Comparison Between Efficacy of Inhaled VS Intravenous Tranexamic Acid for Hemoptysis
This will be a prospective comparative cohort study and will take place at the Ward II- Ojha Institute of Chest Diseases (OICD) ,Dow University of Health Sciences in Karachi.
It will be conducted over six months after obtaining necessary approvals. We will recruit 154 patients aged 18-60 years, regardless of gender, who will present with complain of hemoptysis. Patients will be selected through a non-probability consecutive sampling method, where each eligible patient will be approached for participation.
Participants will be randomly assigned to one of two groups using a lottery method:
- Group A will receive 500 mg of inhaled Tranexamic acid three times a day.
- Group B will receive 500 mg of intravenous Tranexamic acid three times a day.
Once patients give consent for participation, we will gather detailed medical history. Blood tests and X-rays will be done to assess each patient's health status.
We will then monitor the amount of blood expectorated after 30 minutes, 6 hours, 12 hours, and 24 hours post-administration. We will also observe any side effects from the treatment.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 4
Kontakter og lokationer
Studiesteder
-
-
Sindh
-
Karachi, Sindh, Pakistan
- Ward-2 Ojha Institute of Chest Diseases (OICD), Dow University of Health Sciences
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Adult patients aged 18-60 years.
- Patients diagnosed with hemoptysis based on the defined operational definition.
- Patients who provide written informed consent to participate in the study.
Exclusion Criteria:
- Patients with known hypersensitivity to Tranexamic acid.
- Hemodynamically unstable patients.
- Patients requiring immediate interventional procedure or mechanical ventilation.
- Patients with active thromboembolic events (pulmonary embolism, deep vein thrombosis, ischemic stroke).
- Patients with a history of thromboembolic disease.
- Patients with disseminated intravascular coagulation (DIC) without heparin.
- Patients with severe renal impairment, gross upper urinary tract hematuria, recent vascular stent/graft, or subarachnoid hemorrhage.
- Pregnant and breastfeeding women.
- Patients who are not willing to participate in the study.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Inhaled Tranexamic Acid
|
Tranexamic acid 500 mg administered via inhaled route three times daily or intravenous route three times daily for management of hemoptysis |
|
Eksperimentel: Intravenous Tranexamic Acid
|
Tranexamic acid 500 mg administered via inhaled route three times daily or intravenous route three times daily for management of hemoptysis |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Significant reduction in hemoptysis
Tidsramme: 2 hours after drug administration
|
Proportion of patients achieving more than 50% reduction in hemoptysis blood volume after administration of Tranexamic Acid. |
2 hours after drug administration
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Amount of hemoptysis reduction
Tidsramme: 30 minutes, 6 hours, 12 hours, and 24 hours after drug administration
|
Change in amount of blood loss due to hemoptysis after treatment. |
30 minutes, 6 hours, 12 hours, and 24 hours after drug administration
|
|
Side effects of Tranexamic Acid
Tidsramme: Within 24 hours after drug administration
|
Presence of adverse effects after administration of Tranexamic Acid, including redness, burning, pain, swelling, or other reported side effects. |
Within 24 hours after drug administration
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- IRB-4175/DUHS/APPROVAL/2025
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