Can a pinch of naloxone stop painkillers from backfiring?

NCT ID NCT03066739

First seen Jun 16, 2026 · Last updated Jun 22, 2026 · Updated 2 times

Summary

This study tested whether adding an ultra-low dose of naloxone to a strong opioid (remifentanil) could prevent the increased pain sensitivity that sometimes happens after surgery. The trial included 8 adults undergoing spinal fusion surgery. The approach was to compare three different doses of remifentanil, with or without naloxone, but the study was terminated early, so results are limited.

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Contacts and locations

Locations

  • UC Irvine Medical Center

    Orange, California, 92868, United States

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

ultra-low dose naloxone combined with remifentanil

What this could lead to

If it works, this could point toward a way to prevent increased pain sensitivity after surgery using opioids.

What could go wrong

This was a very small, terminated Phase 2 trial with only 8 participants, so results are not reliable. It is unclear if the approach works or is safe.

Conditions

The condition(s) this trial relates to.

Hyperalgesia

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.