The Role of Inhalations of Tranexamic Acid in Patients With Hemoptysis
Study Details
Study Description
Brief Summary
Hemoptysis is defined as the expectoration of blood from respiratory tract, a spectrum that varies from blood-streaking of sputum to coughing up large amounts of pure blood.
Massive hemoptysis variably defined as the expectoration of 100-600 ml over 24-h period.
The most common site of bleeding is the tracheobronchial tree, which can be affected by inflammation (acute or chronic bronchitis, bronchiectasis) or by neoplasm ( bronchogenic carcinoma, endobronchial metastatic carcinoma, bronchial carcinoid tumor). The bronchial arteries, which originate either from aorta or from intercostal arteries, and are part of the high-pressure systemic circulation, are the source of bleeding in bronchitis or bronchiectasis or endo bronchial tumors.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: tranexamic acid-500 mg/5 ml 3-4 times a day tranexamic acid arm: inhalations of tranexamic acid 500 mg/5 ml 3-4 times a day |
Drug: tranexamic acid
500 mg/5 ml 3-4 times a day
|
Placebo Comparator: tranexamic placebo arm |
Drug: tranexamic acid
500 mg/5 ml 3-4 times a day
|
Outcome Measures
Primary Outcome Measures
- bleeding stops [1 year]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Age > 18
-
Hemodynamicaly stable
-
Hemoptysis of varying etiologies
-
Coumadin treatment will be switched to clexane or heparine
Exclusion Criteria:
-
Age < 18
-
Hemodinamicaly unstable
-
Massive hemoptysis ( > 200 ml / day)
-
Renal failure: creatinine > 3, renal replacement treatment
-
Hepatic failure: bilirubin > 2 mg/dl, AST > 3 of upper normal limit level
-
Coagulation disorders, INR> 2.
-
Hypesensitivity to tranexamic acid
-
Pregnant woman
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Pulmonary department, Meir Medical Center | Kfar Saba | Israel | 972 |
Sponsors and Collaborators
- Meir Medical Center
Investigators
- Principal Investigator: David Shitrit, Dr., Meir Medical Center, Kfar Saba, Israel
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 0096-11-MMC