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New implant could ease pain after knee replacement, reduce opioid use

NCT ID NCT06799845

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This phase 2 trial tested an experimental implant called ATX101 that slowly releases the numbing drug bupivacaine into the knee after total knee replacement surgery. The study involved 226 adults and compared ATX101 to a saline placebo and standard bupivacaine injections. The goal was to see if the implant provides better pain relief and reduces the need for opioid painkillers.

What this could mean

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

Active substance
ATX101 (bupivacaine implant)
What this could lead to
If it works, this could provide longer-lasting pain relief after knee replacement surgery and reduce the need for opioid painkillers.
What could go wrong
This is an early phase 2 trial with only 226 participants, so results may not apply to everyone. The implant may not work better than existing options, and there could be side effects like infection or implant-related issues.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Phase 2

Tests whether the treatment actually works, and watches for side effects, in a larger group.

Participants

226 people

The number who actually took part.

Started

Feb 2025

Finished

Oct 2025

Lead sponsor

A company

The lead sponsor is a pharmaceutical, biotech, or medical-device company.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 to 80 years

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show 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.

Key Inclusion Criteria: * Primary indication of TKA is knee pain due to osteoarthritis or post-traumatic arthritis * Scheduled to undergo primary unilateral TKA with a cemented prosthesis, without use of a surgical drain, and under bupivacaine spinal anesthesia (dextrose is permitted) * American Society of Anesthesiology (ASA) Physical Classification System of class 1, 2, or 3 * Capable, able, and willing to comply with all trial visits and procedures. Participant must also be able to use trial required e-diary and demonstrate completion compliance during the screening period * English or Spanish speaking, willing, and capable of providing written informed consent Key Exclusion Criteria: * Has a planned concurrent surgical procedure (e.g. bilateral TKA) at the time of surgery or a planned surgical procedure before the last trial visit * Has had any previous open surgery, (e.g., ORIF for fracture, osteotomy, arthroplasty, unicompartmental knee arthroplasty, or TKA), in the trial knee at any time in the past or arthroscopic surgery within 12 months. Has had any previous surgery in the contralateral knee within 6 months prior to screening * Has been administered any type of intra-articular injection within 3 months of surgery in the trial knee * Unable to abstain from opioid use for knee pain (including codeine) within 2 weeks (14 days) of surgery * Has a Body Mass Index (BMI) ≥45 kg/m² * Is unwilling or unable to discontinue use of medications or products that can impact pain control from the Screening Visit until the last trial visit (e.g. cannabidiol (CBD) oil, Kratom) * Has a medical condition or receiving medication such that, in the opinion of the Investigator, participating in the trial would pose a health risk to the participant or confound the postsurgical assessments or might confound or interfere with the outcome of the trial * Has received/used an investigational drug, product, or device for a clinical trial within 30 days of screening. COVID-19 vaccines (approved or under emergency use authorization locally) are permitted if the participant is not in a clinical trial for the vaccine * Has a positive drug screen at the Screening Visit or on the day of surgery * Has participated in an ATX101 clinical trial * Pregnant, breastfeeding, or planning to become pregnant during the trial or before the last trial visit Other protocol defined Inclusion/Exclusion criteria may apply

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Conditions

The condition(s) this trial relates to.

osteoarthritis, knee Pain, Postoperative

As listed by the trial registrant

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

Contacts and locations

Locations

  • Atlanta Centre for Medical Research

    Atlanta, Georgia, 30331, United States

  • Chesapeake Research Group, LLC

    Pasadena, Maryland, 21122, United States

  • Endeavor Clinical Trials, LLC

    San Antonio, Texas, 78240, United States

  • First Surgical Hospital

    Bellaire, Texas, 77401, United States

  • JBR Clinical Research, LLC

    Salt Lake City, Utah, 84107, United States

  • Legent Orthopedic Hospital

    Carrollton, Texas, 75006, United States

  • Memorial Hermann Village

    Houston, Texas, 77043, United States

  • NextStage Clinical Research

    Wichita, Kansas, 67214, United States

  • NextStage Clinical Research

    San Antonio, Texas, 78258, United States

  • Phoenix Clinical Research

    Tamarac, Florida, 33321, United States

  • Woodland International Research Group, LLC

    Little Rock, Arkansas, 72211, United States

More trials for these conditions

Other studies related to the condition(s) this trial covers.