Can a tiny Add-On make knee surgery numbing last longer?
NCT ID NCT07807020
First seen Sep 08, 2026 · Last updated Sep 09, 2026 · Updated 1 time
Summary
This trial tests whether adding a low dose of dexmedetomidine to the standard spinal anesthetic bupivacaine can prolong pain relief during and after knee replacement surgery. Researchers will compare the duration of anesthesia and the time until the first painkiller request between patients receiving the combination and those receiving bupivacaine alone. The study includes adults aged 18 to 60 scheduled for total knee replacement, and it aims to see if the lower dose provides benefits while reducing side effects like low blood pressure or slow heart rate.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- dexmedetomidine (added to bupivacaine for spinal anesthesia)
- What this could lead to
- If it works, this could make spinal anesthesia last longer and improve pain control after knee replacement, while reducing the risk of low blood pressure or slow heart rate.
- What could go wrong
- This is an early-phase trial with only 60 participants, so results may not apply broadly. Adding dexmedetomidine to spinal anesthesia could still cause side effects like low blood pressure or slow heart rate.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2026
- Expected to finish
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May 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 60 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria:• Patients aged between 18 and 60 years * Classified as ASA physical status II-III * Scheduled for elective lower limb joint replacement surgeries ( total knee replacement \[TKR\]) - Written informed consent Exclusion Criteria: Allergy to study drugs * Contraindications to spinal anesthesia * History of cardiac conduction abnormalities or severe bradycardia * Neurological or psychiatric illness * Pregnancy or lactation
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Shifa International Hospital Islamabad
Islamabad, Federal, 44000, Pakistan
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