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This is a Phase 1 study which aims to determine the pharmacokinetics and local and systemic tolerance of tranexamic acid in healthy volunteers using a population approach after oral, intramuscular or intravenous administration. It will also determine the feasibility of measuring tranexamic acid in spots of dry capillary blood.
Fifteen healthy volunteers will receive in random order 1 gram of intravenous and intramuscular injections and 2 grams of oral tranexamic acid solution. Blood samples will be taken at:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tranexamic acid Group 1 | Experimental | Participants will receive tranexamic acid in the following order: First Dose: Intravenous Second Dose: Intramuscular Third Dose: Oral |
|
| Tranexamic acid Group 2 | Experimental | Participants will receive tranexamic acid in the following order: First Dose: Intravenous Second Dose: Oral Third Dose: Intramuscular |
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| Tranexamic acid Group 3 | Experimental | Participants will receive tranexamic acid in the following order: First Dose: Intramuscular Second Dose: Intravenous Third Dose: Oral |
|
| Tranexamic acid Group 4 | Experimental | Participants will receive tranexamic acid in the following order: First Dose: Intramuscular Second Dose: Oral Third Dose: Intravenous |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tranexamic Acid 1 gram intravenously | Drug | Intravenous tranexamic acid crossover to oral and intramuscular arms |
|
| Measure | Description | Time Frame |
|---|---|---|
| Serum tranexamic acid concentrations versus time profiles for each route of administration (Oral, intramuscular and intravenous) | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Pain during after administration (visual analogue scale) for each administration route | (Scale 0 - 9) where 0 = no pain and 9 most severe pain | 8 hours |
| Reaction at site of injection for intramuscular and Iintravenous routes |
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Inclusion Criteria:
Exclusion Criteria:
Previous thrombotic event or pre-existing pro-thrombotic disease
Any history of seizures
Any chronic or active cardiovascular or renal disease
Planned general anaesthesia or surgery in the 3 months following inclusion
Pregnant and/or breastfeeding
Known allergy to the study drugs or any of the excipients of the formulations
Use of any prescription or non-prescription medication (other than hormonal contraception) within 7 days before the first dose of the study drug is scheduled
Inability to give informed consent
Previous participation during the year in clinical studies compensated for an amount incompatible with participation in this study, verified by recording in the national register of subjects participating in human research trials
Legal criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Haleema Shakur-Still | London School of Hygiene and Tropical Medicine | Study Chair |
| Ian Roberts | London School of Hygiene and Tropical Medicine | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UFR Sciences de la Santé Simone Veil Université Versailles Saint Quentin en Yvelines | Montigny-le-Bretonneux | 78180 | France | |||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34998508 | Derived | Grassin-Delyle S, Semeraro M, Lamy E, Urien S, Runge I, Foissac F, Bouazza N, Treluyer JM, Arribas M, Roberts I, Shakur-Still H. Pharmacokinetics of tranexamic acid after intravenous, intramuscular, and oral routes: a prospective, randomised, crossover trial in healthy volunteers. Br J Anaesth. 2022 Mar;128(3):465-472. doi: 10.1016/j.bja.2021.10.054. Epub 2022 Jan 5. |
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| Tranexamic acid Group 5 | Experimental | Participants will receive tranexamic acid in the following order: First Dose: Oral Second Dose: Intravenous Third Dose: Intramuscular |
|
| Tranexamic acid Group 6 | Experimental | Participants will receive tranexamic acid in the following order: First Dose: Oral Second Dose: Intramuscular Third Dose: Intravenous |
|
| Tranexamic acid 2 grams oral solution | Drug | Oral tranexamic acid crossover to intravenous and intramuscular arms |
|
| Tranexamic acid 1 gram intramuscular | Drug | Intramuscular tranexamic acid crossover to oral and intravenous arms |
|
| 24 hours |
| • Correlation between serum and dry blood spot concentrations for each administration route | 24 hours |
| Unité de Recherche Clinique Paris Descartes Necker Cochin, Hôpital Necker-Enfants Malades |
| Paris |
| 75743 |
| France |