- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06328062
Comparing Efficiency of Mirogabalin and Pregabalin in Primary TKA
Comparison Efficacy of Mirogabalin and Pregabalin in Total Knee Arthroplasty. a Randomized Controlled Trial
The goal of this RCT is to compare efficacy between mirogabalin and pregabalin in pain reducing after unilateral primary total knee arthroplasty.
The main question[s] it aims to answer are:
• Does mirogabalin have better pain reduction than pregabalin after unilateral primary total knee arthroplasty.
Participants will randomized to mirogabalin or pregabalin group and will take the drug for 6 weeks after TKA. Researchers will compare to pregabalin group to see pain and functional outcomes after TKA.
Study Overview
Status
Intervention / Treatment
Detailed Description
After surgery is complete, you will be randomly assigned to receive painkillers Mirogabalin or Pregabalin along with other standard medications.
Surgery by Mirogabalin group: Participants received 5 mg of mirogabalin, taken as half a tablet, every day.
Twice a day, after breakfast and dinner, for 6 weeks. In the pregabalin group: Participants received 50 mg of pregabalin, one tablet taken daily.
Twice a day, after breakfast and dinner, for 6 weeks
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Yot Tanariyakul, M.D.
- Phone Number: +66863930257
- Email: y.tanariyakul@gmail.com
Study Locations
-
-
Pathum Thani
-
Khlong Luang, Pathum Thani, Thailand, 12120
- Recruiting
- Thammasat University Hospital
-
Principal Investigator:
- Krit Boontanapibul, M.D.
-
Contact:
- Yot Tanariyakul, M.D.
- Phone Number: 6683930257
- Email: y.tanariyakul@gmail.com
-
Principal Investigator:
- Yot Tanariyakul, M.D.
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 50-85 years old
- Unilateral primary osteoarthritis undergoing primary TKA
- ASA I-III
Exclusion Criteria:
- GFR <60
- Allergy to drug in this study
- Cannot underwent spinal anesthesia and adductor canal block
- Taking gabapentinoid within 3 months before surgery
- History of previous knee surgery
- Severe liver disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Mirogabalin
Participants will receive 5 mg of mirogabalin, taken as half a tablet, every day twice a day, after breakfast and dinner, for 6 weeks.
|
Participants will receive 5 mg of mirogabalin, taken as half a tablet, every day twice a day, after breakfast and dinner, for 6 weeks.
|
Active Comparator: Pregabalin
Participants will receive 50 mg of pregabalin, taken as a tablet, every day twice a day, after breakfast and dinner, for 6 weeks.
|
Participants will receive 50 mg of pregabalin, taken as a tablet, every day twice a day, after breakfast and dinner, for 6 weeks.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain score
Time Frame: Every 6 hours after surgery for 2 days, then twice a day for 2 weeks, then once a week until 12 week after surgery.
|
Visual analog scale at rest and motion (0-100 points, 0 mean best, 100 mean worst)
|
Every 6 hours after surgery for 2 days, then twice a day for 2 weeks, then once a week until 12 week after surgery.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Morphine consumption
Time Frame: 72 hours after surgery
|
Total morphine consumption in hospital (mg)
|
72 hours after surgery
|
Range of motion
Time Frame: 24 hour, 48 hour, 2 week, 6 week and 12 week after surgery
|
Using long arm goniometer (degrees)
|
24 hour, 48 hour, 2 week, 6 week and 12 week after surgery
|
Knee society score
Time Frame: 2 week, 6 week and 12 week after surgery
|
report in point (0-100, 0 mean worst, 100 mean best)
|
2 week, 6 week and 12 week after surgery
|
Knee injury and Osteoarthritis Outcome Score (KOOS)
Time Frame: 2 week, 6 week and 12 week after surgery
|
report in point (0-100, 0 mean worst, 100 mean best)
|
2 week, 6 week and 12 week after surgery
|
Sedation score
Time Frame: 24 hour, 48 hour, 2 week, 6 week and 12 week after surgery
|
report in point (0-100, 0 mean best, 100 mean worst)
|
24 hour, 48 hour, 2 week, 6 week and 12 week after surgery
|
Incidence of Somnolence and dizziness
Time Frame: everyday until 14 days then once a week until 12 weeks after surgery
|
Using scale "Mild, moderate and severe"
|
everyday until 14 days then once a week until 12 weeks after surgery
|
Total hospital stay
Time Frame: up to 1 week
|
Number of days the patient stays for surgery
|
up to 1 week
|
Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Hannon CP, Fillingham YA, Browne JA, Schemitsch EH, Mullen K, Casambre F, Visvabharathy V, Hamilton WG, Della Valle CJ. The Efficacy and Safety of Gabapentinoids in Total Joint Arthroplasty: Systematic Review and Direct Meta-Analysis. J Arthroplasty. 2020 Oct;35(10):2730-2738.e6. doi: 10.1016/j.arth.2020.05.033. Epub 2020 May 26.
