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Roberts I, et al. "Effects of tranexamic acid on death, disability, vascular occlusive events and other morbidities in patients with acute traumatic brain injury (CRASH-3): a randomised, placebo-controlled trial". The Lancet. 2019. :.

Clinical Question

Bottom Line

Major Points


As of June 2018, no guidelines have been published that reflect the results of this trial.


  • Multicenter, double-blind, parallel-group, randomized, controlled trial
  • N=12737
    • Intervention (n=)
    • Placebo (n=)
  • Setting:
  • Enrollment: July 20, 2012 and January 31, 2019
  • Mean follow-up:
  • Analysis:
  • Primary Outcome:


Inclusion Criteria

Exclusion Criteria

Baseline Characteristics

BLANK Group displayed

  • Demographics:
  • Physiologic parameters:
  • Anthropomorphics: Weight
  • Labs:
  • Site of infection



Comparisons are BLANK therapy vs. BLANK therapy.

Primary Outcomes

Secondary Outcomes

Subgroup Analysis

Adverse Events



  • Run in phase (first 500 patients): The JP Moulton Charitable Trust
  • Main phase: the National Institute for Health Research Health Technology Assessment (NIHR HTA; 14/190/01), and Joint Global Health Trials, Medical Research Council, Department for International Development, Global Challenges Research Fund, and the Wellcome Trust (MRM0092111)
  • New Brunswick Trauma Program grant of $10 000 CAD to support the trial in Canada

Further Reading