ClinicalTrials.gg
RecruitingNCT06997796Bloody SIMPLEUpdated May 30, 2025

Treatment of Nosebleeds in the Emergency Department With Powder Tranexamic Acid

A Phase 1/2 interventional study of Tranexamic Acid in Epistaxis Nosebleed, sponsored by Dr. Anne Conlin. Recruiting at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-30.

Sponsored by Dr. Anne Conlin · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2025, 11 months ago, but the record still lists the study as recruiting.
Phase
Phase 1/2
Study type
Interventional
Enrollment
24
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Nosebleeds are very common, occurring in 60% of the population; in some patients, nosebleeds are a life-threatening emergency. To stop a nosebleed in the emergency department, doctors usually have to burn the nose (called cauterization) or insert pledgets (called nasal packing) into the nose to apply direct pressure to the bleeding site. Nasal packing can cause pain and discomfort at the time it is inserted in the nose and again when it is removed. In rare cases it can cause a range of complications: minor complications include scar bands in the nose, but serious complications of nasal packing have also occurred, including death. Nasal packing can also present risks to doctors, such as the risk of contracting airborne and bloodborne infections, like COVID-19 and HIV.

Tranexamic acid in pill form or given directly into a vein is a medication that is currently used for nosebleeds. This study looks to evaluate if tranexamic acid in powder form sprayed directly in the nose can be used as an alternative to cauterization or nasal packing for the treatment of nosebleeds.

02

Conditions studied

  • Epistaxis Nosebleed

Browse trials for

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 24 is below the median of 64 across 81 interventional studies indexed under Epistaxis.

Browse Epistaxis studies →

Lead sponsor

This is the only study on the registry with Dr. Anne Conlin as lead sponsor.

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

  • Capable of giving form
  • Stated willingness to comply with all study procedures and availability for the duration of the study
  • Adults 18 years or older
  • Male or female
  • Presenting to the ED with active, spontaneous epistaxis. Anterior versus posterior epistaxis will be identified a priori. Anterior epistaxis is operationally defined as active nasal bleeding that occurs anterior to the anterior limit of the middle turbinate, visible by anterior rhinoscopy.

Exclusion criteria

Exclusion Criteria:

  • Prior sinonasal surgery within the preceding 1 month.
  • Patients who required medical treatment for epistaxis in the preceding 30 days.
  • Septum perforation.
  • Known history of bleeding disorders, including thrombocytopenia, hemophilia, hereditary hemorrhagic telangiectasia, or von Willebrand disease.
  • History of known thromboembolic disease, including subarachnoid hemorrhage, stroke, or .
  • Known history of disease of the central nervous system, including seizures, convulsions, or intra-cerebral disease processes/lesions.
  • Known or suspected history of significant skull base trauma, including skull base fracture or cerebrospinal fluid leak.
  • Known history of acquired disturbances of colour vision.
  • Known hematuria or any bleeding related to the kidney.
  • Pregnant and/or lactating women.
  • History of known allergy or sensitivity to the study medication.
  • Presence of signs or symptoms of concomitant emergent conditions, including myocardial infarction, stroke, major trauma, shock, or hemodynamic instability.
  • Patients with other medical conditions including cognitive limitations or impairment due to substance abuse.
  • Patients with any other condition that, in the opinion of the investigator, may present an unreasonable risk to the patient, may make the patient unreliable, or may interfere with the study assessments.
  • Current participation in another interventional clinical trial.
Terms in these criteria, in plain language(2)

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.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
24 participants (estimated)

Study arms

  • Experimental
    Tranexamic acid powder applied intranasally

    Drug: Tranexamic Acid

Interventions

06

What researchers measure

Primary outcomes

  1. Cessation of epistaxis

    Number of participants for whom epistaxis ceased after treatment

    Time frame: Day 1

Secondary outcomes

  1. Time to cessation of epistaxis

    Measured in minutes

    Time frame: Day 1

  2. Pain of the treatment

    Participants' perception of pain will be measured using the Visual Analog Scale (VAS), ranging from 0 (no pain) to 10 (worst pain possible).

    Time frame: Day 1

  3. Total time in the Emergency Department

    Measured in minutes

    Time frame: Day 1

  4. Number of participants who returned to the Emergency Department for treatment of epistaxis

    Time frame: within the first 24 hours and the first 5 days after treatment

Other outcomes

  1. Age

    Time frame: Day 1

  2. Anticoagulant and/or antiplatelet medication use

    Time frame: Day 1

  3. Type of epistaxis

    Anterior versus posterior epistaxis

    Time frame: Day 1

  4. Adverse events and/or patient-reported side effects

    Time frame: up to 3 weeks

  5. Treatment site complications

    Participants will be examined for complications, including synechiae or nasal infections

    Time frame: up to 3 weeks

07

Study locations

1 of 1 sites recruiting
  • Peterborough Regional Health Centre
    Peterborough, Ontario K9J 7C6, Canada
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes

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 May 30, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06997796
Lead sponsor
Dr. Anne Conlin
Responsible party
Dr. Anne Conlin (Peterborough Regional Health Center Staff Otolaryngologist-Head & Neck Surgeon; Assistant Professor University of Ottawa, Peterborough Regional Health Centre) — Sponsor-investigator
First posted
May 30, 2025
Start date
May 2025 (estimated)
Primary completion
Dec 2025 (estimated)
Completion
Dec 2025 (estimated)
Last update
May 30, 2025

Study contacts

Anne Conlin, HBA&Sc, MD, FRCSC
Contact
aconlin@prhc.on.ca
705-743-2121
Anne Conlin, Assistant Professor, University of Ottawa, HBA&Sc, MD, FRCSC
principal investigator · Peterborough Regional Health Center; University of Ottawa

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