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Priya Life Science Compound trial record
Compound · clinical trials

Tranexamic Acid clinical trials

Also listed in trial records as Lysteda, Pause, Trapic, Tramix, Cyclokapron, Hexakapron, Local tranexamic acid, Kapron
Source: ClinicalTrials.gov, U.S. National Library of Medicine — the 43 trials in our Canada, China, Egypt, Israel, USA, India, Belgium, Denmark, Turkey, Mexico, Italy, Netherlands, Norway, Taiwan and Australia registers that name Tranexamic Acid as an intervention. Synced 9 Nov 2026
43Current trials
29Recruiting now
35Lead sponsors
15Country registers
At a glance

Tranexamic Acid is named as an intervention in 43 current clinical trials in our Canada, China, Egypt, Israel, USA, India, Belgium, Denmark, Turkey, Mexico, Italy, Netherlands, Norway, Taiwan and Australia registers. 29 are recruiting patients now. The most common phase is Phase 4. The sponsor with the most trials is Assiut University (4). The most-studied condition is Bleeding. The EU clinical trials register (CTIS) separately lists 1 authorised or ongoing trial.

Where Tranexamic Acid is approved

All regulators →

Of the three regulators tracked here, the first to approve Tranexamic Acid was the US, on 30 Dec 1986. It is approved in 2 of the 3 regulators tracked here.

USUnited States (FDA)
30 Dec 1986
Cyklokapron
NDA019280 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
No centralised EU authorisation (it may be authorised nationally)
First centralised authorisation
CACanada (Health Canada)
13 Feb 2013
Lysteda
Notice of Compliance 14080
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

What health systems spend on Tranexamic Acid

All medicines →
ENNHS England
£2.8m
698,165 items dispensed, Sep 2025 to Aug 2026
-12% on the previous 12 months
Net ingredient cost, community prescriptions
USUS Medicaid
$6.3m
141,550 prescriptions in 2025 · Tranexamic Acid, Tranexamic Acid, Tranexamic Acid In Sodium Chloride
-40% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Tranexamic Acid works

All drug targets →
  • Plasminogen inhibitor Inhibitor
    Target: PLG plasminogen
    ✓ In ChEMBL and the Guide to Pharmacology
Diseases it has been tested for in clinical trials, by furthest phase
  • Gastrointestinal hemorrhagePhase 3
  • HemoptysisPhase 3
  • Pulmonary hemorrhagePhase 3
  • SeizurePhase 3
  • SepsisPhase 3
  • ShockPhase 3
  • ThrombocytopeniaPhase 3
  • ThromboembolismPhase 3
  • Von Willebrand diseasePhase 3
  • AnemiaPhase 3
62 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL877, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3.1), ligand 6573, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

Patient leaflets for Tranexamic Acid

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Tranexamic Acid

ATC code
B02AA02
ChEMBL
CHEMBL877
DrugBank
DB00302
PubChem CID
5526
CAS number
1197-18-8
FDA UNII
6T84R30KC1
Wikidata
Q418666
Wikipedia
Tranexamic acid

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

Trials by status

  • Recruiting2967%
  • Not yet open1023%
  • Active, closed37%
  • By invitation12%

Trials by phase

  • Phase 41228%
  • Phase 31023%
  • Not applicable1023%
  • Observational37%
  • Phase 2/325%
  • Phase 225%
  • Phase 1/225%
  • Early Phase 125%
01

