MedPath

TXA vs. Amicar in Total Knee and Hip Arthroplasty

Phase 4
Completed
Conditions
Knee Arthritis
Blood Loss
Hip Arthritis
Interventions
Drug: TXA
Registration Number
NCT02030821
Lead Sponsor
Duke University
Brief Summary

The purpose of this study is to determine the relative effectiveness of two drug agents, Tranexamic acid (TXA) and aminocaproic acid (Amicar), that act through a similar mechanism of action. These agents are used to decrease blood loss that is a result of major surgery, like total joint arthroplasty. A secondary goal will be investigate the cost-analysis of total hospitalization. Both TXA and Amicar are both currently used in the care of patients undergoing total joint arthroplasty.

Subjects will be randomly assigned to the TXA or Amicar arm. All data needed for this study including blood loss, need for transfusion, preoperative and lowest postoperative hematocrit and hemoglobin, and complications will be collected during the hospitalization stay.

Our Hypothesis is that TXA and Amicar will have similar effectiveness in preventing intraoperative blood loss and the need for transfusion post-op than Amicar.

A detailed cost analysis will show that the overall cost of performing the operative procedure, including transfusions, OR time, and total costs associated with admission cost will be more decreased with Amicar as compared to TXA.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
246
Inclusion Criteria
  • Patients electing to undergo primary total hip or knee arthroplasty
Exclusion Criteria
  • History of stents
  • Myocardial infarction,
  • Cerebrovascular accident or stroke
  • Deep venous thrombus
  • Pulmonary embolus
  • Late onset color blindness
  • Hypercoagulable state

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Tranexamic Acid (TXA)TXATXA will be administered as a 1 gm dose IV prior to the procedure then as a repeat dose of 1 gram at the time of wound closure. These doses are currently used at Duke for Total Knee Arthroplasties (TKAs) and Total Hip Arthroplasties (THAs) per standard of care by the orthopaedic team. All data needed for this study including blood loss, need for transfusion, preoperative and lowest postoperative hematocrit and hemoglobin, and complications will be collected during the hospitalization.
Epsilon-aminocaproic acid (Amicar)AmicarAdministered 5g in 250mL of IV normal saline over 15 minutes prior to the procedure and then an infusion of 5g at the time of wound closure. These doses are currently used at Duke for Total Knee Arthroplasties (TKAs) and Total Hip Arthroplasties (THAs) per standard of care by the orthopaedic team. All data needed for this study including blood loss, need for transfusion, preoperative and lowest postoperative hematocrit and hemoglobin, and complications will be collected during the hospitalization.
Primary Outcome Measures
NameTimeMethod
Total Blood Loss Over Course of Stay (Intraoperative and Postoperatively Until Discharge)Participants will be followed for the duration of hospital stay, an expected average of 5 days
Number of TransfusionsParticipants will be followed for the duration of hospital stay, an expected average of 5 days
Difference in Preoperative and Lowest Postoperative HemoglobinParticipants will be followed for the duration of hospital stay, an expected average of 5 days
Secondary Outcome Measures
NameTimeMethod
Length of Hospitalization StayParticipants will be followed for the duration of hospital stay, an expected average of 5 days
Cost of HospitalizationParticipants will be followed for the duration of hospital stay, an expected average of 5 days

Trial Locations

Locations (1)

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

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