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Impact of Inhaled Tranexamic Acid in Pulmonary Hemorrhage in Pediatric Intensive Care Unit

Impact of Inhaled Tranexamic Acid in Pulmonary Hemorrhage in Pediatric Intensive Care Unit

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07481682
Enrollment
100
Registered
2026-03-19
Start date
2023-08-01
Completion date
2024-09-01
Last updated
2026-03-19

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

Conditions

Intensive Care Unit, Pediatric, Pulmonary Hemorrhage, Tranexamic Acid

Brief summary

This study aimed to detect the impact of inhaled Tranexamic acid® in pulmonary hemorrhage in pediatric intensive care unit.

Detailed description

Pulmonary hemorrhage, often manifested as hemoptysis, can be a severe and life-threatening condition. Tranexamic acid (TXA)® is a lysine analog that prevents the conversion of plasminogen to plasmin and inhibits plasmin's binding to fibrin, stabilizing the fibrin matrix and reducing bleeding.

Interventions

DRUGTranexamic acid + conventional therapy.

Patients received inhaled or endotracheally instilled Tranexamic acid (TXA) in addition to conventional therapy.

DRUGTranexamic acid

Patients received conventional systemic Tranexamic acid (TXA) alone.

Sponsors

Tanta University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
1 Months to 216 Months
Healthy volunteers
No

Inclusion criteria

* Age from 1 to 216 months. * Both sexes. * Patients with pulmonary hemorrhage.

Exclusion criteria

* Disseminated Intravascular Coagulation (DIC). * Laryngeal oedema. * Laryngeal web. * Contraindications to tranexamic acid include arterial thrombosis, pre-existing coagulopathy, or oral anticoagulant treatment. * Patients with traumatic lesions such as hemothorax.

Design outcomes

Primary

MeasureTime frameDescription
Cessation of pulmonary hemorrhage48 hours of starting inhaled tranexamic acidThe cessation of pulmonary hemorrhage within 48 hours of starting inhaled tranexamic acid was recorded.
Incidence of adverse effects48 hours of starting inhaled tranexamic acidIncidence of adverse effects was recorded.

Secondary

MeasureTime frameDescription
In-hospital mortality48 hours of starting inhaled tranexamic acidIncidence of in-hospital mortality was recorded.
Length of hospital stayTill the discharge from the hospital (Up to 2 weeks)Length of hospital stay was recorded from the admission till the discharge from the hospital.

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 20, 2026