Clinical trial Recruiting at 1 site Early Phase 1 Interventional Ages 18 and up

Intramuscular vs. Intravenous Tranexamic Acid in Total Hip Replacement

Official title: Evaluating the Effectiveness of Intramuscular Versus Intravenous Tranexamic Acid for Minimizing Blood Loss After Total Hip Arthroplasty: A Randomized Controlled Trial

Run by Alexandria University · NCT07817537 · Data updated 2026-11-12

This trial tests whether giving tranexamic acid by muscle injection works as well as the IV version to reduce blood loss in adults having a hip replacement.

Quick facts

PhaseEarly Phase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment128 (estimated)
SponsorAlexandria University
Academic / other
Locations1 site (Alexandria)
StatusRecruiting
StartedJanuary 15, 2026
Main results expectedJanuary 15, 2027
Study endsMarch 1, 2027
Registry record updatedSeptember 14, 2026
Trial IDNCT07817537 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18 years or older scheduled for elective primary total hip arthroplasty who can provide informed consent and have no recent thromboembolic history or contraindications to TXA.

Probably not a fit

Patients with a history of recent arterial thromboembolism, DVT/PE, kidney disease, pregnancy, or TXA contraindications may not benefit from this approach.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized, early-phase study compares intramuscular and intravenous tranexamic acid in adults undergoing elective primary total hip arthroplasty. Participants are randomized to receive TXA by intramuscular injection or by IV administration with the goal of minimizing perioperative blood loss. The study uses standard care protocols and includes safety monitoring for thromboembolic events and other TXA-related risks. Enrollment targets adults 18 years and older who can provide informed consent, excluding those with recent thromboembolic history, kidney issues, or contraindications to TXA. The lead sponsor is Alexandria University, with procedures conducted at Alexandria university main hospitals in Alexandria, Egypt.

Why it matters

Potential benefit: If successful, intramuscular TXA could offer an effective alternative to IV TXA, potentially simplifying administration and conserving IV resources.

How similar studies have gone: Previous studies in TXA use for hip arthroplasty support efficacy in reducing blood loss with IV administration; this trial tests a novel intramuscular route.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Adult patients aged 18 years and older.
2. Scheduled to undergo elective primary total hip arthroplasty.
3. Able to provide informed consent.

Exclusion Criteria:

* 1\. History of renal failure or kidney transplant. 2. History of an arterial thromboembolic event (such as myocardial infarction or stroke) within the past year.

  3\. Placement of an arterial stent within the past year. 4. History of deep venous thrombosis (DVT) or pulmonary embolism (PE). 5. Known contraindications to tranexamic acid. 6. Pregnancy or breastfeeding. 7. Refusal to participate or refusal to consent to receive blood products.

Where it's running

  • Alexandria university main hospitals
    Alexandria, Egypt
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.