Can a simple nebulizer spray stop nose bleeds during surgery?
NCT ID NCT04905901
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether inhaling tranexamic acid before sinus surgery reduces bleeding during the operation. 90 adults having sinus surgery were randomly given either the drug or a placebo. The goal was to see if the drug improves the surgical field and reduces complications.
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
- What this could lead to
- If it works, this could provide a simple, safe way to reduce bleeding during sinus surgery, making the procedure easier for surgeons and safer for patients.
- What could go wrong
- This is a small, completed trial with 90 participants, so results may not apply to everyone. There is also a risk of side effects like nausea or visual disturbances.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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90 people
The number who actually took part.
- Started
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May 2021
- Finished
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Jun 2026
- 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
-
18 to 65 years
- 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: * Either sexes (age 18-65 years) of ASA I-II who are listed for elective functional endoscopic sinus surgery (FESS) under general anesthesia * normal accepted coagulation profile and hematocrit value ≥30 Exclusion Criteria: * chronic renal failure * liver cirrhosis * bleeding disorders * current anticoagulant therapy * pregnancy or breastfeeding * impaired color vision * severe vascular ischemia * history of venous thrombosis, pulmonary embolism * long term treatment with acetylsalicylic acid or non-steroidal anti-inflammatory drugs not discontinued before surgery * hemoglobin (HB) concentration \<10 mg/dl \_allergy to TXA.
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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
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Assuit
Asyut, Assuit, Assuit universi, Egypt