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The HeLiX (Hemorrhage During Liver Resection: traneXamic Acid) Trial
Sponsor: Sunnybrook Health Sciences Centre
Summary
This is a Phase III multicentre randomized controlled trial (RCT) to evaluate the impact of tranexamic acid (TXA) on perioperative blood transfusion in patients undergoing liver resection. The rationale for this study includes: (1) experimental evidence supporting the use of TXA in other surgical populations; (2) lack of evidence in patients undergoing liver resection; (3) clinical uncertainty and extensive support amongst hepatobiliary surgeons, anaesthesiologists, and hematologists for this proposed trial; (4) a feasible and efficient study design; and (5) the importance of the question: incidence of blood transfusion in patients undergoing liver resection is high, and the consequences serious. The sample size for this study is 1230 participants.Participants enrolled in the prior Vanguard study will proceed directly into the RCT.
Official title: The HeLiX (Hemorrhage During Liver Resection: traneXamic Acid) Trial: Tranexamic Acid (TXA) Versus Placebo to Reduce Perioperative Blood Transfusion in Patients Undergoing Liver Resection: A Randomized Controlled Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
1386
Start Date
2014-11
Completion Date
2027-08
Last Updated
2022-10-26
Healthy Volunteers
No
Interventions
Tranexamic acid (TXA)
1 g TXA bolus injection + 1 g TXA infusion from induction over 8 hours
Normal saline
1 g saline bolus injection + 1 g saline infusion from induction over 8 hours
Locations (11)
Mayo Clinic
Rochester, Minnesota, United States
Foothills Hospital
Calgary, Alberta, Canada
Kelowna General Hospital
Kelowna, British Colombia, Canada
Queen Elizabeth II Health Sciences Centre
Halifax, Nova Scotia, Canada
Hamilton Health Sciences
Hamilton, Ontario, Canada
Kingston General Health Research Institute
Kingston, Ontario, Canada
London Health Sciences Centre
London, Ontario, Canada
Sunnybrook Health Sciences Centre
Toronto, Ontario, Canada
University Health Network
Toronto, Ontario, Canada
St. Joseph's Health Centre
Toronto, Ontario, Canada
McGill University Health Centre
Montreal, Quebec, Canada