Knee replacement patients may need fewer steroid doses for better recovery
NCT ID NCT06715709
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares giving one dose of dexamethasone during knee replacement surgery versus two doses (one during surgery and one the next morning). The goal is to see which approach reduces pain, opioid use, and nausea while minimizing complications. About 339 adults undergoing primary knee replacement will participate.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- dexamethasone
- What this could lead to
- If successful, this could establish the safest and most effective dosing schedule for dexamethasone to reduce pain and nausea after knee replacement surgery.
- What could go wrong
- This is a phase 4 trial focused on symptom management, not a cure. Results may not apply to all patients, and there are risks like infection or adverse reactions to steroids.
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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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 339 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2025
- Expected to finish
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Jan 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 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 * Age \> 18 years * Primary total knee arthroplasty Exclusion Criteria * Age \< 18 year * Revision or unicompartmental knee arthroplasty * Corticosteroid use within 3 months prior to TKA * Inflammatory arthritis * Current systemic fungal infection * Renal or liver failure * Prior adverse reaction to corticosteroid * Primary TKA requiring hardware removal
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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
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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Mayo Clinic in Rochester
Rochester, Minnesota, 55905, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a virtual escape ease the pain of knee surgery?
- Robot-Assisted joint surgery under the microscope: will it help implants last longer?
- Can a faster recovery plan get knee replacement patients home sooner?
- Pre-Surgery breathing workouts may speed recovery after joint surgery
- Knee implant survival check: will new plastic design outperform the old?
- Could a smart brace replace physical therapy after knee surgery?