Clinical trials of Tranexamic Acid

43 trials
StudyPhaseStatusLead sponsorRegisters
Tranexamic Acid During Colonic Endoscopic Resection Procedures
NCT05345613 · ClinicalTrials.gov ↗ · Colon Neoplasm
Phase 4 Recruiting Assaf-Harofeh Medical Center Israel
Indian Trial of Tranexamic Acid in Spontaneous Intracerebral Haemorrhage
NCT05836831 · ClinicalTrials.gov ↗ · Intracerebral Hemorrhagic Stroke
Phase 4 Recruiting Christian Medical College and Hospital, Ludhiana, India India
The Effect of ACT and Tranexamic Acid on Bleeding in Cardiac Surgery
NCT06109155 · ClinicalTrials.gov ↗ · Surgery, Cardiac, Tranxemic Acid, Activated Clotting Time
Phase 4 Recruiting Taichung Veterans General Hospital Taiwan
The Effect of Local Application of Tranexamic Acid Versus Placebo on Postoperative Complications in Plastic Surgery
NCT06270407 · ClinicalTrials.gov ↗ · Surgical Complication
Phase 4 Recruiting St. Olavs Hospital Denmark, Norway
Topical TRanexamic Acid vs. Placebo on Acute Postoperative Pain Following DRF Fixation
NCT06384456 · ClinicalTrials.gov ↗ · Distal Radius Fractures
Phase 4 Recruiting University Health Network, Toronto Canada
Prophylactic Tranexamic Acid Reduces Postpartum Hemorrhage
NCT06754371 · ClinicalTrials.gov ↗ · Postpartum Hemorrhage, Systemic Autoimmune Diseases
Phase 4 Recruiting RenJi Hospital China
The Safety of Simplified Tranexamic Acid Regimen
NCT07869537 · ClinicalTrials.gov ↗ · Trauma Coagulopathy, Hemorrhage
Phase 4 Recruiting Second Affiliated Hospital, Zhejiang University, School of Medicine China
Tranexamic Acid to Prevent OpeRation in Chronic Subdural Hematoma
NCT03582293 · ClinicalTrials.gov ↗ · Hematoma, Subdural, Chronic
Phase 3 Recruiting Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) Netherlands
Platelet Transfusions in Hematopoietic Stem Cell Transplantation (The PATH III Trial)
NCT04448184 · ClinicalTrials.gov ↗ · Hematologic Neoplasms
Phase 3 Recruiting Ottawa Hospital Research Institute Canada
Early Tranexamic Acid and Modulating the Inflammatory Response in Sepsis
NCT04910464 · ClinicalTrials.gov ↗ · Sepsis
Phase 3 Recruiting Assiut University Egypt
The Use of Tranexamic Acid in the Treatment of Symptomatic Subdural Hematoma
NCT05713630 · ClinicalTrials.gov ↗ · Subdural Hematoma
Phase 3 Recruiting Unity Health Toronto Canada
Perioperative Treatment With Tranexamic Acid in Melanoma
NCT05899465 · ClinicalTrials.gov ↗ · Melanoma
Phase 3 Recruiting University of Aarhus Denmark
Massive Transfusion in Children-2: A Trial Examining Life Threatening Hemorrhage in Children
NCT06070350 · ClinicalTrials.gov ↗ · Hemorrhagic Shock, Trauma Injury
Phase 3 Recruiting Philip Spinella Mexico
The Effects of Intraoperative Tranexamic Acid on Perioperative Bleeding In Craniotomies
NCT06229483 · ClinicalTrials.gov ↗ · Brain Tumor, Bleeding
Phase 3 Recruiting Stephen Lownie Canada
Effect of Early Administration of TXA in Adult Hip Fractures
NCT05047133 · Postoperative Blood Loss
Phase 2/3 Recruiting Ascension Health USA
Adjuvant Tranexamic Acid (TXA) Versus Surgery Alone for Adult Patients With Chronic Subdural Hematoma (CSDH)
NCT07245264 · ClinicalTrials.gov ↗ · Chronic Subdural Hematoma
Phase 2/3 Recruiting St. Olavs Hospital India
Evaluation of Tranexamic Acid in Myelodysplastic Syndromes and Acute Myeloid Leukemia
NCT06599762 · ClinicalTrials.gov ↗ · Myelodysplastic Syndromes, Acute Myeloid Leukemia, Myelodysplastic/Myeloproliferative Neoplasm
Phase 2 Recruiting University of Manitoba Canada
Study on BT-114143 Reducing Perioperative Bleeding in Total Knee Arthroplasty(TKA)
NCT07127042 · ClinicalTrials.gov ↗ · Total Knee Arthroplasty
Phase 2 Recruiting ScinnoHub Pharmaceutical Co., Ltd China
Tranexamic Acid Use for Bleeding Prevention in the Surgical Treatment of Metastatic Spinal Tumor in Lung Cancer Patients
NCT06023212 · ClinicalTrials.gov ↗ · Metastasis Spinal Tumor
Phase 1/2 Recruiting Second Affiliated Hospital, Zhejiang University, School of Medicine China
Treatment of Nosebleeds in the Emergency Department With Powder Tranexamic Acid
NCT06997796 · ClinicalTrials.gov ↗ · Epistaxis Nosebleed
Phase 1/2 Recruiting Dr. Anne Conlin Canada
Pharmacokinetics and Safety of Commonly Used Drugs in Lactating Women and Breastfed Infants
NCT03511118 · ClinicalTrials.gov ↗ · Lactating Women on Select DOI, Breastfed Infants of Mothers on Select DOI
Observational Recruiting Duke University Canada, Mexico
Effects of Tranexamic Acid Irrigation on Impacted Third Molar Surgery
NCT06806241 · ClinicalTrials.gov ↗ · Bleeding, Tooth Extraction
