Knee replacement pain relief showdown: which numbing cocktail wins?
NCT ID NCT07509866
First seen Jun 27, 2026 · Last updated Sep 11, 2026 · Updated 2 times
Summary
This study tests three different numbing medicine combinations for pain after total knee replacement. 90 adults having knee surgery will get one of three options: a long-acting numbing drug, or a standard numbing drug plus one of two additives. The goal is to see which approach reduces the need for opioid painkillers and helps people get moving sooner.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Liposomal bupivacaine, ropivacaine with dexamethasone, ropivacaine with dexmedetomidine
- What this could lead to
- If successful, this could identify the most effective numbing approach for knee replacement surgery, leading to less pain, less opioid use, and faster recovery.
- What could go wrong
- This is a small, early-stage trial with only 90 participants, so results may not apply to everyone. The different numbing methods may work similarly, and unexpected side effects are possible.
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 90 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2026
- Expected to finish
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Sep 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 to 80 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.
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: * Patients scheduled for elective primary unilateral total knee arthroplasty * Age ≥ 18 years and ≤ 80 years * American Society of Anesthesiologists (ASA) physical status I-III * Body mass index (BMI) ≥ 18 kg/m² and ≤ 35 kg/m² * Ability to understand and provide written informed consent Exclusion Criteria: * Known allergy or contraindication to local anesthetics (bupivacaine, ropivacaine), dexamethasone, dexmedetomidine, or opioids * Infection at the injection site * Coagulopathy or current use of anticoagulants * Severe cardiovascular disease (New York Heart Association \[NYHA\] functional class III or IV, or recent myocardial infarction within 6 months) * Severe hepatic impairment (Child-Pugh class C) or renal impairment (estimated glomerular filtration rate \[eGFR\] \< 30 mL/min/1.73 m²) * Uncontrolled hypertension (systolic blood pressure \> 180 mmHg or diastolic blood pressure \> 110 mmHg despite medical therapy) * Uncontrolled diabetes mellitus (HbA1c \> 8.5%) * Bilateral TKA or revision TKA * Chronic opioid use (daily opioid consumption for \> 3 months prior to surgery) * Participation in another interventional clinical trial within 30 days prior to enrollment * Inability to communicate with study personnel or complete pain assessments (e.g., language barrier, cognitive impairment)
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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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Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
RECRUITINGWuhan, Hubei, 430022, China
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