Gastrointestinal Bleeding Clinical Trial
Official title:
The Role of Tranexamic Acid for the Treatment of Gastrointestinal Bleeding: A Randomized Double-blind Controlled Trial
Studies showed that in cases of gastrointestinal bleeding, injection tranexamic acid
decreasing the risk of death and the need of surgical intervention. However, the quality of
most clinical trials were not good and the results were not significant. Injection tranexamic
acid does not become one of the treatment option in the international guidelines nor in
national consensus, so the effectiveness and the safety of its use in the treatment of
gastrointestinal bleeding remains unclear and not routinely used.
In Indonesia, injection tranexamic acid in gastrointestinal bleeding is limitedly used and
recorded. Therefore, a clinical trial study of injection tranexamic acid is required to
assess the effectiveness and the safety in the treatment of gastrointestinal bleeding.
This study is a randomized double-blind controlled trial study. Interventions were given in the form of tranexamic acid injection compared to placebo in patients with acute upper and lower gastrointestinal bleeding. Tranexamic acid were administered intravenously 1 gram loading dose, followed by 3 grams maintenance dose in infusion for 24 hours. Other routine and standardized drugs for gastrointestinal bleeding will still be given. Statistical analysis will use: Chi square test or Kolmogorov-Smirnov with alternative Fisher test for categorical dependent-variable; Independent T-Test with alternative Mann-Whitney test for two-group numerical dependent-variable; and one-way ANOVA with alternative Kruskal-Wallis for more than two-groups numerical dependent-variable. ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Not yet recruiting |
NCT05060731 -
Iron Supplementation in Upper Non-variceal Gastrointestinal Bleeding
|
Phase 4 | |
Recruiting |
NCT05949268 -
Video Capsule Endoscopy for Detection of Gastrointestinal Bleeding in the Small Bowel
|
||
Not yet recruiting |
NCT03243240 -
Computed Tomography in Gastrointestinal Bleeding
|
N/A | |
Completed |
NCT02595853 -
Efficacy of a Novel Hemostatic Powder in GI Bleeding
|
||
Completed |
NCT01434108 -
Effects of the Administration of Ornithine Phenylacetate in Patients With Cirrhosis and Upper Gastrointestinal Bleeding
|
Phase 2/Phase 3 | |
Terminated |
NCT01756690 -
Predicting Lung Injury From Transfusion in Patients With Liver Disease
|
N/A | |
Completed |
NCT01424254 -
The Effectiveness of Video-capsule Endoscopy in Gastrointestinal Bleeding of Obscure Origin
|
Phase 3 | |
Completed |
NCT05884931 -
Effectiveness and Safety of Nexpowder as an Endoscopic Hemostatic Treatment
|
N/A | |
Completed |
NCT01335516 -
Follow-up of Glypressin (Terlipressin) Clinical Efficacy in the Treatment of Bleeding Oesophageal Varices
|
N/A | |
Withdrawn |
NCT00401908 -
Factors Contributing To Cardiovascular Morbidity and Mortality in Patients With Gastrointestinal Bleeding
|
N/A | |
Recruiting |
NCT05024864 -
HELicobacter Pylori Screening to Prevent Gastrointestinal Bleeding in MI Patients
|
N/A | |
Completed |
NCT05008640 -
Creation of an E-toileting Log Through Classification of the Physical Properties of Stool and Urine Using TrueLoo™
|
||
Recruiting |
NCT06259292 -
Comprehensive HHT Outcomes Registry of the United States (CHORUS)
|
||
Completed |
NCT03716466 -
Evaluation of Prophylactic Endotracheal Intubation
|
||
Completed |
NCT05362227 -
High-Volume Vs Low-Volume Preparation in Emergency Department
|
N/A | |
Completed |
NCT02405286 -
Prospective Assessment of the Rockall Risk ScoringSystem in Patients With Upper Gastrointestinal Hemorrhage
|
N/A | |
Recruiting |
NCT00562445 -
Adrenal Insufficiency in Critical Emergencies in Digestive Diseases
|
N/A | |
Recruiting |
NCT05290857 -
Anticoagulation After GI Bleeding Pilot Study and Registry
|
N/A | |
Recruiting |
NCT02863250 -
Australian and New Zealand Massive Transfusion Registry
|
||
Completed |
NCT01415869 -
Occult Gastrointestinal Bleeding in Non-pulsatile Left Ventricular Assist Device(VAD)Patients
|