Trans-TXA, as the main active component in the isomers of tranexamic acid, has coagulation function and is widely used in the pharmaceutical industry. Its synthesis is mainly achieved through isomerization of cis-TXA. In the actual industrial production process, it involves kilogram level synthesis. Therefore, the most commonly used method is to use tranexamic acid as raw material to obtain a mixture of cis-tranexamic acid and trans-tranexamic acid through catalytic hydrogenation. Then, cis-tranexamic acid is converted to trans-tranexamic acid by isomerization reaction. The reaction conditions of cis-tranexamic acid isomerization are harsh, requiring high temperature, high pressure, and the participation of noble metal catalysts. By consulting the literature at home and abroad, it was found that some preparation studies are conditional experiments, however, there are few reports on the kinetics of the reaction system. How to obtain the isomerization reaction kinetic data and provide reliable data for industrial production design has become the focus of research. The purpose of this work is to determine the reaction mechanism and kinetics of tranexamic acid isomerization reaction under alkaline conditions. This study uses first principles simulation to obtain theoretical data such as the enthalpy change of isomerization raction, Gibbs free energy, and structural changes in the reaction process. The simulation results show that the data obtained by different calculation methods are different. Among them, the Gibbs free energy and reaction enthalpy data calculated by GGA+PBE method were the largest (ΔHr =14.5 kJ∙mol-1, ΔGr =16.0 kJ∙mol-1), and the minimum (ΔHr=11.2 kJ∙mol-1, ΔGr=10.7 kJ∙mol-1) was calculated by GGA+BLYP method. In addition, the reaction barrier is calculated by the transition state search to be 46.86 kJ∙mol-1. Then, under the actual situation of experimental investigation, the reaction process of cis-TXA isomerization into trans-TXA at 453.15—513.15 K, the reaction kinetic model was established, and the reaction kinetic parameters were obtained. The positive reaction activation energy was 64.9 kJ∙mol-1, the pre-exponential factor was 2.15×105 s-1, the reverse reaction activation energy was 53.8 kJ∙mol-1, the pre-exponential factor was 4.72×103 s-1, and the reaction enthalpy value was 10.4 kJ∙mol-1 and 11.0 kJ∙mol-1. The average reaction enthalpy value of 10.7 kJ∙mol-1 obtained by experimental calculation is basically consistent with the value of 11.2 kJ∙mol-1 obtained by the simulation of GGA+BLYP method and the value of 12.1 kJ∙mol-1 obtained by the simulation of GGA+BLYP method of transition state search. Experimental and simulation data provide theoretical data and basis for the industrial design of the substance.