Blood thinner users with head injuries may benefit from platelet transfusions
NCT ID NCT06433622
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether giving platelets (cells that help blood clot) to people with severe traumatic brain injuries who are on antiplatelet medications (blood thinners) can improve clotting and stop bleeding in the brain. About 225 adults with certain types of head bleeds will receive a platelet transfusion and then have their blood clotting tested. The goal is to see if this treatment slows or stops the bleed from getting worse.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 225 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2023
- Expected to finish
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Nov 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.
Who is studied
The targeted population includes patients ≥ 18 years of age who present to Penn Medicine Lancaster General Health with TICH. Selection of subjects is based on all adult patients presenting with TICH that are admitted to Lancaster General Health Trauma Center.
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria for Interventional Portion of Study: * Patients ≥ 18 years of age who present with TICH meeting Brain Injury Guidelines (BIG) 2 or 3 head bleed criteria * Currently on antiplatelet medication on admission * Must have taken this antiplatelet medication within the past 48 hours prior to presentation * Patients who have AA and/or ADP inhibition of 70% or greater and Maximum Amplitude (MA) \<50 will then receive a platelet transfusion and a repeat TEG-PM 1hr after transfusion Exclusion Criteria for Interventional Portion of Study: * Under 18 years of age * Have a known bleeding diatheses * Current therapeutic anticoagulation use * Do not know the time of their last antiplatelet medication dose * Patients or their proxy who are unable to provide consent * Patients with concomitant long bone fractures or solid organ injuries Inclusion Criteria for Retrospective Portion of Study: • Patients with a TICH who are 18 years of age or older Exclusion Criteria for Retrospective Portion of Study: * Abbreviated Injury Scale (AIS) \>1 in body regions other than head because of concomitant long bone fracture or solid organ injury * Under 18 years of age
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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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Penn Medicine Lancaster General Health
Lancaster, Pennsylvania, 17602, United States