ClinicalTrials.gg
RecruitingNCT05507983TRANEXUpdated Mar 13, 2024

Tranexamic Acid During Excisional Burn Surgery

A Phase 3 interventional study of Tranexamic acid and Placebo in Burns, Blood Loss, Surgical and Blood Loss, sponsored by Maasstad Hospital. Recruiting at 3 sites in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-03-13.

Sponsored by Maasstad Hospital · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jan 2025, 1 year 10 months ago, but the record still lists the study as recruiting.
  • Registered 8 months after the study started (first participant enrolled Dec 2021, registered Aug 2022).
  • Started Dec 2021; still recruiting 4 years 11 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
96
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 22 studies in Burns with a site in Netherlands — 3 open to participants now, 5 under way, 2 of them phase 3. Burns · Netherlands.

Planned enrollment
5th of 17
96 · median 40
Started
2021
with 1 other
Phase 3
8 of 22
2 open now
Registered
20th of 22
by date
Lead sponsor
3 of 22
Maasstad Hospital

Among the 22 studies in Burns with a site in Netherlands, this one is the 5th largest by planned enrollment of the 17 interventional ones, is one of 2 that started in 2021, is one of 8 in phase 3, and was the 20th registered.

By phase

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

Phase 3this study8 · 2 open
No phase5 · 1 open
Observational4 · 0 open
Phase 23 · 0 open
Phase 42 · 0 open

By the year they started

First in 2004; this study’s year is marked. 2 started in 2021.

Size and results

Median enrollment 40 across the 17 interventional studies, 98 across the 4 observational. Of the 17 that completed or were terminated, 1 (6%) have results posted.

Was this useful?
Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 22 studies in Burns with a site in Netherlands, or all of them as a file.
02

Study summary

The purpose of this study is to access the efficacy of the drug tranexamic acid in reducing blood loss during burn excision surgery.

Read the detailed description

This study is a double-blinded, randomized placebo-controlled trial. After informed consent patients will be randomized in either the placebo or the tranexamic acid group (1500 mg). The intervention will be conducted during burn excisional surgery. First, the participant with be anesthetized, whereafter the study medication is administered.

03

Conditions studied

  • Burns
  • Blood Loss, Surgical
  • Blood Loss
  • Tranexamic Acid
  • Burn Excisional Surgery

Keywords

  • Blood loss
  • Tranexamic Acid
  • Burn excisional surgery
  • Burns
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
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

  • Patients scheduled for burn excisional surgery
  • An expected blood loss of ≥250ml based on the estimation by the performing surgeon on the basis of: (1) ≥ 2 % body surface area excision planned (100-200 cc / % total body surface area, (2) operation technique used (some techniques show more blood loss than others), (3) time after burn trauma (i.e. expected healing)
  • ≥18 year
  • of patient or legal representative
  • Patients or legal representative should have enough knowledge of Dutch to provide informed consent

Exclusion criteria

Exclusion Criteria:

  • Patients with a recorded coagulopathy in their history
  • The use of anticoagulants (except acetylsalicylic acid or (intensive) prophylaxis low molecular weight heparin >12 hours before surgery)
  • Severe kidney failure (creatinine >500 μmol/L)
  • Allergy for tranexamic acid
  • Diagnosis of acute venous-/arterial thrombosis within 3 months before inclusion
  • Diffuse intravascular coagulation (based on the diffuse intranasal coagulation-score >5)
  • Pregnancy
  • Active breastfeeding
  • History of epilepsy
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

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

Study arms

  • Experimental
    Tranexamic acid arm

    Tranexamic acid 1500 mg dissolved in 100 ml sodium chloride, once, directly after anesthetizing the participant. In participants with renal insufficiency (creatinine \>120 umol/L) the dose will be reduced to 1000 mg.

    Drug: Tranexamic acid

  • Placebo comparator
    Placebo arm

    100ml sodium chloride 0.9%, once, directly after anesthetizing the participant.

    Drug: Placebo

Interventions

  • Tranexamic acid 1500 mg

  • DrugPlacebo

    Placebo, sodium chloride 0.9%

06

What researchers measure

Primary outcomes

  1. Blood loss

    Volume of blood loss measured during surgery.

    Time frame: During burn excisional surgery

Secondary outcomes

  1. Hospital Mortality

    % of mortality in patients participating in this study.

    Time frame: During total admittance of the patient

  2. Length of stay in days

    Number of days admitted after burn trauma.

    Time frame: The length of stay will be evaluated after 3 months after inclusion. If, after 3 months, the patient is still admitted, the status of hospitalisation will be check after an addition 3 months.

  3. Graft failure in % of total graft

    % of graft failure of the total graft.

    Time frame: During burn excisional surgery

  4. Cardiopulmonary complications

    i.e. pulmonary embolism, arterial embolism.

    Time frame: Within the first 30 days after burn excisional surgery

  5. Neurologic complications

    i.e. stroke of epilepsy

    Time frame: Within the first 30 days after burn excisional surgery

  6. The need for escape medication

    Out of protocol administration of tranexamic acid based on massive blood loss.

    Time frame: During burn excisional surgery

  7. Extend of fibrinolysis during burn excisional surgery

    Measured by ROTEM analysis

    Time frame: During burn excisional surgery

  8. Strength of blood clot

    Analysis will be performed using (electron) microscope to investigate: strength, thickness, structure of fibrin, fibrin clot networks and cell disposition within the blood clot.

    Time frame: During burn excisional surgery

  9. Transfusion requirements

    Number of transfusions in the perioperative phase.

    Time frame: Perioperative, within the first day after surgery.

07

Study locations

1 of 3 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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

Started Dec 2021 (actual). Primary completion is estimated for Jan 2025, 37 months after the start.

Of 21 phase 3 interventional studies under Burns, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 59. This study's planned 37 months is above that.

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

Registered
Aug 16, 2022
First posted
Aug 19, 2022
StartActual
Dec 1, 2021
Primary completionEst.
Jan 1, 2025
CompletionEst.
Apr 1, 2025
Last update
Mar 13, 2024
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 Mar 13, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05507983
Lead sponsor
Maasstad Hospital
Collaborators
Association of Dutch Burn Centres, Martini Hospital Groningen, Red Cross Hospital Beverwijk
Responsible party
Sponsor
First posted
Aug 19, 2022
Start date
Dec 1, 2021
Primary completion
Jan 1, 2025 (estimated)
Completion
Apr 1, 2025 (estimated)
Last update
Mar 13, 2024

Study contacts

C.H. van der Vlies, MD, PhD
Contact
vliesc@maasstadziekenhuis.nl
010 - 2911911

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Tranexamic Acid

Start the discussion