Observational Recruiting Bezmialem Vakif University Turkey
Local Tranexamic Acid During Vaginal Hysteractomy to Reduce Blood Loss
NCT04760301 · ClinicalTrials.gov ↗ · Blood Loss
Not applicable Recruiting Meir Medical Center Israel
Tranexamic Acid in Pediatric Undergoing Proximal Femoral Osteotomies and/or Acetabular Osteotomy
NCT04811313 · ClinicalTrials.gov ↗ · Intraoperative Blood Loss, Pediatric, Orthopedic Disorder
Not applicable Recruiting Assiut University Egypt
Tranexamic Acid Use on Pain, Mobility and Bleeding Following Total Hip and Total Knee Arthroplasty
NCT06208267 · ClinicalTrials.gov ↗ · Postoperative Bleeding
Not applicable Recruiting St. Mary's Research Center, Canada Canada
Efficacy and Safety of Tranexamic Acid in Adult Liver Transplantation---ESTA Trial
NCT07157631 · ClinicalTrials.gov ↗ · Liver Transplantation, Tranexamic Acid, End-stage Liver Disease (ESLD)
Not applicable Recruiting RenJi Hospital China
Injectable Platelet-Rich Fibrin Versus Intradermal Tranexamic Acid for Melasma
NCT07540702 · ClinicalTrials.gov ↗ · Melasma, Facial Melasma
Not applicable Recruiting Kasr El Aini Hospital Egypt
Assessment of Nebulized Tranexamic Acid in Functional Endoscopic Sinus Surgery Using Modena Bleeding Score
NCT06725732 · ClinicalTrials.gov ↗ · Blood Loss, Surgical
Early Phase 1 Recruiting Assiut University Egypt
Topical Tranexamic Acid to Reduce Blood Loss During Cesarean Delivery
NCT07362992 · ClinicalTrials.gov ↗ · Cesarean Delivery, Postpartum Hemorrhage (PPH), Intraoperative Blood Loss
Early Phase 1 Recruiting Wolfson Medical Center Israel
Study the Anti-inflammatory Effect of Tranexamic Acid When Used in Anterior Cruciate Ligament Reconstruction.
NCT07332910 · ClinicalTrials.gov ↗ · ACL Reconstruction, Hemarthrosis
Phase 4 Not yet open Chirec Belgium
Plasma Concentrations of Intraosseous Versus Intravenous Tranexamic Acid in Joint Arthroplasty
NCT07614087 · ClinicalTrials.gov ↗ · Osteoarthritis
Phase 4 Not yet open Hua Luo China
Oral Versus Intravenous Tranexamic Acid in Off-Pump Coronary Artery Bypass Surgery
NCT07740330 · ClinicalTrials.gov ↗ · Coronary Artery Disease, Perioperative Bleeding
Phase 4 Not yet open Clinique Saint-Luc Belgium
Intraosseous Tranexamic Acid for Reducing Blood Loss in Total Knee Arthroplasty
NCT07853885 · ClinicalTrials.gov ↗ · Knee Osteoarthritis
Phase 4 Not yet open The Second Affiliated Hospital of Kunming Medical University China
Tranexamic Acid to Reduce Blood Loss After Varus Derotation Osteotomy
NCT07672158 · ClinicalTrials.gov ↗ · Cerebral Palsy, Hip Surgery Corrective, Tranexamic Acid Use
Phase 3 Not yet open Murdoch Childrens Research Institute Australia
Clinical Spectrum and Management of Von Willebrand Disease Among Children in Assiut Governorate
NCT07410130 · ClinicalTrials.gov ↗ · Von Willebrand Disease (VWD), Inherited Bleeding Disorders in Children, Pediatric Hemostatic Disorders
Observational Not yet open Assiut University Egypt
Prophylactic Tranexamic Acid in Low-Risk Repeat Cesarean Delivery: A Randomized Controlled Trial
NCT07390799 · ClinicalTrials.gov ↗ · Cesarean Delivery
Not applicable Not yet open Ege University Turkey
Evaluation of the Therapeutic Effect of Local Application of Tranexamic Acid in Rotator Cuff Repair
NCT07714473 · ClinicalTrials.gov ↗ · Rotator Cuff Tear Repair
Not applicable Not yet open Hua Luo China
Evaluating the Effectiveness and Safety of Microneedling With Topical Tranexamic Acid in Treatment of Striae Rubra
NCT07795515 · ClinicalTrials.gov ↗ · Striae Rubra
Not applicable Not yet open Sohag University Egypt
New Treatment in Melasma
NCT07887399 · ClinicalTrials.gov ↗ · Female, With, Facial
Not applicable Not yet open Sohag University Egypt
Microneedling-Assisted Metformin, Tranexamic Acid, and Modified Kligman's Formula for Melasma
NCT07696806 · ClinicalTrials.gov ↗ · Melasma (Facial Melasma)
Phase 4 By invitation Sameh Sarsik Egypt
The HeLiX (Hemorrhage During Liver Resection: traneXamic Acid) Trial
NCT02261415 · ClinicalTrials.gov ↗ · Cancer, Tumour, Surgery
Phase 3 Active, closed Sunnybrook Health Sciences Centre Canada
Prophylactic Endobronchial Tranexamic Acid to Reduce Bleeding in Transbronchial Cryobiopsy
NCT06266546 · Hemorrhage Lung, Endobronchial Mass
Phase 3 Active, closed Youssef Yammine USA
BAR-TAX - Tranexamic Acid in Bariatric Surgery.
NCT07401394 · ClinicalTrials.gov ↗ · Bariatric Surgery, Bariatric Patients, Bariatric Surgery Complications
Not applicable Active, closed Santa Maria Hospital - GVM Care & Research Italy

