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Phase 3Recruiting

A Randomized Controlled Trial of Inhaled Tranexamic Acid for the Treatment of Pulmonary Hemorrhage in Cancer Patients

Sponsored by M.D. Anderson Cancer Center

About this study

This is a drug study that will examine if inhaled tranexamic acid can improve mortality in patients with cancer-related pulmonary hemorrhage and respiratory failure as compared to usual care.

Primary Objective: To assess the benefit of using nebulized tranexamic acid versus the standard of care on 30 day mortality. Secondary Objectives: To assess the following outcomes when using nebulized tranexamic acid versus the standard of care: 1. 100 day, ICU and hospital mortality rate 2. Ventilator days at day 30 3. ICU and Hospital Length of Stay 4. PaO2:FIO2 ratio (or SpO2:FIO2 ratio) changes over the first 14 days 5. Time to resolution of pulmonary hemorrhage 6. Rate of recurrence of pulmonary hemorrhage 7. Rate of invasive procedures required to control pulmonary hemorrhage

Where this study is enrolling

Who can participate

Inclusion criteria

  • ✓1. Age \> 18 years old
  • ✓2. Have a diagnosed hematological malignancy
  • ✓3. Are actively receiving mechanical ventilation
  • ✓4. Have evidence of pulmonary hemorrhage as defined by either
  • ✓1. Persistently bloody secretions upon endotracheal tube suctioning, or
  • ✓2. Evidence of diffuse alveolar hemorrhage by bronchoscopic examination
  • ✓5. Signed informed consent by patient or if the subject lacks decision-making capacity, the subject's legally authorized representative
  • ✓2.3.2

Exclusion criteria

  • ✕Patients excluded from participation in the study if any of the following criteria are met:
  • ✕1. Presence of a Do Not Resuscitate (DNR), no escalation of care or comfort care order at the time of screening
  • ✕2. Expected survival \< 48 hours
  • ✕3. Evidence of nasal or oral spillage likely to be the cause of bloody secretions
  • ✕4. Patients requiring 100% FIO2
  • ✕5. Known hypersensitivity to tranexamic acid
  • ✕6. Treatment with inhaled tranexamic acid prior to screening
  • ✕7. Acquired defective color vision
  • ✕8. Subarachnoid hemorrhage
  • ✕9. Deep Venous or arterial thrombus diagnosed within the previous 3 months
  • ✕10. Seizure disorder on active anti-epileptic therapies
  • ✕11. Hypersensitivity to tranexamic acid or any of the ingredients
  • ✕12. Pregnant women will not be eligible and have a negative pregnancy test prior to entering study
  • ✕13. Patient receiving concurrent anti-fibrinolytic therapy
  • ✕14. Confirmed active COVID-19 infection

Only the research team can confirm whether you qualify. The intake questionnaire is the best way to find out.

Completing a questionnaire on Clinably does not enroll you in a clinical trial or confirm your eligibility. Only the research team can determine whether you qualify to participate. These results are based on the information you provide and are intended to help you start a conversation with the research team.

Trial data sourced from ClinicalTrials.gov.