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Platelet Transfusions in Hematopoietic Stem Cell Transplantation (The PATH III Trial)
Sponsor: Ottawa Hospital Research Institute
Summary
It is hypothesized that a strategy using prophylactic oral and intravenous Tranexamic Acid (TXA) with therapeutic platelet transfusions (if required) is safe and more effective than prophylactic platelet transfusions in patients undergoing an autologous hematopoietic stem cell transplantation (ASCT).
Official title: Platelet Transfusions in Hematopoietic Stem Cell Transplantation - The PATH Phase III Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
662
Start Date
2022-02-16
Completion Date
2027-02
Last Updated
2026-01-08
Healthy Volunteers
No
Conditions
Interventions
Tranexamic Acid
Patients allocated to the prophylactic Tranexamic Acid group will receive a standardized routine oral or intravenous dose of Tranexamic Acid 1 gram three times daily. Tranexamic Acid will start when Platelet count is less than 50 x 109/L and continue until platelet engraftment. Patients in this group will not receive routine prophylactic platelet transfusions. Subjects unable to swallow oral Tranexamic Acid pills may have the tablets crushed, administered via nasogastric (NG) tube or the medication will be administered intravenously.
Locations (12)
Tom Baker Cancer Centre
Calgary, Alberta, Canada
Cross Cancer Institute
Edmonton, Alberta, Canada
Eastern Regional Health Authority
St. John's, Newfoundland and Labrador, Canada
Memorial University
St. John's, Newfoundland and Labrador, Canada
Dalhousie University
Halifax, Nova Scotia, Canada
Hamilton Health Sciences - Juravinski Hospital and Cancer Centre
Hamilton, Ontario, Canada
London Health Sciences Centre
London, Ontario, Canada
The Ottawa Hospital
Ottawa, Ontario, Canada
Niagara Health System
St. Catharines, Ontario, Canada
Princess Margaret Cancer Centre
Toronto, Ontario, Canada
Hopital Maisonneuve-Rosemont
Montreal, Quebec, Canada
Saskatchewan Cancer Agency
Saskatoon, Saskatchewan, Canada