Can a simple pill speed up knee replacement recovery?
NCT ID NCT06618820
First seen Aug 13, 2026 · Last updated Aug 14, 2026 · Updated 1 time
Summary
This phase 3 trial tests whether taking tranexamic acid (TXA) by mouth for an extended period after total knee replacement can improve recovery. TXA is already used during surgery to reduce bleeding, but its benefits when continued afterward are unclear. The study will compare different durations of extended oral TXA against a placebo in 120 adults undergoing knee replacement, measuring pain, range of motion, and how much patients notice their knee in daily activities.
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) taken orally as extended-release capsules after knee replacement surgery
- What this could lead to
- If effective, extended oral TXA could become a standard part of recovery after knee replacement, helping patients regain function faster and with less pain.
- What could go wrong
- This is a single-center trial with 120 participants, and results may not apply to all patients. TXA can increase the risk of blood clots, though the trial excludes high-risk individuals.
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
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2024
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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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
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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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: 1. 18 years of age and older. 2. Primary TKA at a Campbell Clinic Surgery Center, with implant at the discretion of the treating surgeon. 3. Willing to participate in the study. 4. Fluent in oral and written English. Exclusion Criteria: 1. Revision TKA. 2. Preoperative use of anticoagulants (81mg aspirin is allowed). 3. Prior history of deep vein thrombosis. 4. Prior history of cancer (with the exception of non-melanoma/metastatic skin cancers, low-grade non-metastatic benign soft tissue tumors, thyroid cancers and low grade, non-metastatic prostate cancers). 5. Known allergy or hypersensitivity to TXA. 6. Patients who are using combination hormonal contraception. 7. History of seizure disorder. 8. History of adult onset colorblindness.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Campbell Clinic
Germantown, Tennessee, 38138, United States
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