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CompletedNCT05759156TXA; CDUpdated Feb 4, 2025

Tranexamic Acid in Patients for Caesarian Delivery.

An interventional study of Tranexamic acid injection in Postpartum Hemorrhage, Cesarean Section Complications and Obstetric Anesthesia Problems, sponsored by Dow University of Health Sciences. Completed at 1 site in Pakistan. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-02-04.

Sponsored by Dow University of Health Sciences · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
572
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

This is a prospective, double-blinded, randomized placebo-controlled trial. The study will be approved by the DUHS institutional review board (IRB) and the trial will be registered at clinical trial registry. After receiving the trial information from the obstetricians during prenatal visits or from the anaesthetists during the systematic anaesthesia visit, or both the prospective women will be invited to participate in the trial. The intervention consists of administration of 1gm of tranexemic acid (TXA) or 10-mls of placebo (normal saline) intravenously, according to the randomization groups slowly over 30-60 sec, within 3 mins of the delivery of baby, after the routine prophylactic uterotonic administration and cord clamping. Administration of the prophylactic uterotonic agent (and TXA or placebo) may be followed by a two-hour oxytocin infusion, in accordance with the hospital policy. All women will be followed up at 48 hours after caeserian delivery. A venous blood sample will be obtained on day-two (D2) after delivery for outcome assessment. Adverse events will be assessed until hospital discharge and by telephone interview at 8 weeks after delivery.

02

Conditions studied

  • Postpartum Hemorrhage
  • Cesarean Section Complications
  • Obstetric Anesthesia Problems

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Keywords

  • caesarian delivery
  • postpartum haemorrhage
  • obstetrics quality of recovery
  • tranexamic acid
03

In context

Postpartum Hemorrhage

456 studies on the registry are indexed under Postpartum Hemorrhage; 77 are open to participants now.

This study's enrollment of 572 is above the median of 148 across 348 interventional studies indexed under Postpartum Hemorrhage.

Browse Postpartum Hemorrhage studies →

Lead sponsor

Dow University of Health Sciences is the lead sponsor of 175 studies on the registry; 31 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

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

The inclusion criteria will include:

  1. Informed consent of the participant
  2. All women who are 18 years old or above
  3. Gestational age equal or above 34 weeks
  4. Women undergoing emergency or elective CD
  5. Complete blood count (CBC) within seven days before the CD

Exclusion criteria

Exclusion Criteria:

The exclusion criteria will include:

  1. Women with thromboembolic or bleeding incidents in the past
  2. Hypersensitivity to TXA
  3. History of epilepsy or seizure
  4. Women with abnormal placenta including accreta, increta or percreta
  5. Any active cardiovascular, renal, or liver disorders
  6. Autoimmune disorders
  7. Sickle cell disease
  8. Placenta Previa
  9. Abruptio Placentae
  10. Eclampsia or HELLP syndrome
  11. Women who might undergo intraoperative complications.
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Study design

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

Study arms

  • Active comparator
    Tranexamic Acid

    Drug: Tranexamic acid injection

  • Placebo comparator
    Normal Saline

    Drug: Tranexamic acid injection

Interventions

  • The intervention consists of administration of 1gm of Tranexamic acid (TXA) intravenously or 10-mls of placebo (normal saline) intravenously, slowly over 30-60 sec, within 3 mins of the delivery of baby.

06

What researchers measure

Primary outcomes

  1. Occurrence of postpartum haemorrhage (PPH)

    Time frame: up to 2 days

  2. Obstetrics quality of recovery (ObsQoR) score

    Time frame: at 2 days

Secondary outcomes

  1. Measurement of postpartum blood loss

    Time frame: at 2 days

  2. Operative time

    Time frame: up to 3 hours

  3. Length of hospital stay

    Time frame: up to 4 days

  4. Frequency of emergency surgery for postpartum haemorrhage

    Time frame: up to 12 hours

  5. Rate of ICU transfer

    Time frame: up to 1 day

  6. Rate of Maternal death

    Time frame: up to 3 months

  7. Adverse events related to tranexamic acid

    Time frame: up to 3 months

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Study locations

1 site
  • DowUHS
    Karachi, Sindh, Pakistan
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

Ran from Mar 2023 to primary completion in Feb 2024, 10 months.

Of 102 non-industry interventional studies with no phase under Postpartum Hemorrhage, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 26. This study's 10 months is below that.

Counting every sponsor, half of 109 studies reached it within 12 months; a quarter within 6 and three quarters within 26.

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

Registered
Feb 24, 2023
First posted
Mar 8, 2023
StartActual
Mar 20, 2023
Primary completionActual
Feb 5, 2024
CompletionActual
Feb 10, 2024
Last update
Feb 4, 2025
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 Feb 4, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05759156
Responsible party
Atif Shafqat (Assistant Professor, Dow University of Health Sciences) — Principal investigator
First posted
Mar 8, 2023
Start date
Mar 20, 2023
Primary completion
Feb 5, 2024
Completion
Feb 10, 2024
Last update
Feb 4, 2025

Oversight

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

Not currently enrolling

This study is completed, as verified in Feb 2025. 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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