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Not yet recruitingNCT06490653Updated Jul 8, 2024

Tranexamic Acid Versus Blood Stopper Treatments in Epistaxis Management

A Phase 4 interventional study of Blood Stopper (Ankaferd) in Epistaxis Nosebleed, sponsored by Ankara Ataturk Sanatorium Training and Research Hospital. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-07-08.

Sponsored by Ankara Ataturk Sanatorium Training and Research Hospital · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Oct 2025, 1 year 1 month ago, but the record still lists the study as not yet recruiting.
Phase
Phase 4
Study type
Interventional
Enrollment
186
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

In this randonmized controlled trial, aim to compare the effectiveness of local administration of tranexamic acid and blood stopper (Ankaferd®) on cessation of bleeding in epistaxis patients.

Read the detailed description

Anterior tamponade is frequently used in the management of anterior epistaxis. However, this procedure is often uncomfortable for patients. Therefore, instead of this physical tampon, various pharmacologic agents such as tranexamic acid, blood stoppers (ankaferd®), and adrenaline can be used in epistaxis management. Although the superiority of various agents used in the management of anterior epistaxis has been evaluated in published network meta-analyses, these meta-analyses do not compare ankaferd and Tranexamic acid since there are no studies with each other. In order to close the gap in the existing literature, this study aims to evaluate the superiority of local administration of tranexamic acid and ankaferd® in terms of cessation of bleeding in patients with anterior epistaxis.

02

Conditions studied

  • Epistaxis Nosebleed

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Keywords

  • Epistaxis
  • Nosebleed
  • Ankaferd
  • Tranexamic acid
03

In context

Epistaxis

96 studies on the registry are indexed under Epistaxis; 22 are open to participants now.

This study's planned enrollment of 186 is above the median of 64 across 81 interventional studies indexed under Epistaxis.

Browse Epistaxis studies →

Lead sponsor

Ankara Ataturk Sanatorium Training and Research Hospital is the lead sponsor of 38 studies on the registry; 15 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
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 over 18 years of age with epistaxis will present to the emergency department with non-traumatic epistaxis and whose bleeding do not stop with simple external compression for 10 minutes.

Exclusion criteria

Exclusion Criteria:

  • Patients demonstrating hemodynamic instability
  • Patients with documented allergy to tranexamic acid or Ankaferd
  • patients with known bleeding disorders,
  • patients using anticoagulants,
  • pregnant patients
05

Study design

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

Study arms

  • Active comparator
    Tranexamic acid

    Patients will be asked to clean their nose with tap water as part of the routine treatment before the administration. After then, Tranexamic acid (500mg/5 ml) will be sprayed through the bleeding side nostril and then external pressure will be applied to the nose for 10 minutes.

    Drug: Blood Stopper (Ankaferd)

  • Experimental
    Blood Stopper (Ankaferd)

    Patients will be asked to clean their noses with tap water as part of the routine treatment before the administration. After then, 5 ml of Ankaferd® will be sprayed through the bleeding side nostril and external nasal pressure will be performed for 10 minutes.

    Drug: Blood Stopper (Ankaferd)

Interventions

  • DrugBlood Stopper (Ankaferd)

    5 ml of Ankaferd® will be sprayed through the bleeding side nostril and external nasal pressure will be performed for 10 minutes.

06

What researchers measure

Primary outcomes

  1. Cessation of bleeding

    Primary outcome was definition cessation in bleeding at 10-minutes after performing local drug interventions.

    Time frame: 10-minutes after performing local drug interventions.

Secondary outcomes

  1. Re-bleeding

    The secondary outcome was a comparison of the re-bleeding rate within 24 hours in the two treatments groups.

    Time frame: From cessation of bleeding to re-bleeding within 24-hours.

07

Study locations

No study locations are listed for this record.

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 Jul 8, 2024, 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
NCT06490653
Lead sponsor
Ankara Ataturk Sanatorium Training and Research Hospital
Responsible party
Şeref Kerem Çorbacıoğlu (Emergency Medicine Department, Ankara Ataturk Sanatorium Training and Research Hospital) — Principal investigator
First posted
Jul 8, 2024
Start date
Oct 2024 (estimated)
Primary completion
Oct 2025 (estimated)
Completion
Dec 2025 (estimated)
Last update
Jul 8, 2024

Study contacts

Şeref Kerem Çorbacıoğlu, Professor
Contact
serefkeremcorbacioglu@gmail.com
+905437656176

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 not yet recruiting, as verified in Jun 2024. You cannot join it, but the record below documents what was studied.

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