UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000003327
Receipt number R000003885
Scientific Title Search for optimum dose and timing of tranexamic acid administration in cardiac surgery with cardiopulmonary bypass.
Date of disclosure of the study information 2010/03/13
Last modified on 2013/03/19 16:08:52

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Basic information

Public title

Search for optimum dose and timing of tranexamic acid administration in cardiac surgery with cardiopulmonary bypass.

Acronym

Search for optimum dose and timing of tranexamic acid administration in cardiac surgery with cardiopulmonary bypass.

Scientific Title

Search for optimum dose and timing of tranexamic acid administration in cardiac surgery with cardiopulmonary bypass.

Scientific Title:Acronym

Search for optimum dose and timing of tranexamic acid administration in cardiac surgery with cardiopulmonary bypass.

Region

Japan


Condition

Condition

cardiac insufficiency requiring surgery (for the patients undergoing cardiac surgery with cardiopulmonary bypass)

Classification by specialty

Anesthesiology Cardiovascular surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is investigating the effects of relatively low dose of tranexamic acid on postoperative bleeding and other secondary outcomes in cardiac surgery with cardiopulmonary bypass.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Phase IV


Assessment

Primary outcomes

blood loss in 24 hours after surgery

Key secondary outcomes

intraoperative blood loss
intraoperative transfusion
blood loss in 6 hours after surgery
blood loss in 12 hours after surgery
total blood loss after surgery
transfusion after surgery
hemostatic variavles before and after culdiopulmonary bypass
cytokines before and after culdiopulmonary bypass
postoperative complications
duration of mechanical ventilation
duration of intensive care unit stay


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Dose comparison

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

4

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Group of NORMAL DOSE BEFORE CPB
a)30mg/kg b)16mg/kg/h c)2mg/kg d)NS

(CPB: cardiopulmonary bypass, NS: normal saline)

a) loading dose before CPB
b) maintenance dose after loading (5 hours)
c) priming dose in CPB circuit
d) dose after CPB and protamine administration

Interventions/Control_2

Group of LOWER DOSE BEFORE CPB
a)8mg/kg b)4mg/kg/h c)0.6mg/kg d)NS

(CPB: cardiopulmonary bypass, NS: normal saline)

a) loading dose before CPB
b) maintenance dose after loading (5 hours)
c) priming dose in CPB circuit
d) dose after CPB and protamine administration

Interventions/Control_3

Group of AFTER CPB
a)NS b)NS c)NS d)2g

(CPB: cardiopulmonary bypass, NS: normal saline)

a) loading dose before CPB
b) maintenance dose after loading (5 hours)
c) priming dose in CPB circuit
d) dose after CPB and protamine administration

Interventions/Control_4

Control group
a)NS b)NS c)NS d)2NS

(CPB: cardiopulmonary bypass, NS: normal saline)

a) loading dose before CPB
b) maintenance dose after loading (5 hours)
c) priming dose in CPB circuit
d) dose after CPB and protamine administration

Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

patients undergoing cardiac surgey (coronary artery bypass graft or valvular replacement) with normothermic cardiopulmonary bypass.

Key exclusion criteria

urgent/emergency operation, sepsis, infectious endocarditis, using IABP, renal insufficiency (Cre>2.0), active hepatitis, platerets<50000, preoperative hemostatic abnormality, continuous anticoagulant therapy, therapy with self blood, therapy with thrombin, allergy with taranexamic acid, patients recognised as inadequate for the study.

Target sample size

140


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Toshinori Horiuchi

Organization

Bellland General Hospital

Division name

Department of Anesthesia

Zip code


Address

500-3 Higashiyama, Naka-ku, Sakai, Osaka, 599-8247, Japan

TEL

072-234-2001

Email



Public contact

Name of contact person

1st name
Middle name
Last name Toshinori Horiuchi

Organization

Bellland General Hospital

Division name

Department of Anesthesia

Zip code


Address

500-3 Higashiyama, Naka-ku, Sakai, Osaka, 599-8247, Japan

TEL

072-234-2001

Homepage URL

http://www.seichokai.or.jp/bell/chiken01.php

Email

t_horiuchi@seichokai.or.jp


Sponsor or person

Institute

Bellland General Hospital

Institute

Department

Personal name



Funding Source

Organization

Ministry of Education, Culture, Sports, Science and Technology

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)

Daiichi-Sankyo Company


IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

ベルランド総合病院(大阪府)
天理よろづ相談所病院(奈良県)


Other administrative information

Date of disclosure of the study information

2010 Year 03 Month 13 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Terminated

Date of protocol fixation

2009 Year 12 Month 22 Day

Date of IRB


Anticipated trial start date

2010 Year 05 Month 01 Day

Last follow-up date

2012 Year 04 Month 01 Day

Date of closure to data entry

2012 Year 06 Month 01 Day

Date trial data considered complete

2012 Year 08 Month 01 Day

Date analysis concluded

2012 Year 09 Month 01 Day


Other

Other related information



Management information

Registered date

2010 Year 03 Month 13 Day

Last modified on

2013 Year 03 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003885


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name