Single Dose Enteral Tranexamic Acid in Critically Ill Patients

• Status: Terminated
• Trial end date: 2014-11-01
• Target enrollment: 0
• Participant gender: All

Summary

The premise of this study is that enteral tranexamic acid will help to maintain small bowel integrity, which is often compromised by critical illness due to inadequate cardiovascular perfusion (i.e., shock), and that maintenance of small bowel integrity will decrease morbidity in critically ill patients.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: San Diego Veterans Healthcare System
• Collaborator: Inflammagen/Leading Ventures
• Treatments: Tranexamic Acid

Criteria

Inclusion Criteria:

• Critically ill patients admitted to ICU within 48 hours of onset of illness

• Patients with feeding tubes (e.g., orogastric, nasogastric, PEG, etc.)

Exclusion Criteria:

• primary admitting diagnosis of cancer

• primary admitting diagnosis of acute congestive heart failure

• primary admitting diagnosis of chronic obstructive pulmonary disease (COPD)

• primary admitting diagnosis of acute myocardial infarction or unstable cardiac arrythmia

• primary admitting diagnosis of amyotrophic lateral sclerosis (ALS) or other non-infectious disease

• primary admitting diagnosis of post-operative neurosurgical procedure

• known hypersensitivity to tranexamic acid

• acquired disturbances of color vision

• hematuria cause by disease of the renal parenchyma

• active thromboembolic disease such as deep venous thrombosis or pulmonary embolism

• patients with known clotting disorders or other known bleeding disorders

• recent (within 3 months) or active cerebrovascular bleed

• pregnancy

• inability to take study medicine (i.e., ileus with > 500ml stomach residuals, NPO status)

• patients excluded at the discretion of the treating physician