Hip replacement patients may need less blood transfusions with right drug dose
NCT ID NCT03822793
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested three different doses of tranexamic acid, a drug that helps blood clot, to see which works best for reducing blood loss during hip replacement surgery. 170 patients were randomly assigned to receive either a placebo or one of three doses of the drug right at the start of surgery. The goal was to find the dose that minimizes hemoglobin drop and the need for blood transfusions.
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 (Exacyl)
- What this could lead to
- If successful, this study could identify the best dose of tranexamic acid to reduce blood loss and transfusion needs during hip replacement surgery.
- What could go wrong
- This is a small, single-center phase 2 trial, so results may not apply to all patients. The optimal dose found here needs confirmation in larger studies.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
170 people
The number who actually took part.
- Started
-
Dec 2023
- Finished
-
Jul 2025
- 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 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: * Patient requiring primary hip arthroplasty (less than 3 months) * Informed Consent from the patient or their legally authorized representative * Affiliation to French Social Security Healthcare system Exclusion Criteria: * Hip fracture of less than 3 months * Bilateral hip arthroplasty or anterior approach to hip arthroplasty * Haemorrhagic surgery in the previous 2 weeks * Contraindication to tranexamic acid * Contraindication to apixaban * Chronic use of anticoagulant * Pregnancy * Previous participation to this study
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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
-
CHU Saint-Etienne
Saint-Etienne, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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