UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000059346
Receipt number R000067406
Scientific Title The Impact of Postoperative Oral Tranexamic Acid on Knee Swelling After Total Knee Arthroplasty
Date of disclosure of the study information 2025/10/09
Last modified on 2025/10/09 06:13:53

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Basic information

Public title

The Impact of Postoperative Tranexamic Acid on Knee Swelling After Total Knee Arthroplasty

Acronym

TXA in TKA: A Randomized Controlled Trial

Scientific Title

The Impact of Postoperative Oral Tranexamic Acid on Knee Swelling After Total Knee Arthroplasty

Scientific Title:Acronym

TXA in TKA: A Randomized Controlled Trial

Region

Japan


Condition

Condition

Knee osteoarthritis

Classification by specialty

Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to evaluate whether a 14-day course of postoperative tranexamic acid (TXA) can effectively alleviate swelling.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase I


Assessment

Primary outcomes

Knee circumference measurements were performed preoperatively and on postoperative days 1, 3, 7, 14, and 21.

Key secondary outcomes

Pain Visual Analog Scale (VAS) scores on postoperative days 7, 14, and 21
Knee range of motion (ROM)
Hemoglobin reduction rate


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

No treatment

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as a block.

Blocking


Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

A group of 50 patients undergoing primary unilateral total knee arthroplasty (TKA) between September 2025 and October 2026, who will receive postoperative tranexamic acid administration.

Interventions/Control_2

A control group of 50 patients undergoing primary unilateral total knee arthroplasty (TKA) between September 2025 and October 2026, who will not receive postoperative tranexamic acid administration.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

50 years-old <=

Age-upper limit

89 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients will receive tranexamic acid (TXA) at a dose of 1000 mg twice daily from postoperative day 1 to day 14. For patients with an estimated glomerular filtration rate (eGFR) between 30 and 60, the dose will be adjusted to 500 mg twice daily. Patients with eGFR > 60 will receive 1000 mg twice daily.

Key exclusion criteria

Patients with an estimated glomerular filtration rate (eGFR) below 30.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Yoshinori
Middle name
Last name Mikashima

Organization

Takagi Hospital

Division name

Oume Knee Surgery Center

Zip code

198-0021

Address

Imadera 5-18-19, Oume City, Tokyo

TEL

08020926874

Email

ymikashima2007@yahoo.co.jp


Public contact

Name of contact person

1st name Yoshinori
Middle name
Last name Mikashima

Organization

Takagi Hospital

Division name

Oume Knee Surgery Center

Zip code

198-0021

Address

Imadera 5-18-19, Oume City, Tokyo

TEL

0428315255

Homepage URL

https://www.takagi-hp.or.jp/

Email

ymikashima2007@yahoo.co.jp


Sponsor or person

Institute

Takagi Hospital Oume Knee Surgery Center

Institute

Department

Personal name

Yoshinori Mikashima


Funding Source

Organization

No external funding was received.

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

None


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Takagi Hospital

Address

Imadera 5-18-19, Oume City, Tokyo

Tel

0428315255

Email

ymikashima2007@yahoo.co.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 10 Month 09 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2025 Year 10 Month 09 Day

Date of IRB

2025 Year 08 Month 02 Day

Anticipated trial start date

2025 Year 10 Month 09 Day

Last follow-up date

2027 Year 05 Month 31 Day

Date of closure to data entry

2027 Year 06 Month 30 Day

Date trial data considered complete

2027 Year 07 Month 31 Day

Date analysis concluded

2027 Year 08 Month 31 Day


Other

Other related information



Management information

Registered date

2025 Year 10 Month 09 Day

Last modified on

2025 Year 10 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067406