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CTRI Number  CTRI/2024/09/073231 [Registered on: 02/09/2024] Trial Registered Prospectively
Last Modified On: 01/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Administration of Tranexamic Acid can affect the Intra-operative blood loss in Brain Tumor resection surgery 
Scientific Title of Study   Effect of Tranexamic Acid on Intra-Operative Blood Loss in Brain Tumor Resection Surgery 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Pushkar Ranjan 
Designation  Professor 
Affiliation  heritage institute of medical sciences 
Address  HOD Dept. of Anaesthesiology heritage institute of medical sciences varanasi

Varanasi
UTTAR PRADESH
221311
India 
Phone  9415986684  
Fax    
Email  pushkarranjanbhu@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Abhinav Singh Heyar 
Designation  junior resident  
Affiliation  heritage institute of medical sciences 
Address  Dept. of Anaesthesiology heritage institute of medical sciences varanasi

Varanasi
UTTAR PRADESH
221311
India 
Phone  9988777074  
Fax    
Email  abhinavheyar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Deepshikha  
Designation  assistant professor 
Affiliation  heritage institute of medical sciences  
Address  Dept of Anaesthesiology Heritage institute of medical sciences varanai

Varanasi
UTTAR PRADESH
221311
India 
Phone  7405848568  
Fax    
Email  stunningshikha87@gmail.com  
 
Source of Monetary or Material Support  
Heritage Institute of Medical Sciences Grand Trunk Road Bhadwar Varanasi 221311 Uttar Pradesh India 
 
Primary Sponsor  
Name  Heritage Institute of Medical Sciences  
Address  Grand Trunk Road Bhadwar Varanasi 221311 Uttar Pradesh India 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Abhinav Singh Heyar  Heritage institute of medical sciences  OT COMPLEX 4th Floor Department of Anaesthesiology
Varanasi
UTTAR PRADESH 
9988777074

abhinavheyar@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
institutional ethical committee heritage institute of medical sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: D496||Neoplasm of unspecified behavior of brain,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Effect Of Tranexamic Acid on intra-operative blood loss in Brain tumor resection Surgery   Patient’s in the study group will be administered Tranexamic acid (TXA) intravenously – 10 mg/ kg body weight over 10 minutes after induction followed by continuation of maintenance infusion at the rate of 1 mg /kg/ hr intra-operatively till skin closure Patient’s in the control group will be administered the same volume of saline per kg body weight ( the same as TXA) At the end of surgery, blood loss assessment will be done by counting gauges , mops used and volume in suction bowl.  
Comparator Agent  Effect Of Tranexamic Acid on intra-operative blood loss in Brain tumor resection Surgery  Patient’s in the study group will be administered Tranexamic acid (TXA) intravenously – 10 mg/ kg body weight over 10 minutes after induction followed by continuation of maintenance infusion at the rate of 1 mg /kg/ hr intra-operatively till skin closure Patient’s in the control group will be administered the same volume of saline per kg body weight ( the same as TXA) At the end of surgery, blood loss assessment will be done by counting gauges , mops used and volume in suction bowl. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  All patients diagnosed with brain tumor who will undergo tumor resection surgery after admission
Age group 18 – 65 years
Patient without any history of coagulopathy
 
 
ExclusionCriteria 
Details  Patient having hypersensitivity to Tranexamic
acid
Patients with known contraindications to
antifibrinolytic agents
Patients with thromboembolic events.
Patients with abnormal liver function.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To study the effect of Tranexamic acid (TXA) on the intra-operative blood loss during tumor resection surgery.
 
Base line post induction and continuous intra operative Blood Loss assessment at 30 minute interval
 
 
Secondary Outcome     
Target Sample Size   Total Sample Size="44"
Sample Size from India="44" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   12/09/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
•Intracranial tumor excision can be associated with major blood loss and require transfusion of large volumes of blood and blood products .

•The Intra-operative blood loss is in turn directly related to the post-operative morbidity and mortality 
•Tranexamic Acid  (TXA) is a synthetic derivative of the amino acid lysine that acts as an antifibrinolytic, is largely used to reduce the blood loss .
•Administration of Tranexamic acid (TXA) , has resulted in survival benefits in Traumatic Brain Injury (TBI) patients ,by reducing blood loss as per recent studies 
 In this study , we aim to study the effect of Tranexamic acid (TXA) in reduction of intra-operative blood loss.
•Aim is to study the effect of Tranexamic acid(TXA) on Intra –operative Blood Loss during Brain Tumor Resection Surgery 
 
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