Anesthesiology Departement, University of Liege) — Principal investigator
First posted
Dec 31, 2020
Start date
Jan 1, 2021
Primary completion
Dec 14, 2022
Completion
Dec 14, 2022
Last update
Dec 15, 2022

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 Dec 2022. You cannot join it, but the record below documents what was studied.

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