Bleeding Reduction in Acute and Chronic Kidney Patients Having Surgery (BRACKETS) Pilot Trial
NCT06337838 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 100
Last updated 2026-05-22
Summary
The BRACKETS pilot study is a multicentre, prospective, randomized controlled trial of prophylactic preoperative tranexamic acid (TXA) versus placebo and, using a partial factorial design, of prophylactic preoperative desmopressin versus placebo.
Conditions
- Chronic Kidney Diseases
- Acute Kidney Injury
- Bleeding
- Surgery
Interventions
- DRUG
-
Desmopressin Injectable Solution
Intravenous desmopressin, 20 mcg, single dose administration.
- DRUG
-
Tranexamic Acid Injectable Product
Intravenous tranexamic acid, 1000 mg single dose administration for patients with eGFR\<25 not yet receiving dialysis OR 500 mg single dose administration for patients receiving dialysis.
- OTHER
-
Placebo
Intravenous 0.9% saline solution
Sponsors & Collaborators
-
Population Health Research Institute
collaborator OTHER -
Hamilton Health Sciences Corporation
lead OTHER
Principal Investigators
-
Pavel Roshanov, MC,MSc,FRCPC · Western University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- FACTORIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-06-09
- Primary Completion
- 2027-02-28
- Completion
- 2027-06-30
Countries
- Canada
Study Locations
More Related Trials
-
A Trial of a Hospital Policy of Tranexamic Acid Use to Reduce Transfusion in Major Non-cardiac Surgery
NCT04803747 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Tranexamic Acid (TXA) on Reduction of Postoperative Blood Transfusion
NCT03063892 ·Status: RECRUITING ·Phase: PHASE4
-
Intra-articular Tranexamic Acid in the Reduction of Blood Transfusions in Primary Total Hip and Total Knee Arthroplasty
NCT02393963 ·Status: COMPLETED ·Phase: PHASE2
-
Do Anesthesiologists Follow Guidelines on Perioperative Use of Tranexamic Acid?
NCT05783648 ·Status: COMPLETED
-
Effect of Tranexamic Acid on Intraoperative Blood Loss in Patients Undergoing Aquablation
NCT06710327 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Tranexamic Acid (TXA) in Hip Arthroscopy
NCT05710146 ·Status: WITHDRAWN ·Phase: PHASE3
-
Investigating the Effect of Intravenous and Oral Tranexamic Acid on Blood Loss After Primary Hip and Knee Arthroplasty
NCT03690037 ·Status: COMPLETED ·Phase: PHASE4
-
Tranexamic Acid in Knee Joint Surgery
NCT02278263 ·Status: COMPLETED ·Phase: PHASE4
-
The Effectiveness Of Intravenous TXA on Reducing Perioperative Blood Loss For Patients Undergoing PAO
NCT03823417 ·Status: WITHDRAWN ·Phase: PHASE4
-
Study of Local Administration of DepoTXA for Reduced Postsurgical Bleeding in Subjects Undergoing TKA
NCT02922582 ·Status: TERMINATED ·Phase: PHASE2
-
Tranexamic Acid as an Intervention in Abruptio Placenta
NCT05840471 ·Status: COMPLETED ·Phase: NA
-
The Trauma INtramuscular Tranexamic Acid Clinical Trial
NCT03875937 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Postoperative Oral Tranexamic Acid in Patients Undergoing Primary Total Joint Arthroplasty
NCT06832878 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Life-saving Treatment With Dry-plasma for Massive Bleeding in an Pre-hospital Setting
NCT07012863 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Topical Tranexamic Acid and Acute Blood Loss in Total Knee Arthroplasty
NCT01370460 ·Status: COMPLETED ·Phase: PHASE2
-
Does Intravenous Tranexamic Acid Reduce Blood Loss During Vaginectomy?
NCT03216083 ·Status: UNKNOWN ·Phase: PHASE3
-
Transfusion of Red Blood Cells, Tranexamic Acid and Fibrinogen Concentrate for Severe Trauma Hemorrhage at Pre-hospital Phase of Care.
NCT03780894 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Tranexamic Acid for The Treatment of Gastrointestinal Bleeding
NCT03540368 ·Status: COMPLETED ·Phase: NA
-
Tranexamic Acid in Patients With Traumatic Bleeding Based on Dynamic Monitoring of Thromboelastography
NCT06736860 ·Status: RECRUITING ·Phase: PHASE4
-
Tranexamic Acid to Reduce Contraceptive-related Bleeding Side Effects
NCT06000423 ·Status: COMPLETED ·Phase: PHASE4
-
Tranexamic Acid in Total Knee Replacement
NCT03656445 ·Status: COMPLETED ·Phase: NA
-
Evaluation of TXA Prior to Surgery in the Geriatric Hip Fracture Population
NCT03923959 ·Status: COMPLETED ·Phase: PHASE3
-
Point-of-care Measurement of the Antifibrinolytic Activity of Tranexamic Acid in Cardiac Surgery
NCT06128330 ·Status: RECRUITING ·Phase: PHASE4
-
Tranexamic Acid for Total Knee Arthroscopy
NCT04443920 ·Status: COMPLETED ·Phase: PHASE4
-
Impact of Tranexamic Acid Use in Percutaneous Nephrolithotomy
NCT02966236 ·Status: UNKNOWN ·Phase: PHASE4