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CTRI Number  CTRI/2019/01/017105 [Registered on: 16/01/2019] Trial Registered Prospectively
Last Modified On: 15/01/2019
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To assess the effect of the drug tranexamic acid on the blood loss and rate of blood transfusion by infiltrating it into the joint and by giving it directly into the vein in patients undergoing total knee replacement surgery. 
Scientific Title of Study   The effect of Intravenous and Intraarticular administration of Tranexamic acid on the Blood loss and Rate of blood transfusion after Total Knee replacement. A Randomized Controlled Study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Nissar Ahmad Shah 
Designation  Fellowship Arthroplasty 
Affiliation  Ganga Hospital 
Address  Department of Orthopaedics,Ganga Hospital. 313, Mettupalayam Rd, Saibaba Koil, Coimbatore, Tamil Nadu 641043

Coimbatore
TAMIL NADU
641043
India 
Phone  9697839840  
Fax    
Email  shahnisar01@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rajkumar Natesan 
Designation  Senior Consultant 
Affiliation  Ganga Hospital 
Address  Department Of Orthopaedics, Ganga Hospital 313, Mettupalayam Rd, Saibaba Koil, Coimbatore, Tamil Nadu 641043

Coimbatore
TAMIL NADU
641043
India 
Phone  9443366258  
Fax    
Email  drrajkumarn@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Nissar Ahmad Shah 
Designation  Fellowship Arthroplasty 
Affiliation  Ganga Hospital 
Address  Department Of Orthopaedics,Ganga Hospital. 313, Mettupalayam Rd, Saibaba Koil, Coimbatore, Tamil Nadu 641043

Coimbatore
TAMIL NADU
641043
India 
Phone  9697839840  
Fax    
Email  shahnisar01@gmail.com  
 
Source of Monetary or Material Support  
Ganga Hospital 313, Mettupalayam Road, Coimbatore. 641043  
 
Primary Sponsor  
Name  Ganga Hospital 
Address  313, Mettupalayam Rd, Saibaba Koil, Coimbatore, Tamil Nadu 641043 
Type of Sponsor  Private hospital/clinic 
 
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 Nissar Ahmad Shah  Ganga Hospital  Department of Orthopaedics,Ganga Hospital. 313, Mettupalayam Rd, Saibaba Koil, Coimbatore, Tamil Nadu 641043
Coimbatore
TAMIL NADU 
9697839840

shahnisar01@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL REVIEW BOARD  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M171||Unilateral primary osteoarthritisof knee,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NOT APPLICABLE  NOT APPLICABLE 
Intervention  Tranexamic Acid  The Effect of the drug on blood loss during total knee replacement by intravenous administration Dose: 15 mg/kg Body Weight Route of Administration:Intravenous Duration of Therapy:one dose  
Intervention  TRANEXAMIC ACID  This drug is an anti fibrinolytic used for more than two decades to decrease the blood loss in surgeries.The aim of my study is to compare the effect of the drug on blood loss during total knee replacement. Dose: 1.5 grams Route of Administration: Intra Articular Duration: One dose  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  Primary unilateral osteoarthritis of knee joint 
 
ExclusionCriteria 
Details  Diagnosis other than primary osteoarthritis
Previous knee surgery
Inflammatory and infectious arthritis
Underlying coagulopathy
Post traumatic arthritis
Patients receiving anticoagulation therapy
History of thromboembolic & cardiovascular disease
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
The final outcome will be measured in terms of total blood loss and need for any blood transfusion  2 Time Points .Immediate post operative and 4 weeks post opaerative  
 
Secondary Outcome  
Outcome  TimePoints 
Symptomatic Deep Venous Thrombosis,Wound Complications And Infection  2 Time points.Immediate post operative and 4 weeks post operative 
 
Target Sample Size   Total Sample Size="150"
Sample Size from India="150" 
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   Post Marketing Surveillance 
Date of First Enrollment (India)   01/02/2019 
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="0"
Months="4"
Days="10" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   The effect of intravenous and intraarticular administration of tranexamic acid on the blood loss and rate of blood transfusion after total knee replacement. A Randomized Controlled Study  
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  


TITLE:  The Effect Of Intravenous And Intraarticular Administration Of Tranexamic Acid On The Blood Loss And Rate Of Blood Transfusion After Total Knee Replacement. A Randomized Controlled Study


AIMS AND OBJECTIVE   To compare the amount of blood loss among the two groups receiving intraarticular and intravenous Tranexamic acid.

         To compare the allogenic blood transfusion rate among the two groups.

       To compare these regimens in terms of venous thromboembolism (VTE) and the frequency of  wound complications 
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