- Kim JY, Abdi S, Huh B, Kim KH. Mirogabalin: could it be the next generation gabapentin or pregabalin? Korean J Pain. 2021 Jan 1;34(1):4-18. doi: 10.3344/kjp.2021.34.1.4.
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Postoperative Complications
- Pain
- Neurologic Manifestations
- Pain, Postoperative
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Analgesics
- Sensory System Agents
- Tranquilizing Agents
- Psychotropic Drugs
- Membrane Transport Modulators
- Anti-Anxiety Agents
- Anticonvulsants
- Calcium-Regulating Hormones and Agents
- Calcium Channel Blockers
- Pregabalin
Other Study ID Numbers
- TUH Mirogabalin TKA
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Osteoarthritis
-
Sanford HealthActive, not recruitingKnee Osteoarthritis | Hip Osteoarthritis | Shoulder Osteoarthritis | Ankle Osteoarthritis | Wrist OsteoarthritisUnited States
-
University of EdinburghHospital for Special Surgery, New YorkRecruitingKnee Osteoarthritis | Hip Osteoarthritis | Shoulder OsteoarthritisUnited Kingdom
-
Medical University of WarsawUnknownOsteoarthritis | Knee Osteoarthritis | Hip Osteoarthritis | Glenohumeral OsteoarthritisPoland
-
Medical University of WarsawUnknownOsteoarthritis | Knee Osteoarthritis | Hip Osteoarthritis | Glenohumeral OsteoarthritisPoland
-
University of California, San FranciscoStanford University; Robert Wood Johnson FoundationCompletedKnee Osteoarthritis | Hip OsteoarthritisUnited States
-
University of VermontCompletedOsteoarthritis of Knee | Osteoarthritis Of HipUnited States
-
Hospital for Special Surgery, New YorkRoyal Infirmary of EdinburghRecruitingKnee Osteoarthritis | Hip Osteoarthritis | Shoulder OsteoarthritisUnited States, United Kingdom
-
Ottawa Hospital Research InstituteNot yet recruitingKnee Osteoarthritis | Hip Osteoarthritis
-
University Hospital, LilleCompleted
-
Massachusetts General HospitalNewton-Wellesley Hospital; The New England Baptist HospitalCompletedKnee Osteoarthritis | Hip OsteoarthritisUnited States
Clinical Trials on Mirogabalin
-
Daiichi Sankyo Co., Ltd.CMIC Co, Ltd. JapanCompletedDiabetic Peripheral Neuropathic Pain | Post-herpetic NeuralgiaJapan
-
Daiichi Sankyo Co., Ltd.Quintiles, Inc.; CMIC Co, Ltd. Japan; Quintiles Malaysia Sdn. Bhd.CompletedDiabetic Peripheral Neuropathic PainJapan
-
Daiichi Sankyo Co., Ltd.Quintiles, Inc.; SRL Medisearch Inc.Completed
-
Daiichi Sankyo Co., Ltd.CompletedDiabetic Peripheral Neuropathic PainChina
-
Daiichi Sankyo Co., Ltd.CompletedCentral Neuropathic PainJapan, Korea, Republic of, Taiwan
-
Gangnam Severance HospitalRecruiting
-
Daiichi Sankyo, Inc.Syneos HealthCompletedFibromyalgiaSpain, United States, Poland, Bulgaria, South Africa, Hungary, Czechia, Romania
-
Daiichi Sankyo, Inc.Syneos HealthCompletedPain Associated With FibromyalgiaUnited States, Poland, Spain, Argentina, Austria, Belarus, Belgium, Chile, Colombia, Israel, Mexico, Portugal, Slovenia, Switzerland
-
Daiichi Sankyo, Inc.Syneos HealthCompletedPain Associated With FibromyalgiaUnited Kingdom, United States, Bulgaria, Romania, New Zealand, Australia, Russian Federation, Hungary, Slovakia, India, Latvia, Estonia
-
Daiichi Sankyo, Inc.Syneos HealthCompletedPain Associated With FibromyalgiaUnited States, France, Germany, Serbia, Netherlands, Denmark, Sweden, Canada, Norway, Finland, Czechia