Effect of peRiopErative duLoxetIne Administration on Opioid Consumption Following Total kneE Arthroplasty (RELIFE)
NCT06423716 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 150
Last updated 2025-12-19
Summary
Knee replacement surgery for osteoarthritis is a commonly performed procedure in Canada with 75,000 of these surgeries performed each year. Success rate for knee replacement surgery is high but more than 20% of patients are still dissatisfied mainly due to reports of ongoing pain. Pain control following knee surgery is important in order to allow patients to engage in recovery and rehabilitation. The current standard of pain management after surgery centers around the use of opioids which is a concerning practice as highlighted by the opioid epidemic. Duloxetine is an antidepressant that has pain relieving properties and it has been studied in patients undergoing knee replacement surgery. Studies to date have not been designed optimally to demonstrate the full effects of opioid dose reduction and the use of duloxetine as a medication following knee replacement surgery. This research study seeks to start duloxetine before surgery, at the recommended therapeutic dose, and for the duration of the early rehabilitation period. If the study is successful, this low-cost medication can improve satisfaction rates and change the standard way the pain management is typically carried out for patients undergoing the knee replacement surgery.
Conditions
Interventions
- DRUG
-
Duloxetine
60mg duloxetine given 2 weeks prior to total knee arthroplasty and continued for 6 weeks after surgery.
- DRUG
-
Placebo given 2 weeks prior to total knee arthroplasty and continued for 6 weeks after surgery.
Sponsors & Collaborators
-
Sunnybrook Health Sciences Centre
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 50 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-11-01
- Primary Completion
- 2026-07-01
- Completion
- 2026-12-31
Countries
- Canada
Study Locations
More Related Trials
-
COPE: Cannabinoids to Obviate Pain Experiment After Knee Replacement
NCT03675971 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
The Use of Venlafaxine in Reducing Pain in Primary Total Knee Replacement
NCT05023278 ·Status: COMPLETED ·Phase: PHASE4
-
Duloxetine Tibial Plateau
NCT04639011 ·Status: WITHDRAWN ·Phase: PHASE4
-
IPACK Study in Total Knee Arthroplasty Patients
NCT03954379 ·Status: COMPLETED ·Phase: PHASE4
-
Cannabinoids vs. Placebo on Persistent Post-surgical Pain Following TKA: A Pilot RCT
NCT03825965 ·Status: COMPLETED ·Phase: PHASE3
-
Maximizing Analgesia to Reduce Pain in Knee Osteoarthritis
NCT03098563 ·Status: COMPLETED ·Phase: PHASE2
-
Perioperative Vitamin C to Reduce Persistent Pain After Total Knee Arthroplasty
NCT06123715 ·Status: RECRUITING ·Phase: PHASE2
-
Duloxetine for Perioperative Pain in Hip Arthroplasty: A RCT
NCT06807866 ·Status: RECRUITING ·Phase: PHASE4
-
Cannabidiol for Postoperative Opioid Reduction in Primary Total Knee Arthroplasty
NCT06234631 ·Status: RECRUITING ·Phase: PHASE2
-
Does the Use of Intrathecal Morphine Increase the Length of Hospital Stay in Fast Track Orthopedic Procedures?
NCT05105074 ·Status: COMPLETED ·Phase: NA
-
Opioid Reduction in Orthopaedic Surgery (OREOS) - Knees
NCT04968132 ·Status: COMPLETED ·Phase: NA
-
Lornoxicam Versus Etoricoxib in Postoperative Pain After Total Knee Arthroplasty
NCT02750917 ·Status: COMPLETED ·Phase: PHASE3
-
Added Value of Systemic Lidocaine on Postoperative Pain, Opiate Use and Nausea After Knee Arthroscopy
NCT03599427 ·Status: COMPLETED ·Phase: PHASE4
-
Perioperative Pain Control With Celecoxib (Celebrex) in Total Knee Arthroplasty
NCT00598234 ·Status: COMPLETED ·Phase: PHASE4
-
New Application of Buprenorphine Patch on Painful Knee Joint in Knee Osteoarthritis Patients
NCT03947125 ·Status: UNKNOWN
-
Patient Controlled Epidural Analgesia Versus Local Infiltration Analgesia Following Knee Arthroplasty
NCT02478372 ·Status: COMPLETED ·Phase: NA
-
Oral Duloxetine as a Premedication for Postoperative Pain Control
NCT05050656 ·Status: COMPLETED ·Phase: PHASE4
-
A Four-Arm Study Comparing the Analgesic Efficacy and Safety of Tramadol Once a Day 100, 200 and 300 mg Versus Placebo for the Treatment of Pain Due to Osteoarthritis of the Knee
NCT00832416 ·Status: COMPLETED ·Phase: PHASE3
-
Safety and Activity of F14 for Management of Pain Following Total Knee Replacement
NCT03541655 ·Status: COMPLETED ·Phase: PHASE2
-
Effectiveness of Adding Morphine to Intraosseous Vancomycin for Pain Control in Total Knee Arthroplasty
NCT06716749 ·Status: COMPLETED ·Phase: PHASE2
-
Local Infiltration Analgesia With Ropivacaine Versus Placebo in Bilateral Knee Arthroplasty
NCT00408707 ·Status: COMPLETED ·Phase: PHASE4
-
Total Knee Arthroplasty Infiltration Study for Postoperative Analgesia
NCT03015532 ·Status: COMPLETED ·Phase: PHASE2
-
Analgesic Effect of Gabapentin in Total Knee Arthroplasty (TKA)
NCT01507363 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy of Multimodal Perioperative Analgesia With Periarticular Drug Injection in Total Knee Arthroplasty(TKA)
NCT01042093 ·Status: COMPLETED ·Phase: NA
-
Local Infiltration Analgesia During Total Knee Arthroplasty
NCT01305733 ·Status: UNKNOWN ·Phase: NA