Actively Recruiting

Phase 3
Age: 18Years +
All Genders
NCT04448184

Platelet Transfusions in Hematopoietic Stem Cell Transplantation (The PATH III Trial)

Led by Ottawa Hospital Research Institute · Updated on 2026-01-08

662

Participants Needed

12

Research Sites

258 weeks

Total Duration

On this page

Sponsors

O

Ottawa Hospital Research Institute

Lead Sponsor

A

Alberta Cancer Foundation

Collaborating Sponsor

AI-Summary

What this Trial Is About

It is hypothesized that a strategy using prophylactic oral and intravenous Tranexamic Acid (TXA) with therapeutic platelet transfusions (if required) is safe and more effective than prophylactic platelet transfusions in patients undergoing an autologous hematopoietic stem cell transplantation (ASCT).

CONDITIONS

Official Title

Platelet Transfusions in Hematopoietic Stem Cell Transplantation (The PATH III Trial)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults 18 years or older undergoing autologous hematopoietic stem cell transplantation for a hematologic malignancy
  • Patients who have provided written informed consent before starting transplantation
Not Eligible

You will not qualify if you...

  • Previous WHO grade 2, 3, or 4 bleeding event within the past year
  • Previous or current unprovoked thrombotic event such as pulmonary embolism, deep vein thrombosis, or cerebral thrombosis
  • Current provoked thrombotic event within the last month or still requiring anticoagulant treatment
  • Requirement for therapeutic anticoagulant or anti-platelet drugs during transplantation
  • Active angina (chest pain of presumed cardiac origin at rest or with activity)
  • Current or recent (within 2 weeks) urinary tract bleeding
  • Inherited bleeding or clotting disorder
  • Coagulopathy with abnormal blood clotting tests beyond defined limits
  • History of platelet transfusion refractoriness due to HLA antibodies
  • Significant kidney impairment defined by creatinine or eGFR levels
  • Pregnant or breastfeeding
  • Unwilling or unable to provide informed consent
  • Acquired disturbances in color vision (not congenital color blindness)
  • Known allergy or sensitivity to Tranexamic Acid or its ingredients

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 12 locations

1

Tom Baker Cancer Centre

Calgary, Alberta, Canada, T2N4N2

Actively Recruiting

2

Cross Cancer Institute

Edmonton, Alberta, Canada

Actively Recruiting

3

Eastern Regional Health Authority

St. John's, Newfoundland and Labrador, Canada, A1B 3V6

Actively Recruiting

4

Memorial University

St. John's, Newfoundland and Labrador, Canada

Not Yet Recruiting

5

Dalhousie University

Halifax, Nova Scotia, Canada

Not Yet Recruiting

6

Hamilton Health Sciences - Juravinski Hospital and Cancer Centre

Hamilton, Ontario, Canada, L8V 1C3

Actively Recruiting

7

London Health Sciences Centre

London, Ontario, Canada, N6A5W9

Actively Recruiting

8

The Ottawa Hospital

Ottawa, Ontario, Canada, K1H8L6

Actively Recruiting

9

Niagara Health System

St. Catharines, Ontario, Canada, L2S 0A9

Actively Recruiting

10

Princess Margaret Cancer Centre

Toronto, Ontario, Canada, M5G 2M9

Withdrawn

11

Hopital Maisonneuve-Rosemont

Montreal, Quebec, Canada

Not Yet Recruiting

12

Saskatchewan Cancer Agency

Saskatoon, Saskatchewan, Canada

Actively Recruiting

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Research Team

S

Sohail Robert, RN

CONTACT

A

Alan Tinmouth, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

OTHER

Number of Arms

2

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