Knee replacement pain study stopped early: did the drug help?
NCT ID NCT05644496
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether a drug called ZYNRELEF can control pain and reduce the need for strong opioid painkillers after knee replacement surgery. It included 29 adults aged 35-70 with knee osteoarthritis. The study was terminated early, so results are limited.
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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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29 people
The number who actually took part.
- Started
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Mar 2023
- Finished
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Dec 2025
- 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
-
35 to 70 years
- Sex
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Anyone
- Healthy volunteers
-
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. Adult patients undergoing primary unilateral total knee arthroplasty \[Current Procedural Terminology Code: 27447\] 2. Patients with a diagnosis of primary osteoarthritis \[ICD-10 codes: M17.0, M17.10, M17.11, M17.12\] 3. Varus deformity less than 10 degrees 4. Flexion contracture less than 10 degrees 5. Age 35 - 70 years old 6. BMI \< 40 7. Patients who are discharged on the same day after the unilateral total knee arthroplasty procedure Exclusion Criteria: 1. Inflammatory arthritis 2. Post-traumatic arthritis 3. Valgus deformity 4. Severe varus (\> 10 degrees) 5. Severe flexion contracture (\> 10 degrees) 6. Overnight or longer hospital stay after surgery 7. Prior surgery on affected knee other than knee arthroscopy for meniscal or cartilage debridement/repair 8. Creatinine \> 1.2 9. Chronic Kidney Disease (CKD) stage 3, 4, 5 or end stage renal disease 10. Uncontrolled Diabetes mellitus (Glycated Hemoglobin \> 8.0%) 11. Current liver disease 12. Personal history of depression or anxiety disorder 13. Personal history of Deep Venous Thrombosis (DVT) or Pulmonary Embolism (PE) 14. Narcotic or tramadol use within 2 weeks of the planned procedure 15. Allergy to aspirin, NSAIDS, oxycodone, Tylenol, local anesthetics 16. Walking aid for anything other than the operative joint 17. Contraindication for use of the study drug (as specified by the manufacturer): * Known hypersensitivity to local amide anesthetics, NSAIDs or study drug components * History of asthma, urticaria or other allergic-type reactions to aspirin or other NSAIDs 18. Patients taking the following medications: * Amitriptyline * Nortriptyline * Gabapentin * Pregabalin * Duloxetine (SNRI) * Des-Venlafaxine (SNRI) * Cyclobenzaprine * Baclofen 19. Pregnant or lactating females 20. Patients unable to provide informed consent 21. Subjects who, in the opinion of the Investigator, may be non-compliant with study schedules or procedures
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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
-
Doctors Hospital
Miami, Florida, 33146, United States
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