Efficacy And Safety Of Tramadol And Oxycodone Versus Oxycodone Monotherapy For Pain Control After Primary Total Knee And Total Hip Arthroplasty
NCT07153003 · Status: ENROLLING_BY_INVITATION · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 560
Last updated 2026-03-18
Summary
The purpose of this study is to evaluate the effectiveness and safety of tramadol and oxycodone therapy in comparison to oxycodone alone as part of a multimodal pain regimen to reduce postoperative opioid consumption, pain, minimize adverse events and complications for primary total knee arthroplasty (TKA) and primary total hip arthroplasty (THA).
Conditions
- Post Operative Pain
Interventions
- DRUG
-
Oxycodone
Patients will receive oral Oxycodone only to treat post-operative pain: Oxycodone 5mg * Patients ≤75 years old: 5mg or 10 mg PO every 4 hr as needed * 5 mg for pain rated 4-6 * 10 mg for pain rated 7-10 * Patients \>75 years old and/or sensitive to opioids or sedatives: 2.5mg or 5mg every 4hr as needed * 2.5mg for pain rated 4-6 * 5mg for pain rated 7-10
- DRUG
-
Tramadol and Oxycodone
Patients will receive a combination of Tramadol and Oxycodone to take orally to treat post-operative pain: Tramadol 50mg * Patients ≤75 years old: 50 mg for pain rated 4-6; 100 mg for pain rated 7-10 * Patients \>75 years old and/or sensitive to opioids or sedatives; use 50 mg * Dosing is every 8 hours as needed. Cumulative dose not to exceed 400mg in 24 hours Oxycodone 5mg * Patients ≤75 years old: 5mg or 10 mg PO every 4 hr as needed if still having pain after maximum tramadol administration * 5 mg for pain rated 4-6 * 10 mg for pain rated 7-10 * Patients \>75 years old and/or sensitive to opioids or sedatives: 2.5mg or 5mg every 4 hr as needed if still having pain after maximum tramadol administration * 2.5 mg for pain rated 4-6 * 5 mg for pain rated 7-10
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Charles P. Hannon, MD, MBA · Mayo Clinic
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-02-02
- Primary Completion
- 2030-09-01
- Completion
- 2031-09-01
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Pilot Study of the Efficacy and Safety of Q8003 in Patients Who Have Undergone Total Knee Arthroplasty or Total Hip Arthroplasty
NCT00818493 ·Status: COMPLETED ·Phase: PHASE2
-
Postoperative Pain Treatment in Total Hip Arthroplasty: A Study to Assess the Effect of Local Analgesia
NCT00603083 ·Status: COMPLETED ·Phase: PHASE4
-
Dextromethorphan Use in Multimodal Analgesia Regimens for Total Knee Arthroplasty
NCT02987920 ·Status: TERMINATED ·Phase: PHASE4
-
Effectiveness of Adding Morphine to Intraosseous Vancomycin for Pain Control in Total Knee Arthroplasty
NCT06716749 ·Status: COMPLETED ·Phase: PHASE2
-
Study to Examine Pain Relief With Supplemental Intrathecal Morphine in TKA Patients
NCT02620631 ·Status: UNKNOWN ·Phase: PHASE4
-
Improving Pain Management and Long Term Outcomes Following High Energy Orthopedic Trauma (Pain Study)
NCT01789216 ·Status: COMPLETED ·Phase: PHASE3
-
A Randomized Double-Blind Placebo Controlled Trial to Determine the Status of Post Knee Chondroplasty Patients Administered Theramine Versus Placebo in Addition to Post Surgery Analgesics
NCT01534286 ·Status: TERMINATED ·Phase: PHASE4
-
Pre vs Post Block in Total Knee Arthroplasty (TKA)
NCT05974501 ·Status: COMPLETED ·Phase: PHASE4
-
Minimal Opioid Use After Total Hip Replacement (THR)
NCT03090152 ·Status: COMPLETED ·Phase: PHASE4
-
Opioids Versus Non-Opioids Postoperative After Knee Arthroscopic Surgery
NCT03858231 ·Status: RECRUITING ·Phase: PHASE4
-
Opioid-Sparing Joint Replacement
NCT07348627 ·Status: RECRUITING ·Phase: PHASE3
-
Peri-Articular-Multimodal Drug and Oral Celecoxib in Management of Postoperative Pain of Total Knee Arthroplasty
NCT05324995 ·Status: COMPLETED ·Phase: PHASE2
-
Intra-Venous Acetaminophen and Muscle Relaxants After Total Knee
NCT02449369 ·Status: COMPLETED ·Phase: PHASE4
-
Influence of Patient Sex on Pain Control and Multimodal Analgesia in Total Knee Arthroplasty
NCT04471233 ·Status: COMPLETED ·Phase: NA
-
Postoperative Pain Management in Patients Undergoing Intramedullary Nail Fixation After Tibia and Femoral Fractures
NCT04761302 ·Status: COMPLETED ·Phase: PHASE4
-
A Study Comparing the Effectiveness and Safety of Extended Release Tramadol Versus Placebo for the Treatment of Osteoarthritis (OA) of the Knee
NCT00348010 ·Status: COMPLETED ·Phase: PHASE3
-
Comparison of Opioid and Duloxetine for Postoperative Pain Control After Total Knee Arthroplasty: RCT
NCT04719585 ·Status: UNKNOWN ·Phase: NA
-
Efficacy of NSAID and Acetaminophen in the Control of Post-Operative Pain in Patients Undergoing Total Knee Replacement
NCT05393414 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Multimodal Perioperative Analgesia With Periarticular Drug Injection in Total Knee Arthroplasty(TKA)
NCT01042093 ·Status: COMPLETED ·Phase: NA
-
Enhanced Recovery After Major Surgery and Chronic Pain for Total Knee Arthroplasty
NCT05981105 ·Status: RECRUITING ·Phase: NA
-
Non-Narcotic Pain Control After ACL Reconstruction
NCT06973785 ·Status: RECRUITING ·Phase: PHASE3
-
Comparison of Two Periarticular Injection Medications for Adjunctive Pain Management Following Total Knee Arthroplasty (TKA)
NCT02060591 ·Status: UNKNOWN ·Phase: NA
-
Total Knee Arthroplasty Infiltration Study for Postoperative Analgesia
NCT03015532 ·Status: COMPLETED ·Phase: PHASE2
-
Post-operative Efficacy and Safety Study
NCT00904085 ·Status: COMPLETED ·Phase: PHASE3
-
Pharmacogenomics Information in Enhancing Post-operative Total Joint Replacement Pain Management: a Pilot Study
NCT02711592 ·Status: TERMINATED ·Phase: NA