Comparing Effectiveness of Merocel and Packing With Tranexamic Acid in the Management of Anterior Epistaxis
The Evaluation of Effectiveness of Nasal Compression With Tranexamic Acid Compared to Simple Nasal Compression and Merocel Packing
Aim of this study is evaluate whether superior nasal compression with tranexamic acid to simple nasal compression and Merocel packing.
In this study, patients who presented with non-traumatic anterior epistaxis to emergency departments will be included in this study. Three different therapy option are created; first, nasal compression with tranexamic acid, second, simple nasal compression without any drugs. And third, packing with Merocel.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Ankara, Turkey, 06000
- Keçiören Training and Research Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with anterior epistaxis older than 18 year and accept to participate in the study
Exclusion Criteria:
- Patients younger than 18 years
- Patients who used anticoagulation therapy
- Patients who have hemodynamically instability
- Traumatic epistaxis
- Patients who have known bleeding disorder
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
ACTIVE_COMPARATOR: Tranexamic acid group
500mg tranexamic acid is sprayed in the nose by atomizer spray, and then is applied nasal compression by manually.
|
500mg tranexamic acid is sprayed in the nose by atomizer spray, and then is applied nasal compression by manually.
|
|
PLACEBO_COMPARATOR: Placebo group
5ml normal saline is sprayed in the nose by atomizer spray, and then is applied nasal compression by manually.
|
5 cc normal saline is sprayed in the nose by atomizer spray, and then is applied nasal compression by manually.
|
|
ACTIVE_COMPARATOR: Merocel Group
Merocel packing is applied.
|
Merocel packing is applied.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Success rate of interventions to stop bleeding
Time Frame: First 15 minutes
|
Percentages of numbers of patients who have stopped bleeding within first 15 minutes after nasal compression or Merocel packing
|
First 15 minutes
|
|
Numbers of patients who needs rescue treatment
Time Frame: After 15 minutes first intervention method.
|
In patients who have unstoppable epistaxis within 15 minutes, Merocel packing will be applied as a rescue treatment.
Numbers of these patients will be recorded.
|
After 15 minutes first intervention method.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Re-bleeding
Time Frame: 24 hour
|
Frequency of re-bleeding within first 24 hours.
|
24 hour
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (ACTUAL)
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ACTUAL)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Respiratory Tract Diseases
- Hemorrhage
- Otorhinolaryngologic Diseases
- Signs and Symptoms, Respiratory
- Nose Diseases
- Epistaxis
- Molecular Mechanisms of Pharmacological Action
- Fibrin Modulating Agents
- Antifibrinolytic Agents
- Hemostatics
- Coagulants
- Tranexamic Acid
- Polyvinyl alcohol formaldehyde foam
Other Study ID Numbers
Other Study ID Numbers
- 71146310-511.06-E.223856
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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