베타
임상 레이더 AI
임상시험 NCT07157631 (ESTA)은(는) 간 이식, 트라넥삼산, End-stage Liver Disease (ESLD)에 대해 모집중 상태입니다. 모든 세부 정보를 보려면 임상시험 레이더 카드 뷰와 AI 발견 도구를 확인하거나 여기에서 무엇이든 물어보세요.
하나의 임상시험이 필터 기준과 일치합니다.
카드 뷰

Efficacy and Safety of Tranexamic Acid in Adult Liver Transplantation---ESTA Trial 1,546 무작위 배정 다기관

모집중
임상시험 세부 정보는 주로 영어로 제공됩니다. 하지만 임상 레이더 AI가 도와드릴 수 있습니다! '임상시험 설명'를 클릭하여 선택한 언어로 임상시험 정보를 확인하고, 이에 대해 AI와 논의해 보세요.
임상시험 NCT07157631 (ESTA)은(는) 간 이식, 트라넥삼산, End-stage Liver Disease (ESLD)에 대해 알아보는 중재연구입니다. 현재 상태는 모집중이며, 연구는 2025년 11월 1일에 시작되어 1,546명의 참여자를 모집하고 있습니다. RenJi Hospital이(가) 진행하며, 2027년 12월 1일까지 완료될 예정입니다. ClinicalTrials.gov의 가장 최근 정보는 2025년 12월 8일에 갱신되었습니다.
간단한 개요
We propose a multi-center randomized trial to test the primary hypothesis that tranexamic acid is superior to placebo on blood loss in adult orthotopic liver transplantation within the initial 24 hours and that tranexamic acid is non-inferior to placebo for a composite of thrombotic events within the initial 7 postoperative days. Secondarily, we will determine whether tranexamic acid is superior to placebo on total p...더 보기
상세한 설명
BACKGROUND Chronic liver disease and cirrhosis account for around 2 million deaths per year worldwide. Liver transplantation has evolved remarkably over the years to become the standard-of-care for end-stage liver disease\[1\]. Due to the end stage of liver disease, accompanied by metabolic and coagulation dysfunction, coupled with the complex surgical procedures and prolonged duration, the recipients are prone to ma...더 보기
공식 제목

A Double-Blind, Randomized, Placebo-Controlled, Multi-Center Trial to Evaluate the Efficacy and Safety of Tranexamic Acid in Adult Liver Transplantation (ESTA Trial)

질환명
간 이식트라넥삼산End-stage Liver Disease (ESLD)
기타 연구 식별자
  • ESTA
  • LY2025-220-C
NCT 번호
실제 연구 시작일
2025-11-01
최신 업데이트 게시
2025-12-08
예상 연구 완료일
2027-12-01
계획된 등록 인원
1,546
연구종류
중재연구
단계/상
해당 없음
상태
모집중
키워드
Liver Transplantation
tranexamic acid
주요 목적
예방
설계 할당
무작위배정
중재 모델
평행설계
맹검 (마스킹)
사중맹검
시험군 / 개입
참가자 그룹/시험군개입/치료
실험적tranexamic acid group
In patients assigned to tranexamic acid, 2.0 g dissolved in 50 ml of 0.9% saline)will be given intravenously within 30 mins after skin incision.
tranexamic acid
In patients assigned to tranexamic acid, 2.0 g dissolved in 50 ml of 0.9% saline)will be given intravenously within 30 mins after skin incision.
위약 대조군control group
In patients assigned to placebo, a comparable volume of 0.9% saline will be given.
0.9% 생리 식염수
In patients assigned to placebo, a comparable volume of 0.9% saline will be given.
주요결과변수
결과변수측정값 설명시간 범위
primary efficacy outcome
Total blood loss within 24 hours of trial drug administration will be our primary efficacy outcome.
the initial 24 hours after study drug administration;
primary safety outcome
the primary safety outcome will be the incidence of a collapsed (one or more) composite of thrombotic events during the initial 7 postoperative days, including non-hemorrhagic strokes, myocardial injury after non-cardiac surgery (MINS), pulmonary embolism, hepatic artery embolism, portal vein thrombosis, bowel infarction, peripheral arterial thrombosis, symptomatic proximal venous thromboembolism.
the initial 7 postoperative days after study drug administration
이차결과변수
결과변수측정값 설명시간 범위
Estimated blood loss based on physician's assessment within the initial 24 hours of trial drug administration.
Estimated loss will be recorded by the attending anesthesiologist who collect blood loss at the end of surgery by adding the blood volume recovered in the suction canisters, and the sponges (by weighing surgical sponges before and after surgical use), and then subtracted the irrigation fluid, lymph, bile, serum, ascites, urine, and other fluids solution volumes, and finally add the postoperative drainage volume in the intensive care unit.
within the initial 24 hours after trial drug administration
Postoperative abdominal tube drainage volume during the initial 72 hours
The cumulative volume of fluid collected from the intra-abdominal drainage tube(s) placed during liver transplantation. Drainage will be measured and recorded at regular intervals for the first 72 hours after study drug administration. The total amount (in milliliters) over this 72-hour period will be recorded.
within the initial 72 hours after study drug administration
Units of RBC transfused within 72 hours.
RBC transfusion will be based on clinical need, but generally initiated when intraoperative hemoglobin is less than 70 g/L\[40\].
within the initial 72 hours after study drug administration
참여 도우미
적격성 기준

연령대
성인, 노인
최소 연령
18 Years
참여 가능한 성별
전체

consenting adults aged at least 18 years who are scheduled for allogeneic liver transplantation with general anesthesia.

-

  1. History of arterial or venous thrombosis within 3 months; 2) Re-transplantation; 3) Known allergy to tranexamic acid; 4) Participation in potentially conflicting clinical trials; 5) Considered by the responsible surgeon or anesthesiologist to be unsuitable.

-

RenJi Hospital logoRenJi Hospital
  • 🏥West China Hospi...
더 보기
연구 대표 연락처
연락처: xiaohua liu, MD, phD, +86 18116351197, [email protected]
연락처: liqun yang, MD, PHD, +86 15921969001, [email protected]
1 1개국에 임상시험 장소

Shanghai Municipality

Anesthesiology, Renji Hospital, Shanghai Jiao Tong university school of medicine., Shanghai, Shanghai Municipality, 200123, China
xiaohua liu, 연락처, +86 02168383702, [email protected]
모집중