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Efficacy and safety of prehospital administration of tranexamic acid (TXA) for trauma patients

Efficacy and safety of prehospital administration of tranexamic acid (TXA) for trauma patients - Efficacy and safety of prehospital administration of tranexamic acid (TXA) for trauma patients

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
JPRN
Registry ID
JPRN-UMIN000041854
Enrollment
300
Registered
2020-09-21
Start date
2019-10-01
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Trauma

Interventions

Administer 1 g of TXA intravenously in prehospital settings.

Sponsors

Department of Emergency and Critical Care Medicine, Nippon Medical School
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Patients over the age of 18 years. 2. Trauma patients who are transported by the doctor car or the helicopter to Nippon Medical School Hospital, Nippon Medical School Musashikosugi Hospital, Nippon Medical School Tama-Nagayama Hospital, or Nippon Medical School Chiba Hokuso Hospital. 3. Patients who are able to receive TXA in prehospital settings within 3 hours of the injury.

Exclusion criteria

Exclusion criteria: 1. Patients with a history of hypersensitivity to TXA 2. Patients with diseases (liver disease, hematological diseases, infections, malignant neoplasms, pregnancy) that affect the coagulation fibrinolytic parameters.

Design outcomes

Primary

MeasureTime frame
Mortality at 28 days

Secondary

MeasureTime frame
mRS at 3 months, volume of transfusion, coagulation fibrinolytic parameters (prothrombin time (PT), activated partial thromboplastin time (aPTT), Fibrinogen, thrombin-antithrombin complex (TAT), FDP, D-dimer, alpha 2 plasmin inhibitor (alpha 2-PI), plasmin-alpha 2 plasmin inhibitor complex (PIC), plasminogen activator inhibitor 1 (PAI-1), t-PA-PAI-1 complex)

Countries

Japan

Contacts

Public ContactRyuta Nakae

Nippon Medical School Department of Emergency and Critical Care Medicine

nakae@nms.ac.jp03-3822-2131

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026