NCT02102815

Brief Summary

To determine efficacy of preoperative IV dexamethasone for postoperative pain control after TKA.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
100

participants targeted

Target at P50-P75 for phase_4 postoperative-pain

Timeline
Completed

Started May 2014

Typical duration for phase_4 postoperative-pain

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 31, 2014

Completed
3 days until next milestone

First Posted

Study publicly available on registry

April 3, 2014

Completed
28 days until next milestone

Study Start

First participant enrolled

May 1, 2014

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2016

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2016

Completed
Last Updated

January 15, 2019

Status Verified

January 1, 2019

Enrollment Period

1.8 years

First QC Date

March 31, 2014

Last Update Submit

January 12, 2019

Conditions

Keywords

total knee arthroplastypain controldexamethasonesteroids

Outcome Measures

Primary Outcomes (1)

  • post-operative pain

    measured with VAS for pain, drugs for relief pain

    48 hours

Secondary Outcomes (4)

  • Functional knee score

    3 month

  • post-operative nausea and vomiting

    48 hours

  • complication of preoperative dexamethasone

    2 weeks

  • inflammatory level

    48 hours

Other Outcomes (1)

  • Knee range of motion

    3 months

Study Arms (2)

Dexamethasone

EXPERIMENTAL

Preoperative dexamethasone 0.15mg/Kg mixed with NSS to 50 mL IV slowly push over 5 minutes

Drug: Dexamethasone

Placebo

PLACEBO COMPARATOR

Preoperative intravenous normal saline 50 mL slowly push over 5 minutes

Drug: Normal saline

Interventions

Dexamethasone 0.15mg/kg mixed with NSS up to 50 mL IV slowly push over 5 minutes

Dexamethasone

NSS 50 mL IV slowly push over 5 minutes

Placebo

Eligibility Criteria

Age50 Years - 85 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Osteoarthritis of the knee who undergoing unilateral primary total knee arthroplasty
  • years old
  • ASA class 1-3

You may not qualify if:

  • Unable to perform spinal anaesthesia
  • History of drug allergies: steroids
  • Renal impairment (CrCl \<30 mL/min)
  • Liver impairment
  • Cognitive function disorders
  • Poor controlled DM (HA1C \> 7.5)
  • Morning DTX at operative day \> 180 mg%
  • Received corticosteroids within 3 months before surgery

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Orthopaedic department, Faculty of medicine, Thammasat university

Klongluang, Changwat Pathum Thani, 066, Thailand

Location

MeSH Terms

Conditions

Pain, PostoperativeAgnosia

Interventions

DexamethasoneSaline Solution

Condition Hierarchy (Ancestors)

Postoperative ComplicationsPathologic ProcessesPathological Conditions, Signs and SymptomsPainNeurologic ManifestationsSigns and SymptomsPerceptual DisordersNeurobehavioral ManifestationsNervous System Diseases

Intervention Hierarchy (Ancestors)

PregnadienetriolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSteroids, FluorinatedCrystalloid SolutionsIsotonic SolutionsSolutionsPharmaceutical Preparations

Study Officials

  • Supakit Kanitnate, M.D.

    Orthopaedics department, Thammasat University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Orthopaedics department

Study Record Dates

First Submitted

March 31, 2014

First Posted

April 3, 2014

Study Start

May 1, 2014

Primary Completion

February 1, 2016

Study Completion

June 1, 2016

Last Updated

January 15, 2019

Record last verified: 2019-01

Locations