Registers list studies that are recruiting, about to open, active but closed to enrolment, or enrolling by invitation. The UK and USA registers cover industry-sponsored studies only. Trial titles and statuses are copied from the registry as published.

02

Tranexamic Acid in the EU trials register (CTIS)

1 trial

Authorised or ongoing trials in the EU Clinical Trials Information System that list a product containing Tranexamic Acid. Many trials are registered in both CTIS and ClinicalTrials.gov, so these are shown separately rather than added to the count above. Trials with a site in Ireland are listed first.

StudyPhaseStatusSponsorCountries
Oral versus Intravenous Tranexamic Acid for Blood Loss Prevention in Off-Pump Coronary Artery Bypass Surgery: A Randomised Non-Inferiority Trial (TRANSCAB Study)
2026-526581-24-01 · Cardiovascular Diseases
Phase 4 Authorised Sante et Prevoyance Belgium
03

Tranexamic Acid across our data

Ireland · EU · US

The same active substance in our other registers, matched by its exact name. Each entry links to the register record it comes from.

Licensed in Ireland (HPRA)

3 single-substance products containing Tranexamic Acid on the HPRA medicines list.

All 3 Irish products →

Supply shortages

No entry for Tranexamic Acid in the EMA, FDA or German BfArM shortage lists we track.

