- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03458468
Tranexamic Acid for the Latarjet Procedure.
A Randomised, Prospective Evaluation on the Effectiveness of Tranexamic Acid in Reducing Postoperative Swelling and Haematoma Formation After the Latarjet Procedure.
The investigators propose a double-blinded randomized study evaluating the effectiveness of tranexamic acid in reducing postoperative swelling and haematoma formation after the Latarjet procedure.
The purpose of this study is to assess the efficacy of tranexamic acid (TXA), given via intra-articular injection at the time of surgery in patients undergoing the Latarjet procedure for shoulder instability.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Dublin
-
Santry, Dublin, Ireland, 9
- Sports Surgery Clinic
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
• Anterior shoulder instability, warranting the Latarjet procedure
Exclusion Criteria:
- Patients with known risk factors for hyper-coagulable state
- Patients under 16
- Patients unable to give consent to partake in the trial
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Group A
Tranexamic Acid 1g IV
|
1g Tranexamic acid prior to skin incision
|
Placebo Comparator: Group B
Saline injection
|
Equivalent volume of saline prior to skin incision
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Hematoma Formation
Time Frame: Postoperative day-1
|
Patients hematoma formation will be evaluated using the Pauzenberger criteria (Grade 1-4)
|
Postoperative day-1
|
Visual Analogue Scale
Time Frame: Postoperative day-1
|
Postoperative day-1
|
|
Total Drain output
Time Frame: Postoperative day-1
|
The total drain output of blood post-operatively
|
Postoperative day-1
|
Opioid consumption
Time Frame: Postoperative day-1
|
Postoperative day-1
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Wound complications
Time Frame: Postoperative week-2
|
Postoperative week-2
|
Total complications
Time Frame: Postoperative month-4
|
Postoperative month-4
|
Haematoma Formation
Time Frame: Postoperative week-2
|
Postoperative week-2
|
Collaborators and Investigators
Investigators
- Principal Investigator: Hannan Mullett, FRCSI, Sports Surgery Clinic
Publications and helpful links
General Publications
- Kirsch JM, Bedi A, Horner N, Wiater JM, Pauzenberger L, Koueiter DM, Miller BS, Bhandari M, Khan M. Tranexamic Acid in Shoulder Arthroplasty: A Systematic Review and Meta-Analysis. JBJS Rev. 2017 Sep;5(9):e3. doi: 10.2106/JBJS.RVW.17.00021.
- Gillespie R, Shishani Y, Joseph S, Streit JJ, Gobezie R. Neer Award 2015: A randomized, prospective evaluation on the effectiveness of tranexamic acid in reducing blood loss after total shoulder arthroplasty. J Shoulder Elbow Surg. 2015 Nov;24(11):1679-84. doi: 10.1016/j.jse.2015.07.029.
- Pauzenberger L, Domej MA, Heuberer PR, Hexel M, Grieb A, Laky B, Blasl J, Anderl W. The effect of intravenous tranexamic acid on blood loss and early post-operative pain in total shoulder arthroplasty. Bone Joint J. 2017 Aug;99-B(8):1073-1079. doi: 10.1302/0301-620X.99B8.BJJ-2016-1205.R1.
- Vara AD, Koueiter DM, Pinkas DE, Gowda A, Wiater BP, Wiater JM. Intravenous tranexamic acid reduces total blood loss in reverse total shoulder arthroplasty: a prospective, double-blinded, randomized, controlled trial. J Shoulder Elbow Surg. 2017 Aug;26(8):1383-1389. doi: 10.1016/j.jse.2017.01.005. Epub 2017 Feb 3.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- SSC-Latarjet-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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