Oral Tranexamic Acid After Total Knee Arthroplasty
NCT06894719 · Status: NOT_YET_RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 351
Last updated 2026-02-23
Summary
This is a prospective, double-blind, randomized controlled trial evaluating the efficacy of oral tranexamic acid (TXA) in total knee arthroplasty (TKA). The study will assess pain, function, and range of motion (ROM) over a 2-year period, with key evaluations at 6 weeks and 90 days postoperatively.
Hypothesis:
Patients receiving 1.95g oral TXA for 3 or 7 days post-op will show improved pain, function, and ROM at 6 weeks and 90 days, with similar blood loss and transfusion rates as the control group.
Conditions
- Total Knee Arthroplasty
Interventions
- DRUG
-
tranexamic acid Oral-Short Arm
1.95g Tranexamic acid daily for post op days 1 to 3
- DRUG
-
tranexamic acid Oral-Long Arm
1.95g tranexamic acid daily post op days 1-7
- DRUG
-
Control group placebo
Placebo for 3 days post-op
Sponsors & Collaborators
-
Rush University Medical Center
lead OTHER
Principal Investigators
-
Bailey Terhune, MD · Rush University Medical Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-06-01
- Primary Completion
- 2026-12-01
- Completion
- 2027-05-01
- FDA Drug
- Yes
More Related Trials
-
Tranexamic Acid in Revision Total Joint Arthroplasty
NCT02877381 ·Status: COMPLETED ·Phase: PHASE4
-
Topical Tranexamic Acid for Total Knee Arthroplasty
NCT00985920 ·Status: COMPLETED ·Phase: PHASE4
-
Postoperative Oral Tranexamic Acid in Patients Undergoing Primary Total Joint Arthroplasty
NCT06832878 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
The Efficacy and Safety of Using Tranexamic Acid by Different Means to Reduce Blood Loss During Total Knee Replacement
NCT02117128 ·Status: COMPLETED ·Phase: PHASE4
-
Topical Tranexamic Acid and Acute Blood Loss in Total Knee Arthroplasty
NCT01370460 ·Status: COMPLETED ·Phase: PHASE2
-
The Efficacy and Safety of Using Tranexamic Acid to Reduce Blood Loss In Simultaneous Bilateral Total Knee Arthroplasty
NCT02504125 ·Status: COMPLETED ·Phase: PHASE4
-
Serial Use of Intravenous and Oral Tranexamic Acid in Primary Total Knee Arthroplasty Patients
NCT03109652 ·Status: UNKNOWN ·Phase: PHASE4
-
Randomized Controlled Trial of Tranexamic Acid in Total Knee Arthroplasty: Intravenous vs. Topical
NCT01940523 ·Status: COMPLETED ·Phase: PHASE4
-
Oral Tranexamic Acid vs. Oral Aminocaproic Acid to Reduce Blood Loss and Transfusion After Total Knee Replacement.
NCT03365999 ·Status: COMPLETED ·Phase: PHASE2
-
Single Versus Multi-Dose Oral Tranexamic Acid in Patients at High Risk for Blood Transfusion After Total Joint Arthroplasty
NCT02926651 ·Status: WITHDRAWN ·Phase: PHASE4
-
Tranexamic Acid Dosing for Total Joint Arthroplasty
NCT02584725 ·Status: COMPLETED ·Phase: PHASE4
-
The Blood Saving Effect of Tranexamic Acid in Total Knee Arthroplasty With Rivaroxaban as Thromboprophylaxis
NCT02458729 ·Status: COMPLETED ·Phase: PHASE4
-
In Vivo Study of Local Tranexamic Acid Concentrations Following Intra-Articular Administration in Total Knee Arthroplasty
NCT06876181 ·Status: COMPLETED
-
Clinical Efficacy of Tranexamic Acid and ε-Aminocaproic Acid in Reducing Blood Loss Following Total Knee Replacement
NCT01873768 ·Status: COMPLETED ·Phase: PHASE4
-
Tranexamic Acid and Blood Clots in Knee Surgery
NCT02867163 ·Status: COMPLETED
-
Tranexamic Acid in Total Knee Replacement
NCT03656445 ·Status: COMPLETED ·Phase: NA
-
The Comparative Efficacy of Peri-articular and Intraarticular Tranexamic Acid in Total Knee Arthroplasty
NCT03074994 ·Status: UNKNOWN ·Phase: PHASE2
-
Topical Versus Intravenous Tranexamic Acid in Total Knee Arthroplasty
NCT02323373 ·Status: COMPLETED ·Phase: PHASE2
-
Comparison of Topical and Infusion Tranexamic Acid After Total Knee Arthroplasty
NCT02453802 ·Status: UNKNOWN ·Phase: PHASE4
-
Tranexamic Acid in Knee Joint Surgery
NCT02278263 ·Status: COMPLETED ·Phase: PHASE4
-
Visual Field Infiltration of Tranexamic Acid Reduced the Blood Loss in Total Knee Arthroplasty
NCT03934047 ·Status: UNKNOWN ·Phase: NA
-
Low Dose Peri- Operative Intra Venous Teranexamic Acid Reduces Blood Loss After Total Knee Arthroplasty: A Double Blind Randomized Placebo Controlled Clinical Trial
NCT02327117 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Low-dose Intra-articular Tranexamic Acid in Total Knee Replacement
NCT01850394 ·Status: COMPLETED ·Phase: NA
-
Effect of Topical and Intravenous Tranexamic Acid (TXA) on Thrombogenic Markers in Patients Undergoing Knee Replacement
NCT02540226 ·Status: COMPLETED ·Phase: PHASE4
-
The Effects of Tranexamic Acid on Joint Inflammation and Cartilage Health in Anterior Cruciate Ligament Injured Patients
NCT03552705 ·Status: RECRUITING ·Phase: PHASE2