04

Conditions studied with Tranexamic Acid

72 conditions
Bleeding3Cesarean Delivery2Blood Loss, Surgical2Intraoperative Blood Loss2Melasma2Postoperative Blood Loss1Hemorrhage Lung1Endobronchial Mass1Intracerebral Hemorrhagic Stroke1Chronic Subdural Hematoma1Total Knee Arthroplasty1Postpartum Hemorrhage1
All 72 conditions
Condition (as registered)Trials
Bleeding3
Cesarean Delivery2
Blood Loss, Surgical2
Intraoperative Blood Loss2
Melasma2
Postoperative Blood Loss1
Hemorrhage Lung1
Endobronchial Mass1
Intracerebral Hemorrhagic Stroke1
Chronic Subdural Hematoma1
Total Knee Arthroplasty1
Postpartum Hemorrhage1
Systemic Autoimmune Diseases1
Trauma Coagulopathy1
Hemorrhage1
Liver Transplantation1
Tranexamic Acid1
End-stage Liver Disease (ESLD)1
Metastasis Spinal Tumor1
Knee Osteoarthritis1
Rotator Cuff Tear Repair1
Osteoarthritis1
Bariatric Surgery1
Bariatric Patients1
Bariatric Surgery Complications1
Hematoma, Subdural, Chronic1
Coronary Artery Disease1
Perioperative Bleeding1
ACL Reconstruction1
Hemarthrosis1
Melanoma1
Surgical Complication1
Tooth Extraction1
Distal Radius Fractures1
Epistaxis Nosebleed1
Brain Tumor1
Lactating Women on Select DOI1
Breastfed Infants of Mothers on Select DOI1
Hematologic Neoplasms1
Cancer1
Tumour1
Surgery1
Subdural Hematoma1
Myelodysplastic Syndromes1
Acute Myeloid Leukemia1
Myelodysplastic/Myeloproliferative Neoplasm1
Postoperative Bleeding1
Hemorrhagic Shock1
Trauma Injury1
Surgery, Cardiac1
Tranxemic Acid1
Activated Clotting Time1
Heparin1
Cerebral Palsy1
Hip Surgery Corrective1
Tranexamic Acid Use1
Postpartum Hemorrhage (PPH)1
Hemostasis1
Colon Neoplasm1
Sepsis1
Von Willebrand Disease (VWD)1
Inherited Bleeding Disorders in Children1
Pediatric Hemostatic Disorders1
Pediatric1
Orthopedic Disorder1
Melasma (Facial Melasma)1
Facial Melasma1
Striae Rubra1
Female1
With1
Facial1
Blood Loss1
07

Related compounds

08

Questions about Tranexamic Acid trials

How many clinical trials are testing Tranexamic Acid?

43 current trials in our Canada, China, Egypt, Israel, USA, India, Belgium, Denmark, Turkey, Mexico, Italy, Netherlands, Norway, Taiwan and Australia registers name Tranexamic Acid as a drug or biological intervention, as of the registry sync on 9 November 2026. Completed and withdrawn studies are not counted.

Are Tranexamic Acid trials recruiting patients?

Yes. 29 of the 43 trials are recruiting: 8 with sites in Canada, 5 with sites in China, 4 with sites in Egypt, 3 with sites in Israel, 1 with sites in USA, 2 with sites in India, 2 with sites in Denmark, 1 with sites in Turkey, 2 with sites in Mexico, 1 with sites in Netherlands, 1 with sites in Norway and 1 with sites in Taiwan. Eligibility and site contacts are on each trial's record. Only the study team can confirm whether a patient is eligible.

Who sponsors Tranexamic Acid clinical trials?

Assiut University (4), St. Olavs Hospital (2), RenJi Hospital (2) and Second Affiliated Hospital, Zhejiang University, School of Medicine (2), among 35 lead sponsors in total. The number in brackets is how many trials each organisation leads.

Is Tranexamic Acid licensed in Ireland?

Yes. The HPRA medicines list includes 3 single-substance products containing Tranexamic Acid, for example Cyklokapron 100 mg/mL solution for injection/infusion (Pfizer Healthcare Ireland Unlimited Company). A licence does not mean a product is currently marketed or reimbursed; see each product's record.

Is there a Tranexamic Acid shortage?

Not in the lists we track: Tranexamic Acid has no entry in the EMA, FDA or German BfArM shortage registers as of their latest sync.

Where does this information come from?

Every trial, status, phase and sponsor on this page is copied from public ClinicalTrials.gov records by a daily sync. Nothing here describes how Tranexamic Acid works or whether it is effective, and it is not medical advice.

Approvals, shortages and trials, every Friday

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How this page is built

Everything on this page is copied from public ClinicalTrials.gov registry records — it is not written from memory, and nothing here describes how Tranexamic Acid works or whether it is effective. Each trial links to its own record so you can check it yourself.

This page is built automatically: a daily sync job reads the registry records behind our country trial registers, collects every trial that lists Tranexamic Acid (or a registered synonym) as a drug or biological intervention, and tabulates the registry fields directly. Placebos and generic comparators are excluded. There is no AI drafting and no per-compound editorial pass, and the page has not been clinically reviewed. The “last verified” date above is the timestamp of that sync, not a review date. Our general editorial approach is described in our editorial standards and corrections policy. The ClinicalTrials.gov data on this page was last retrieved on 9 Nov 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.