Could a sedative drug extend pain relief after knee surgery?
NCT ID NCT03834129
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether giving the sedative drug dexmedetomidine during knee replacement surgery could lengthen the time before patients need additional painkillers. 94 adults having elective knee replacement under regional anesthesia received either the drug or a placebo. The goal was to see if it safely extends pain relief and reduces opioid use.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- dexmedetomidine
- What this could lead to
- If it works, this could mean longer pain relief after knee replacement, reducing the need for strong opioids.
- What could go wrong
- This is a small, completed Phase 3 trial. The drug may cause low blood pressure or slow heart rate, and results may not apply to all patients.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
94 people
The number who actually took part.
- Started
-
May 2019
- Finished
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Jan 2020
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 18 years and older * Patients undergoing elective total knee arthroplasty * Consent for participation * Affiliation to the french social security system * For women of child bearing potential without contraception, beta-HCG negative result Exclusion Criteria: * Chronic pain syndrome requiring preoperative morphine use (class 3) * Hypersensitivity to dexmedetomidine * Allergy to nonsteroidal anti-inflammatory drugs * Contraindication for locoregional anesthesia * Patient wishing a general anesthesia * Weight\>100 kg, obstructive sleep apnea syndrome or gastrooesophageal reflux complicating the sedation with spontaneous ventilation * Known acute ischemic disease * Severe liver failure * Uncontrolled low blood pressure * Heart rate \< 60 bpm * Advanced cardiac block (Level 2 or 3) except if pacemaker * Pregnant or breastfeeding women * Communication difficulties or neuropsychiatric disorder * Patients under protection of the adults (guardianship, curators or safeguard of justice)
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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.
Contacts and locations
Locations
-
Clinique Médipôle Garonne
Toulouse, Haute-Garonne, 31036, France
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Other studies related to the condition(s) this trial covers.
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