Could a common bleeding drug cut transfusions after hip fractures?
NCT ID NCT03063892
First seen Jul 09, 2026 · Last updated Jul 10, 2026 · Updated 1 time
Summary
This trial investigates whether tranexamic acid (TXA), a drug that helps control bleeding, can reduce the need for blood transfusions in people over 60 who have hip fractures and require surgery. Participants receive either TXA or a placebo (saline) before, during, and after surgery. The study measures how many patients need a blood transfusion and how much blood is lost during the operation.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Tranexamic acid (TXA)
- What this could lead to
- If it works, this could reduce the need for blood transfusions after hip fracture surgery, lowering risks and recovery time.
- What could go wrong
- This is a small, early-phase trial. TXA may not reduce transfusions significantly, and there is a small risk of blood clots or allergic reactions.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Aug 2017
- Expected to finish
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Sep 2027
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
60 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Over the age of 60 years * Hip fracture requiring surgical intervention * Signs consent and agrees to participate Exclusion Criteria: * Under the age of 60 * Does not sign consent or refuses participation * Known hypersensitivity to tranexamic acid * Multiple acute fractures * Creatinine clearance \<30 * History of seizures * Active hormone therapy * History of coagulation abnormality * History of deep vein thrombosis (DVT) or pulmonary embolism (PE) within the last year or history or recurrent DVT/PE * Myocardial infarction (MI) and/or stents within the past year * History of intracranial hemorrhage * Acquired defective color vision * Patients admitted directly to nursing units or surgery without stay in the Emergency Center * Patients who sustain fracture while hospitalized at ProMedica Toledo Hospital
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
ProMedica Toledo Hospital
Toledo, Ohio, 43606, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Effect of intrathecal dexmedetomidine as an adjuvant to hyperbaric bupivacaine on the incidence of postoperative delirium in elderly patients undergoing hip fracture surgeries under spinal anesthesia
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- Can diet and exercise rebuild strength after a hip fracture?
- Can a Bone-Strengthening infusion given right after hip surgery prevent a second break?
- Home rehab after hip fracture: a new hope for independence?