Clinical Trial: Effect of Tranexamic Acid in Upper Gastrointestinal Bleeding

Study Status: Withdrawn
Recruit Status: Withdrawn
Study Type: Interventional

Official Title: Effect of Tranexamic Acid on Blood Transfusion in Upper Gastrointestinal Bleeding

Brief Summary: The investigators hypothesize that addition of Tranexamic acid, an antifibrinolytic agent, to conventional therapy will lead to an improved outcome characterized by lower transfusion requirements.

Detailed Summary:

After informed consent is obtained patients will be randomized to receive either Tranexamic acid or placebo in additional to conventional therapy. All patients with gastrointestinal hemorrhage who are admitted to the ICU are managed in consultation with the GI physicians. The ICU team in consultation with the gastroenterology team will manage these patients. Tranexamic acid will be administered in a dose of 1 gm intravenously every 6 hours for four days.

The majority of patients with GI bleeding will spontaneously stop bleeding. However, in those patients that do not and are hemodynamically unstable it poses a significant management challenge. Management of these individuals includes resuscitation followed by endoscopy as well as therapy guided by clinical diagnosis. With optimal therapy mortality in these individuals remains high and the amount of blood transfusion on occasions turns out to be massive and often the outcomes are futile. Tranexamic acid is an antifibrinolytic agent that has been shown to be associated with reduced bleeding and transfusion requirement in surgical patients. We would like to randomize patients to receive either Tranexamic acid or placebo in addition to conventional therapy and monitor outcome.

This study should provide us with information about the efficacy of this medicine in patients with upper GI bleeding. Data from this trial will provide us information about utility of pursuing this modality of therapy.


Sponsor: University of Oklahoma

Current Primary Outcome: Amount of blood transfusions needed (units of packed RBCs) [ Time Frame: Every 6 months ]

Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Rebleeding events [ Time Frame: Every 6 months ]
  • Need for surgical intervention [ Time Frame: Every 6 months ]
  • Mortality rates [ Time Frame: Every 6 months ]
  • Length of stay in ICU [ Time Frame: Every 6 months ]


Original Secondary Outcome: Same as current

Information By: University of Oklahoma

Dates:
Date Received: October 28, 2009
Date Started: November 2009
Date Completion:
Last Updated: April 5, 2012
Last Verified: April 2012