Trial Outcomes & Findings for RelieVRx for Total Knee Arthroplasty (TKA) for the Reduction of Acute Postoperative Pain and Opioid Use (NCT NCT04010266)

NCT ID: NCT04010266

Last Updated: 2024-02-14

Results Overview

Visual Analog Pain scale; worst 0-10 best

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

63 participants

Primary outcome timeframe

90 days

Results posted on

2024-02-14

Participant Flow

Participant milestones

Participant milestones
Measure
Standard of Care Group
Receive standard of care for pain management, do not receive RelieVRx headset multi-modality pain management: combination of medications may be used such as a local anesthesia, ibuprofen, acetaminophen, gabapentin, ketamine, lidocaine, and opioids
Standard of Care + RelieVRx Group
Receive standard of care for pain management, plus RelieVRx headset RelieVRx headset: RelieVRx is a virtual reality therapy intended as adjunctive treatment for acute surgical pain multi-modality pain management: combination of medications may be used such as a local anesthesia, ibuprofen, acetaminophen, gabapentin, ketamine, lidocaine, and opioids
Overall Study
STARTED
32
31
Overall Study
COMPLETED
24
18
Overall Study
NOT COMPLETED
8
13

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

RelieVRx for Total Knee Arthroplasty (TKA) for the Reduction of Acute Postoperative Pain and Opioid Use

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard of Care Group
n=32 Participants
Receive standard of care for pain management, do not receive RelieVRx headset multi-modality pain management: combination of medications may be used such as a local anesthesia, ibuprofen, acetaminophen, gabapentin, ketamine, lidocaine, and opioids
Standard of Care + RelieVRx Group
n=31 Participants
Receive standard of care for pain management, plus RelieVRx headset RelieVRx headset: RelieVRx is a virtual reality therapy intended as adjunctive treatment for acute surgical pain multi-modality pain management: combination of medications may be used such as a local anesthesia, ibuprofen, acetaminophen, gabapentin, ketamine, lidocaine, and opioids
Total
n=63 Participants
Total of all reporting groups
Age, Continuous
50.3 years
STANDARD_DEVIATION 12.5 • n=99 Participants
51.4 years
STANDARD_DEVIATION 13.8 • n=107 Participants
50.9 years
STANDARD_DEVIATION 13.2 • n=206 Participants
Sex: Female, Male
Female
15 Participants
n=99 Participants
14 Participants
n=107 Participants
29 Participants
n=206 Participants
Sex: Female, Male
Male
17 Participants
n=99 Participants
17 Participants
n=107 Participants
34 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
White
30 Participants
n=99 Participants
29 Participants
n=107 Participants
59 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Numerical Pain Rating Scale
5.78 units on a scale
STANDARD_DEVIATION 1.54 • n=99 Participants
5.76 units on a scale
STANDARD_DEVIATION 1.34 • n=107 Participants
5.77 units on a scale
STANDARD_DEVIATION 1.44 • n=206 Participants

PRIMARY outcome

Timeframe: 90 days

Visual Analog Pain scale; worst 0-10 best

Outcome measures

Outcome measures
Measure
Standard of Care Group
n=32 Participants
Receive standard of care for pain management, do not receive RelieVRx headset multi-modality pain management: combination of medications may be used such as a local anesthesia, ibuprofen, acetaminophen, gabapentin, ketamine, lidocaine, and opioids
Standard of Care + RelieVRx Group
n=31 Participants
Receive standard of care for pain management, plus RelieVRx headset RelieVRx headset: RelieVRx is a virtual reality therapy intended as adjunctive treatment for acute surgical pain multi-modality pain management: combination of medications may be used such as a local anesthesia, ibuprofen, acetaminophen, gabapentin, ketamine, lidocaine, and opioids
Acute Postoperative Pain
5.13 units on a scale
Standard Deviation 1.79
4.42 units on a scale
Standard Deviation 1.17

PRIMARY outcome

Timeframe: 90 days

Population: Morphine milligram equivalents were measured preoperatively and postoperatively for each patient. The outcome measure reported is the median change in total MME from pre-op to Post-op

Morphine Milligram Equivalents (MME)

Outcome measures

Outcome measures
Measure
Standard of Care Group
n=24 Participants
Receive standard of care for pain management, do not receive RelieVRx headset multi-modality pain management: combination of medications may be used such as a local anesthesia, ibuprofen, acetaminophen, gabapentin, ketamine, lidocaine, and opioids
Standard of Care + RelieVRx Group
n=18 Participants
Receive standard of care for pain management, plus RelieVRx headset RelieVRx headset: RelieVRx is a virtual reality therapy intended as adjunctive treatment for acute surgical pain multi-modality pain management: combination of medications may be used such as a local anesthesia, ibuprofen, acetaminophen, gabapentin, ketamine, lidocaine, and opioids
Opioid Consumption
-28.0 Morphine Milligram Equivalents (MME)
Interval -35.0 to -23.5
-34.8 Morphine Milligram Equivalents (MME)
Interval -37.0 to -23.5

SECONDARY outcome

Timeframe: 90 days

Population: Change in KOOS Jr from Pre-surgery to post-surgery, median (IQR)

short form of knee injury and osteoarthritis outcome score; worst 0 - 100 best

Outcome measures

Outcome measures
Measure
Standard of Care Group
n=24 Participants
Receive standard of care for pain management, do not receive RelieVRx headset multi-modality pain management: combination of medications may be used such as a local anesthesia, ibuprofen, acetaminophen, gabapentin, ketamine, lidocaine, and opioids
Standard of Care + RelieVRx Group
n=18 Participants
Receive standard of care for pain management, plus RelieVRx headset RelieVRx headset: RelieVRx is a virtual reality therapy intended as adjunctive treatment for acute surgical pain multi-modality pain management: combination of medications may be used such as a local anesthesia, ibuprofen, acetaminophen, gabapentin, ketamine, lidocaine, and opioids
KOOS Jr. Score
27.6 score on a scale
Interval 17.5 to 38.0
32.2 score on a scale
Interval 21.2 to 42.0

SECONDARY outcome

Timeframe: 90 days

Population: Change in VR-12 from Pre-surgery to post-surgery, median (IQR)

This is a measure of quality of life. The VR-12 provides a physical component score (i.e., physical health domain) that provides larger weights for four of the domains (physical function, role-physical, bodily pain, and general health). This is a 12 items survey. VR-12 scores are standardized using a T-score metric with a mean of 50 and a standard deviation of 10. Larger values imply greater physical function and quality of life.

Outcome measures

Outcome measures
Measure
Standard of Care Group
n=24 Participants
Receive standard of care for pain management, do not receive RelieVRx headset multi-modality pain management: combination of medications may be used such as a local anesthesia, ibuprofen, acetaminophen, gabapentin, ketamine, lidocaine, and opioids
Standard of Care + RelieVRx Group
n=18 Participants
Receive standard of care for pain management, plus RelieVRx headset RelieVRx headset: RelieVRx is a virtual reality therapy intended as adjunctive treatment for acute surgical pain multi-modality pain management: combination of medications may be used such as a local anesthesia, ibuprofen, acetaminophen, gabapentin, ketamine, lidocaine, and opioids
Veterans RAND 12 Health Survey (VR-12) - Physical Component Score
7.2 score on a scale
Interval 2.0 to 11.4
9.5 score on a scale
Interval 4.0 to 12.8

Adverse Events

Standard of Care Group

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

Standard of Care + RelieVRx Group

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Vice President of Research

AppliedVR

Phone: 13108901584

Results disclosure agreements

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