Clinical Randomisation of an Anti-fibrinolytic in Symptomatic Mild Head Injury in Older Adults
NCT04521881 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 5000
Last updated 2026-03-12
Summary
Tranexamic acid (TXA) reduces head injury deaths. The CRASH-4 trial aims to assess the effects of early intramuscular TXA on intracranial haemorrhage, disability, death, and dementia in older adults with symptomatic mild head injury
Conditions
Interventions
- DRUG
-
Tranexamic Acid 500 MG
given once as an intramuscular injection
Sponsors & Collaborators
-
London School of Hygiene and Tropical Medicine
lead OTHER
Principal Investigators
-
Haleema Shakur-Still · London School of Hygiene and Tropical Medicine
-
Ian Roberts · London School of Hygiene and Tropical Medicine
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 50 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-04-18
- Primary Completion
- 2026-12-31
- Completion
- 2028-01-31
Countries
- United Kingdom
Study Locations
More Related Trials
-
The Safety of Intravenous Tranexamic Acid in Patients Undergoing Supratentorial Meningiomas Resection
NCT04595786 ·Status: COMPLETED ·Phase: NA
-
Evaluating the Effect of Tranexamic Acid on the Clinical Outcomes in Patients With Traumatic Brain Injury
NCT06330935 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Traumatic Intracranial Hemorrhage in Users of Oral Antithrombotic Drugs
NCT02996851 ·Status: COMPLETED
-
Safety of Platelet Transfusion in Patients on Antiplatelet Therapy With Traumatic Head Injury
NCT01810276 ·Status: TERMINATED ·Phase: NA
-
Mild Traumatic Brain Injury and the Risk for Traumatic Intracranial Hemorrhage
NCT05609721 ·Status: COMPLETED
-
Platelet Administration To Patients With Traumatic Brain Injury Who Were Treated With Aspirin
NCT01135862 ·Status: UNKNOWN ·Phase: PHASE2
-
High-Dose Deferoxamine in Intracerebral Hemorrhage
NCT01662895 ·Status: TERMINATED ·Phase: PHASE2
-
Effect of Red Blood Cell Transfusion on Brain Metabolism in Patients With Subarachnoid Hemorrhage
NCT00968227 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
The Influence of Noradrenaline on Coagulation and Fibrinolysis in Severe Isolated Brain Injury
NCT04515420 ·Status: UNKNOWN
-
HEMOglobin Transfusion Threshold in Traumatic Brain Injury OptimizatioN: The HEMOTION Trial
NCT03260478 ·Status: COMPLETED ·Phase: NA
-
Study of Antithrombotic Treatment After IntraCerebral Haemorrhage
NCT03186729 ·Status: TERMINATED ·Phase: PHASE4
-
Transfusion Requirements After Head Trauma
NCT02203292 ·Status: COMPLETED ·Phase: PHASE2
-
The Use of Low Molecular Weight Heparin in Traumatic Brain Injury
NCT00170378 ·Status: COMPLETED ·Phase: PHASE4
-
Incidence/Magnitude-Haemorrhagic Progression-Cerebral Contusions and Identification (ID) of Safety Issues After Traumatic Brain Injury
NCT00124293 ·Status: COMPLETED
-
Efficacy of Scalp Block in Managing Post Subarachnoid Hemorrhage Headache in Critically Ill Patients. A Single Centre Randomized Controlled Trial
NCT07307508 ·Status: RECRUITING ·Phase: NA
-
Dexanabinol in Severe Traumatic Brain Injury
NCT00129857 ·Status: COMPLETED ·Phase: PHASE3
-
Effect of Intraventricular tPA Following Aneurysmal Subarachnoid Hemorrhage
NCT01878136 ·Status: WITHDRAWN ·Phase: PHASE1/PHASE2
-
Interest of Oral Corticosteroids in the Treatment of Chronic Subdural Hematomas
NCT01380028 ·Status: TERMINATED ·Phase: PHASE3
-
Safety and Efficacy of Angiotensin (1-7) in Persons With Moderate to Severe Traumatic Brain Injury
NCT06282965 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Neurological Outcome in Patients of Traumatic Subarachnoid Haemorrhage
NCT02073890 ·Status: COMPLETED
-
No Cases of Delayed Intracranial Hemorrhage (d-ICH) Among Patients With Mild Traumatic Brain Injury (mTBI) on Oral Anticoagulation Therapy
NCT05609734 ·Status: COMPLETED
-
Head Injury Retrieval Trial
NCT00112398 ·Status: TERMINATED ·Phase: NA
-
Deferoxamine and Xingnaojing Injection Treatment in Intracerebral Hemorrhage
NCT02367248 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Acetaminophen in aSAH to Inhibit Lipid Peroxidation and Cerebral Vasospasm
NCT00585559 ·Status: TERMINATED ·Phase: PHASE3
-
Safety of Intravenous Milrinone for the Treatment of Subarachnoid Hemorrhage-induced Vasospasm
NCT03517670 ·Status: COMPLETED