A Pilot Randomized Controlled Trial of Suzetrigine as an Adjunct to Multimodal Analgesia Following Total Knee Arthroplasty
This proposal seeks to determine if the addition of Suzetrigine, a novel non-opioid pain medication, to a standardized multimodal pain management pathway significantly reduces total postoperative opioid consumption (measured in Morphine Milligram Equivalents [MME]) and improves patient-reported pain scores during the first 14 days following primary total knee arthroplasty (TKA). Prior to conducting a definitive randomized control trial (RCT), we propose a pilot study to inform the trial's design and feasibility.
Objective: To inform the design and feasibility of a definitive RCT comparing postoperative pain control with and without Suzetrigine after TKA. To achieve this objective, we will conduct a pilot trial and address the following aims:
1) to determine if participant enrollment is feasible, 2) to assess compliance with treatment protocol and key aspects of the protocol, and 3) to refine data collection methods.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 4
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Peter Hsiue, MD
- Telefonnummer: 714-456-7012
- E-mail: phsiue@hs.uci.edu
Undersøgelse Kontakt Backup
- Navn: Steven Yang, MD
- Telefonnummer: 714-456-7012
- E-mail: stevey1@hs.uci.edu
Studiesteder
-
-
California
-
Orange, California, Forenede Stater, 92868
- UCI Health Medical Center
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Adults aged 18 to 80 years
- Diagnosis of knee osteoarthritis
- Scheduled for unilateral TKA
- Willingness to maintain a 14-day medication and pain log
Exclusion Criteria:
- Chronic opioid use
- Severe renal impairment (eGFR < 30 mL/min) or severe hepatic impairment (Child-Pugh Class C)
- History of active peptic ulcer disease or GI bleeding
- Known allergies to any of the study medications (suzetrigine, acetaminophen, meloxicam, or oxycodone).
- Significant peripheral neuropathy in the operative extremity
- Active history of substance abuse or opioid use disorder
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Ingen indgriben: Standard Multimodal Group
Standard multimodal control group will receive treatment components such as nerve block through an adductor canal catheter for 4 days, cryotherapy/icing as needed, scheduled non-opioid drug (acetaminophen 1000 mg 3 times a day), nonsteroidal anti-inflammatory drug (NSAID) (Meloxicam 15mg daily), and breakthrough opioid (Oxycodone 5mg every 4 hours as needed). |
|
|
Eksperimentel: Suzetrigine Group
The Suzetrigine group will receive a 100 mg loading dose of Suzetrigine, followed by 50mg Q12h for 14 days as an addition to a standardized multimodal pain management pathway. The standardized multimodal pain management pathway consists of treatment components such as nerve block through an adductor canal catheter for 4 days, cryotherapy/icing as needed, scheduled non-opioid drug (acetaminophen 1000 mg 3 times a day), nonsteroidal anti-inflammatory drug (NSAID) (Meloxicam 15mg daily), and breakthrough opioid (Oxycodone 5mg every 4 hours as needed). |
100 mg loading dose of Suzetrigine, followed by 50mg every 12 hours for 14 days as an addition to a standardized multimodal pain management pathway. |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Participant enrollment
Tidsramme: At enrollment
|
Enrollment rates |
At enrollment
|
|
Protocol adherence
Tidsramme: Within 14 days
|
Protocol adherence rates |
Within 14 days
|
|
Data collection
Tidsramme: At 14 days
|
Completeness of data collection |
At 14 days
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Primary Clinical Outcome: Opioid consumption
Tidsramme: Within 14 days
|
Total cumulative opioid consumption in milligrams morphine equivalents (MME) within the study period |
Within 14 days
|
Andre resultatmål
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Pain
Tidsramme: At 14 days
|
Numeric Pain Rating Scale (NPRS): Zero is equivalent to no pain and 10 indicates the worst possible pain. |
At 14 days
|
|
First day of walking unassisted
Tidsramme: Within 14 days
|
Within 14 days
|
|
|
Barthel Index for Activities of Daily Living (ADL)
Tidsramme: At 14 days
|
Cumulative score ranges from 0 to 100, where 0 indicates complete dependence and 100 signifies total independence |
At 14 days
|
|
Knee injury and Osteoarthritis Outcome Score (KOOS)
Tidsramme: At 14 days
|
0 represents extreme knee problems, and 100 represents no knee problems |
At 14 days
|
|
Knee range of motion
Tidsramme: At 14 days
|
Clinical assessment |
At 14 days
|
|
Time to opioid cessation
Tidsramme: Within 14 days
|
Within 14 days
|
|
|
Opioid prescription renewal
Tidsramme: Within 14 days
|
Within 14 days
|
|
|
Incidence of opioid-related adverse events
Tidsramme: Within 14 days
|
Within 14 days
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Peter Hsiue, MD, University of California, Irvine
- Ledende efterforsker: Steven Yang, MD, University of California, Irvine
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- STUDY00001001
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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