Trial Outcomes & Findings for US Guided GNB vs Saline Injection for TKA (NCT NCT03316118)

NCT ID: NCT03316118

Last Updated: 2022-09-28

Results Overview

Post-operative opioid consumption measured in morphine milligram equivalents (MME)during the hospital stay up to 36 hours after surgery.

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

2 participants

Primary outcome timeframe

36 hours after surgery

Results posted on

2022-09-28

Participant Flow

Participant milestones

Participant milestones
Measure
Bupivacaine Block
Ultrasound-guided adductor canal blockade with 10 ml of 0.25% bupivacaine and ultrasound-guided genicular nerve blocks with 6 ml of 0.5% bupivacaine
Saline Sham
Ultrasound-guided adductor canal block with 10 ml of 0.25% bupivacaine and ultrasound-guided genicular nerve blocks with 6 ml of normal saline.
Overall Study
STARTED
2
0
Overall Study
COMPLETED
2
0
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

US Guided GNB vs Saline Injection for TKA

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1
n=2 Participants
Patient will receive genicular nerve block with bupivacaine bupivacaine: Group 1 will receive genicular nerve block using bupivacaine
Group 2
Patient will receive normal saline as the nerve block saline: Group 2 will receive genicular nerve block using normal saline
Total
n=2 Participants
Total of all reporting groups
Age, Continuous
71.5 Years
n=99 Participants
71.5 Years
n=206 Participants
Sex: Female, Male
Female
2 Participants
n=99 Participants
2 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
White
2 Participants
n=99 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
2 participants
n=99 Participants
2 participants
n=206 Participants
Kilograms (kG) weight
95.8 Kilograms
n=99 Participants
95.8 Kilograms
n=206 Participants
Height Inches
66.5 Inches
n=99 Participants
66.5 Inches
n=206 Participants
Pre Surgical Baseline Pain at Rest
3 Units on a scale
n=99 Participants
3 Units on a scale
n=206 Participants

PRIMARY outcome

Timeframe: 36 hours after surgery

Population: Only two subjects enrolled both were randomized to group 1.

Post-operative opioid consumption measured in morphine milligram equivalents (MME)during the hospital stay up to 36 hours after surgery.

Outcome measures

Outcome measures
Measure
Group 1
n=2 Participants
Patient will receive genicular nerve block with bupivacaine bupivacaine: Group 1 will receive genicular nerve block using bupivacaine
Group 2
Patient will receive normal saline as the nerve block saline: Group 2 will receive genicular nerve block using normal saline
Post-operative Opioid Consumption During the Hospital Stay
24.17 Morphine milligram equivalents (MME)
Interval 23.0 to 27.2

SECONDARY outcome

Timeframe: 48 hours after surgery

Population: Study terminated due to low enrollment. No subjects randomized to group 2.

Mean pain scores post operative reported using the VAS (visual analog scale) for knee pain at rest on a scale of 0 (no pain to 10 worst pain imaginable). This will be assessed every 6 hours up to 48 hours with the visual analog scale where 0 equals no pain and 10 represents excruciating pain.

Outcome measures

Outcome measures
Measure
Group 1
n=2 Participants
Patient will receive genicular nerve block with bupivacaine bupivacaine: Group 1 will receive genicular nerve block using bupivacaine
Group 2
Patient will receive normal saline as the nerve block saline: Group 2 will receive genicular nerve block using normal saline
Mean Pain Scores of the Knee at Rest for the First 48 Hours After Surgery
3.05 score on a scale
Interval 2.6 to 3.5

SECONDARY outcome

Timeframe: 72 hours after surgery

Population: Study terminated early due to low enrollment. No subjects were randomized to group 2.

Overall satisfaction with pain control 72 hours after surgery using a visual analog scale where 0 = not satisfied and 10 being extremely satisfied

Outcome measures

Outcome measures
Measure
Group 1
n=2 Participants
Patient will receive genicular nerve block with bupivacaine bupivacaine: Group 1 will receive genicular nerve block using bupivacaine
Group 2
Patient will receive normal saline as the nerve block saline: Group 2 will receive genicular nerve block using normal saline
Overall Satisfaction With Pain Control 72 Hours After Surgery
7 score on a scale
Interval 6.0 to 8.0

SECONDARY outcome

Timeframe: Admission to discharge from hospital

Population: Study was terminated early due to low enrollment. No subjects were randomized to group 2.

Length of hospitalization in hours from time to admission to time of discharge.

Outcome measures

Outcome measures
Measure
Group 1
n=2 Participants
Patient will receive genicular nerve block with bupivacaine bupivacaine: Group 1 will receive genicular nerve block using bupivacaine
Group 2
Patient will receive normal saline as the nerve block saline: Group 2 will receive genicular nerve block using normal saline
Length of Hospitalization
38.29 Elapsed time in hours
Interval 30.57 to 46.0

Adverse Events

Group 1

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Group 2

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Group 1
n=2 participants at risk
Patient will receive genicular nerve block with bupivacaine bupivacaine: Group 1 will receive genicular nerve block using bupivacaine
Group 2
Patient will receive normal saline as the nerve block saline: Group 2 will receive genicular nerve block using normal saline
Gastrointestinal disorders
Nausea
50.0%
1/2 • Number of events 1 • 72 hours after surgical procedure.
The study was terminated early. No subjects were randomized to group 2.
0/0 • 72 hours after surgical procedure.
The study was terminated early. No subjects were randomized to group 2.

Additional Information

Paul Fitzgerald

Northwestern University

Phone: 312 695 1064

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place