Multicenter, Double Blind Clinical Trial to Evaluate the Antihemorragic Effect of the Topical Tranexamic Acid During Pacemaker in Anticoagulated Patients

2025-520929-20-00 Protocol HTAJ-TRANEX-2019-01 Therapeutic confirmatory (Phase III) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 3 sites · Protocol HTAJ-TRANEX-2019-01

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Authorised, recruitment pending
Participants planned 100
Countries 1
Sites 3

PACEMAKER IN ANTICOAGULATED PATIENTS

Evaluation of hemorrhage and/or hematoma in patients anticoagulated with acenocoumarol after pacemaker implantation and the effect of tranexamic acid (TXA) to reduce these events.

Key facts

Sponsor
Hospital Universitario Tajo
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Cardiovascular Diseases [C14]
Decision date (initial)
2025-01-30
Transition trial
Yes
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
Hospital Universitario Tajo

External identifiers

EU CT number
2025-520929-20-00
EudraCT number
2019-002118-37

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety

Evaluation of hemorrhage and/or hematoma in patients anticoagulated with acenocoumarol after pacemaker implantation and the effect of tranexamic acid (TXA) to reduce these events.

Secondary objectives 1

  1. Assess the occurrence of the following events: • Infectious complications • Duration of the procedure • Hospital stay • Need for blood products • Need for prohemostatic drugs • Thrombotic complications

Conditions and MedDRA coding

PACEMAKER IN ANTICOAGULATED PATIENTS

VersionLevelCodeTermSystem organ class
20.0 HLGT 10047075 Vascular haemorrhagic disorders 10047065

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. All patients undergoing permanent pacemaker implantation, over 18 years of age, who give their consent and who receive anticoagulant therapy with acenocoumarol prior to the procedure.

Exclusion criteria 1

  1. • Minors under 18 years of age • Use of antiplatelet agent other than ASA in the 5 days prior to implantation • INR >3.5 or INR <2 • Denial of informed consent

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Evaluation of hemorrhage and/or hematoma in patients anticoagulated with acenocoumarol after pacemaker implantation and the effect of tranexamic acid (TXA) to reduce these events.

Secondary endpoints 1

  1. Assess the occurrence of the following events: • Infectious complications • Duration of the procedure • Hospital stay • Need for blood products • Need for prohemostatic drugs • Thrombotic complications

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Amchafibrin 500 mg solución inyectable

PRD11559701 · Product

Active substance
Tranexamic Acid
Substance synonyms
LB1148, 4-(AMINOMETHYL)CYCLOHEXANE-1-CARBOXYLIC ACID, AMCA, TRANS-AMCHA
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
CUTANEOUS USE
Max daily dose
1500 mg milligram(s)
Max total dose
1500 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
B02AA02 — TRANEXAMIC ACID
Marketing authorisation
53939
MA holder
MEDA PHARMA S.L.
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Hospital Universitario Tajo

Sponsor organisation
Hospital Universitario Tajo
Address
Avenida Amazonass/n
City
Aranjuez
Country
Spain

Scientific contact point

Organisation
Hospital Universitario Tajo
Contact name
Rafael Blancas-Casero

Public contact point

Organisation
Hospital Universitario Tajo
Contact name
Rafael Blancas-Casero

Locations

1 EU/EEA country · 3 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Authorised, recruitment pending 100 3
Rest of world 0

Investigational sites

Spain

3 sites · Authorised, recruitment pending
Hospital Universitario Tajo
ICU, Avenida Amazonas s/n, Spain, Aranjuez
Hospital Universitario Príncipe de Asturias
ICU, Carretera de Maco SN, Spain
Hospital del Sur
ICU, C. Estambul, 30

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 5 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) ProtocoloATX 1
Recruitment arrangements (for publication) CHECK LIST CONSULTA PREIMPLANTE 1
Subject information and informed consent form (for publication) Consentimiento informado TXA 1
Summary of Product Characteristics (SmPC) (for publication) Ficha tecnica 1
Synopsis of the protocol (for publication) ProtocoloATX 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-01-30 Spain Acceptable
2025-01-30
2025-01-30