Can a Cannabis-Like drug cut opioid use after knee surgery?
NCT ID NCT04734080
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether dronabinol, a drug similar to cannabis, can help reduce the need for opioid painkillers after total knee replacement. 114 adults scheduled for knee surgery were randomly given either dronabinol or a placebo before and after their operation. Researchers measured opioid use, pain levels, and recovery time to see if dronabinol made a difference.
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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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114 people
The number who actually took part.
- Started
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Mar 2021
- Finished
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Apr 2024
- 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 to 70 years
- 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.
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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: * Patients aged between 18-70 years old with osteoarthrosis scheduled for primary unilateral knee arthroplasty with a participating surgeon * Planned use of regional anesthetic technique during surgery involving infiltration between the popliteal artery and the capsule of the posterior knee (IPACK), adductor canal block (ACB) and periarticular injection (PAI) * Ability to follow study protocol Exclusion Criteria: * Patients less than 18 years of age or older than 70 years of age * Contraindication to regional or neuraxial anesthetic * Intended use of general anesthesia * Revision surgery * Chronic opioid use (for \>3 months prior to surgery) * Cannabis/cannabinoid use within the last 3 months * ASA class of IV or greater * Active or history of major mental history (as defined by the Diagnostic and Statistical Manual of Mental Disorders-5 \[DSM-5\]; i.e. major depressive disorder, anxiety, bipolar disorder, schizophrenia) * History of seizures * Use of antidepressants * Use of anticonvulsants * Use of Coumadin * Use of Disulfuram * Use of Metronidazole * Non-English speakers * BMI ≥40 * Sleep Apnea
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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
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Hospital for Special Surgery
New York, New York, 10021, United States
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