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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: PACTR
Last refreshed on: 29 May 2023
Main ID:  PACTR201210000441277
Date of registration: 24/10/2012
Prospective Registration: No
Primary sponsor: 1. London School of Hygiene and Tropical Medicine (United Kingdom)
Public title: Clinical Randomisation of an Antifibrinolytic in Significant Head Injury (CRASH-3)
Scientific title: Tranexamic acid for the treatment of significant traumatic brain injury: an international randomised, double blind placebo controlled trial
Date of first enrolment: 01/09/2011
Target sample size: 10000
Recruitment status: Recruiting
URL:  https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=441
Study type:  Interventional
Study design:  Parallel: different groups receive different interventions at same time during study,Randomised, Permuted block randomisation. Treatment packs containing TXA and placebo will be packed in balanced blocks of 8 (4 TXA: 4 Placebo) into a box in random order,Randomisation codes will be generated and secured by an independent statistical consultant from Sealed Envelope Ltd (UK).  
Phase:  Not Applicable
Countries of recruitment
Nigeria
Contacts
Name: Haleema    Shakur
Address:  Keppel Street WC1E 7HT London United Kingdom
Telephone: +44 (0)20 7299 4684
Email: crash@lshtm.ac.uk
Affiliation:  Project Director
Name: Haleema    Shakur
Address:  Keppel Street WC1E 7HT London United Kingdom
Telephone: +44 (0)20 7299 4684
Email: crash@lshtm.ac.uk
Affiliation:  Project Director
Key inclusion & exclusion criteria
Inclusion criteria: 1. Adult
2. Traumatic brain injury
3. Within 8 hours of injury
4. Any intracranial bleeding on CT scan OR a GCS of 12 or less
5. No significant extra-cranial haemorrhage
6. Where the responsible clinician is substantially uncertain as to the appropriateness of antifibrinolytic agents in the patient

Exclusion criteria: The fundamental eligibility criterion is the responsible clinician's 'uncertainty' as to whether or not to use an antifibrinolytic agent in a particular patient with traumatic brain injury

Age minimum: 16 Year(s)
Age maximum: 150 Year(s)
Gender: Both
Health Condition(s) or Problem(s) studied
Nervous System Diseases
Injury, Occupational Diseases, Poisoning

Injury, Occupational Diseases, Poisoning
Nervous System Diseases
Traumatic Brain Injury
Traumatic Brain Injury
Intervention(s)
Sodium chloride 0.9%
Tranexamic Acid (TXA)
Primary Outcome(s)
Death in hospital within 28 days of injury (cause of death will be described)
Secondary Outcome(s)
1. Vascular occlusive events (myocardial infarction, stroke, pulmonary embolism, clinical evidence of deep vein thrombosis) 2. Disability assessed using the Disability Rating Scale and Patient Orientated Outcomes 3. Seizures 4. Neurosurgical intervention 5. Days in intensive care
Secondary ID(s)
ISRCTN15088122
2011-003669-14
NCT01402882
Source(s) of Monetary Support
1. London School of Hygiene and Tropical Medicine (United Kingdom)
2. J P Moulton Charitable Foundation
Secondary Sponsor(s)
Ethics review
Status: Approved
Approval date: 17/11/2011
Contact:
London School of Hygiene and Tropical Medicine Ethics Committee
Results
Results available:
Date Posted:
Date Completed:
URL:
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