Can we skip opioids after bone surgery? new study tests a safer pain plan
NCT ID NCT07265557
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This pilot study compares two discharge pain plans for adults after major orthopedic surgery: one with opioids and one without. Researchers want to see if it's possible to run a larger trial that could reduce opioid use. About 100 patients will be randomly assigned to either plan, and the study tracks how well they follow the plan and their pain levels.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- discharge pain medication prescription (opioid-free vs. usual care with opioids)
- What this could lead to
- If successful, this could show that an opioid-free pain plan is feasible and effective, potentially reducing opioid dependence after orthopedic surgery.
- What could go wrong
- This is a small pilot study (100 people) focused on feasibility, not on proving pain control or safety. Results may not apply to all patients or surgeries.
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
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2025
- Expected to finish
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Dec 2026
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 years and older
- Sex
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Anyone
- Healthy volunteers
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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 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: 1. Patients 18 years of age or older 2. Underwent a major operative orthopaedic procedure Exclusion Criteria: 1. Contraindication for NSAIDs. 2. Preoperative chronic opioid use (preoperative use of \>14 days and average of \>30 Morphine Milligram Equivalents per day). 3. Active treatment for opioid use disorder. 4. Previous or current illicit drug use. 5. Major surgery for pathologic (cancer-related) condition. 6. Hand surgery. 7. Concurrent operative treatment by another specialty team. 8. Discharged to an extended medical care facility. 9. Incarceration. 10. Women who are pregnant or planning to become pregnant in the next 6 weeks. 11. Expected injury survival of less than 6 weeks. 12. Terminal illness with expected survival of less than 6 weeks. 13. Anticipated problems, in the judgment of research personnel, with maintaining follow-up with the patient. 14. Currently enrolled in a trial that does not permit co-enrollment. 15. Prior enrollment in the trial. 16. Unable to obtain informed consent. 17. Non-English speaking 18. Eligible patient was not approached prior to hospital discharge (missed participant). 19. Did not provide informed consent (declined participation). 20. Other reason to exclude the patient, as approved by the Principal Investigator
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Conditions
The condition(s) this trial relates to.
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
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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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Mass
RECRUITINGBoston, Massachusetts, 02114, United States
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