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临床试验/NCT06807866
NCT06807866招募中4 期

Use of Duloxetine for Perioperative Pain Control After Total Hip Arthroplasty: Randomized Controlled Clinical Trial (RCT)

University of Miami1 个研究点 分布在 1 个国家目标入组 64 人开始时间: 2025年3月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
状态
招募中
入组人数
64
试验地点
1
主要终点
Total Milligram Morphine Equivalent (MME)

研究概览

简要总结

The primary objective of this study is to compare total narcotic intake standardized via milligram morphine equivalents between duloxetine and placebo cohorts after a total hip arthroplasty.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Supportive Care
盲法
Double (Participant, Investigator)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Patients > 18 years of age
  • •Patients undergoing primary total hip arthroplasty
  • •Ambulatory patient prior to fracture
  • •Subjects must be capable of providing informed consent
  • •English or Spanish speaking

排除标准

  • •Previous hemiarthroplasty or THA on ipsilateral hip
  • •History of Complex Regional Pain Syndrome in ipsilateral extremity
  • •History of demyelinating disorder or neurologic deficit that may contribute to altered pain tolerance or sensation
  • •Acute or chronic hip infection in ipsilateral extremity
  • •Pregnant or breastfeeding
  • •Open fracture
  • •Polytrauma
  • •Intravenous or drug users within 6 months of surgery
  • •Liver Failure via clinical diagnosis or international normalized ratio greater than 1.5 or partial thromboplastin time greater than 40
  • •Patients on selective serotonin reuptake inhibitor, serotonin norepinephrine reuptake inhibitor, monoamine oxidase inhibitor, and/or tricyclic anti-depressant
  • •Severe renal dysfunctions, such as glomerular filtration rate less than 30
  • •Moderate to severe depression as diagnosed by a clinician
  • •Taking cytochrome P450 1A2 inhibitors and cytochrome P450 1A6 inhibitors for the duration of 5 half-lives as these drugs are clinically eliminated within 5 half-lives
  • •History of uncontrolled narrow angle glaucoma

研究组 & 干预措施

Placebo group

Placebo Comparator

Participants will be in this group for up to 2 hours.

干预措施: Placebo (Other)

Duloxetine group

Experimental

Participants will be in this group for up to 2 hours.

干预措施: Duloxetine (Drug)

结局指标

主要结局

Total Milligram Morphine Equivalent (MME)

时间窗: Up to 24 hours

The primary outcome measure was milligram morphine equivalent units to measure pain intensity difference and total pain relief

次要结局

  • Change in Pain as measured by Visual Analog Scale (VAS)(Baseline, up to 24 hours, 3 months)
  • Musculoskeletal function as measured by SMFA questionnaire(Up to 3 months)
  • Hospital Length of stay measured in hours(Up to 96 hours)
  • Ambulation distance measured by meters(Up to 3 months)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Victor Hugo Hernandez

Professor

University of Miami

研究点 (1)

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