Recruiting PHASE3 Pulmonary Hemorrhage

New treatment option for Pulmonary Hemorrhage

Official title A Randomized Controlled Trial of Inhaled Tranexamic Acid for the Treatment of Pulmonary Hemorrhage in Cancer Patients

ClinicalTrials.gov ID: NCT05053867

What this study is testing

What is tranexamic acid?

tranexamic acid is an investigational medicine, given as an inhaled treatment, being studied as a potential treatment for pulmonary hemorrhage.

Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
This is a drug study that will examine if inhaled tranexamic acid can improve mortality in patients with cancer-related pulmonary hemorrhage and respiratory failure as compared to usual care.
  • Phase 3: a large, late-stage study
  • Which group you join is decided by chance.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 and older

You may be able to join if

  • Age \> 18 years old
  • Have a diagnosed hematological malignancy
  • Are actively receiving mechanical ventilation
  • Have evidence of pulmonary hemorrhage as defined by either
  • Persistently bloody secretions upon endotracheal tube suctioning, or

You likely can't join if

  • Patients excluded from participation in the study if any of the following criteria are met:
  • Presence of a Do Not Resuscitate (DNR), no escalation of care or comfort care order at the time of screening
  • Expected survival \< 48 hours
  • Evidence of nasal or oral spillage likely to be the cause of bloody secretions
  • Patients requiring 100% FIO2
  • Known hypersensitivity to tranexamic acid
See the full eligibility criteria
Who can join
  • Age \> 18 years old
  • Have a diagnosed hematological malignancy
  • Are actively receiving mechanical ventilation
  • Have evidence of pulmonary hemorrhage as defined by either
  • Persistently bloody secretions upon endotracheal tube suctioning, or
  • Evidence of diffuse alveolar hemorrhage by bronchoscopic examination
  • Signed informed consent by patient or if the subject lacks decision-making capacity, the subject's legally authorized representative 2.3.2
What rules you out
  • Patients excluded from participation in the study if any of the following criteria are met:
  • Presence of a Do Not Resuscitate (DNR), no escalation of care or comfort care order at the time of screening
  • Expected survival \< 48 hours
  • Evidence of nasal or oral spillage likely to be the cause of bloody secretions
  • Patients requiring 100% FIO2
  • Known hypersensitivity to tranexamic acid
  • Treatment with inhaled tranexamic acid prior to screening
  • Acquired defective color vision
  • Subarachnoid hemorrhage
  • Deep Venous or arterial thrombus diagnosed within the previous 3 months
  • Seizure disorder on active anti-epileptic therapies
  • Hypersensitivity to tranexamic acid or any of the ingredients
  • Pregnant women will not be eligible and have a negative pregnancy test prior to entering study
  • Patient receiving concurrent anti-fibrinolytic therapy
  • Confirmed active COVID-19 infection

The study team makes the final eligibility decision.

Where it's taking place

  • Houston, Texas, United States

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Houston, Texas, United States. Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.