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Trial registered on ANZCTR
Registration number
ACTRN12615000312549
Ethics application status
Approved
Date submitted
2/01/2015
Date registered
2/04/2015
Date last updated
2/04/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Efficiency and safety of preoperative Tranexamic acid in reducing perioperative blood loss in elective cesarean section
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Scientific title
Efficiency and safety of preoperative Tranexamic acid compared to a placebo in reducing perioperative blood loss in women undergoing elective cesarean section
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Secondary ID [1]
285904
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nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
blood loss during and after cesarean section
293821
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Condition category
Condition code
Reproductive Health and Childbirth
294124
294124
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0
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Childbirth and postnatal care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
1 gm tranexamic acid 15 min before CS by intravenous infusion
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Intervention code [1]
290880
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Prevention
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Intervention code [2]
291103
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Treatment: Drugs
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Comparator / control treatment
glucose 5% intravenous infusion
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Control group
Placebo
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Outcomes
Primary outcome [1]
293926
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estimated blood loss (EBL) during and after Cesarean section
Estimated blood loss was calculated according to the following formula:
"EBL = EBV ×" "Preop Hematocrit - Postop Hematocrit" /"Preop Hematocrit"
EBL: estimated blood loss
EBV: estimated blood volume (ml) = weight (kg) x 85
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Assessment method [1]
293926
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Timepoint [1]
293926
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24 hours after Cesarean section
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Secondary outcome [1]
312157
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1. postoperative hemoglobin, serum assay
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Assessment method [1]
312157
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Timepoint [1]
312157
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up to 4 weeks after surgery
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Secondary outcome [2]
312807
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postoperative hematocrit, serum assay
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Assessment method [2]
312807
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Timepoint [2]
312807
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4 weeks after CS
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Secondary outcome [3]
312808
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platelet count , serum assay
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Assessment method [3]
312808
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Timepoint [3]
312808
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4 weeks after CS
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Secondary outcome [4]
312809
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needed postoperative ecbolics. needed drugs administered intramuscular
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Assessment method [4]
312809
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Timepoint [4]
312809
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24 hours after CS
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Eligibility
Key inclusion criteria
full-term singleton pregnancies underwent elective lower segment caesarean section
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Minimum age
19
Years
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Maximum age
41
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1.prolonged CS (> 90 min according to anesthetic record), 2.anemic patients (Hb < 9 gm %),
3.presence of maternal medical disorder (e.g. cardiac, renal, hepatic & coagulopathies) or
4.history of thrombo-embolic events.
5.known allergy to TA.
6.Patients with increased risk for obstetric hemorrhage (e.g. antepartum hemorrhage, abnormal placentation, previous history of uterine atony & postpartum hemorrhage, polyhydramnios & uterine fibroids).
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
computer generated random numbers
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/11/2013
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Actual
1/11/2013
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Date of last participant enrolment
Anticipated
30/11/2014
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Actual
30/11/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
6574
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Egypt
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State/province [1]
6574
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Cairo
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Funding & Sponsors
Funding source category [1]
290485
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Self funded/Unfunded
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Name [1]
290485
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Ahmed maged
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Address [1]
290485
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135 King Faisal street Haram Giza
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Country [1]
290485
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Egypt
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Primary sponsor type
Individual
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Name
Ahmed Maged
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Address
135 King Faisal street Haram Giza.Kasr Alainy medical school.Cairo university Egypt Post code 12151
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Country
Egypt
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Secondary sponsor category [1]
289186
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Individual
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Name [1]
289186
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Moutaz Elsherbiny
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Address [1]
289186
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122 Kasr AlAiny street Cairo. Kasr Alainy medical school.Cairo university Egypt Post code 12398
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Country [1]
289186
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Egypt
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
A randomized placebo-controlled prospective study involved 200 women undergoing elective LSCS randomized to receive either 1 gm TA 15 min before CS (TA group) or glucose 5% (Placebo group). Complete blood count (CBC) was done before CS and 24 hours later. The pre- and postoperative hematocrit values and maternal weight were used to calculate the estimated blood loss (EBL) during CS which was the primary outcome measure.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
53746
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A/Prof Ahmed Maged
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Address
53746
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135 King Faisal street Haram Giza Kasr Alainy medical school.Cairo university Egypt Post code 12151
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Country
53746
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Egypt
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Phone
53746
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+20201005227404
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Fax
53746
0
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Email
53746
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[email protected]
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Contact person for public queries
Name
53747
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Ahmed Maged
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Address
53747
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135 King Faisal street Haram Giza Kasr Alainy medical school.Cairo university Egypt Post code 12151
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Country
53747
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Egypt
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Phone
53747
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+20201005227404
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Fax
53747
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Email
53747
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[email protected]
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Contact person for scientific queries
Name
53748
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Ahmed Maged
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Address
53748
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135 King Faisal street Haram Giza Kasr Alainy medical school.Cairo university Egypt Post code 12151
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Country
53748
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Egypt
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Phone
53748
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+20201005227404
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Fax
53748
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Email
53748
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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