Platelet Transfusions in Hematopoietic Stem Cell Transplantation (The PATH III Trial)
NCT04448184 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 662
Last updated 2026-01-08
Summary
It is hypothesized that a strategy using prophylactic oral and intravenous Tranexamic Acid (TXA) with therapeutic platelet transfusions (if required) is safe and more effective than prophylactic platelet transfusions in patients undergoing an autologous hematopoietic stem cell transplantation (ASCT).
Conditions
- Hematologic Neoplasms
Interventions
- DRUG
-
Tranexamic Acid
Patients allocated to the prophylactic Tranexamic Acid group will receive a standardized routine oral or intravenous dose of Tranexamic Acid 1 gram three times daily. Tranexamic Acid will start when Platelet count is less than 50 x 109/L and continue until platelet engraftment. Patients in this group will not receive routine prophylactic platelet transfusions. Subjects unable to swallow oral Tranexamic Acid pills may have the tablets crushed, administered via nasogastric (NG) tube or the medication will be administered intravenously.
Sponsors & Collaborators
-
Alberta Cancer Foundation
collaborator OTHER -
Ottawa Hospital Research Institute
lead OTHER
Principal Investigators
-
Alan Tinmouth, MD · The Ottawa Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-02-16
- Primary Completion
- 2027-02-28
- Completion
- 2027-02-28
Countries
- Canada
Study Locations
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