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. 2015 May 9;2015(5):CD004896. doi: 10.1002/14651858.CD004896.pub4

NCT01990768.

Trial name or title Prehospital Tranexamic Acid Use for Traumatic Brain Injury.
Methods Randomised, placebo controlled trial.
Participants Adult (≥15 years) patients with moderate to severe TBI.
Setting: USA (two western states ‐ Oregon and Washington)
Interventions Group 1) Loading dose of tranexamic acid (1 gram by intravenous injection) given prior to hospital arrival followed by maintenance dose (1 gram by intravenous injection) over 8 hours after hospital arrival.
Group 2) Loading dose of tranexamic acid (2 gram by intravenous injection) given prior to hospital arrival followed by placebo maintenance dose over 8 hours after hospital arrival.
Group 3) Placebo loading dose given prior to hospital arrival followed by placebo maintenance dose over 8 hours after hospital arrival.
Outcomes Primary outcome is disability as measure by GOS‐E score (Sander 2002) at six months after injury. Secondary outcomes are volume of intracranial haemorrhage, Disability Rating Scale, death, neurosurgical intervention, ventilator‐free days, seizures, cerebral ischaemic events, myocardial infarction, pulmonary embolism, deep vein thrombosis, alterations in fibrinolysis.
Starting date June 2014
Contact information Susanne May, PhD (sjmay@uw.edu)
Notes Clinicaltrials.gov NCT01990768. Total sample size is 1002 (334 per group).