Trial Outcomes & Findings for Analgesic Benefits of Genicular Nerve Blocks of the Posterior Knee for Patients Undergoing ACL Reconstruction (NCT NCT02008617)

NCT ID: NCT02008617

Last Updated: 2017-04-19

Results Overview

Opioid consumption (mg morphine equivalents)

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

18 participants

Primary outcome timeframe

24 hours

Results posted on

2017-04-19

Participant Flow

Participant milestones

Participant milestones
Measure
Study Drug
Ultrasound guided posterior genicular nerve infiltration with 30mL of Bupivicaine 0.20% with epinephrine 1:300,000 Bupivacaine: 30mL of Bupivicaine 0.20% with epinephrine 1:300,000
Preservative Free Normal Saline
Ultrasound guided posterior genicular nerve infiltration posterior knee with 30mL of preservative free normal saline Preservative free normal saline: Ultrasound guided posterior genicular nerve infiltration posterior knee with 30mL of preservative free normal saline
Overall Study
STARTED
8
10
Overall Study
COMPLETED
8
10
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Analgesic Benefits of Genicular Nerve Blocks of the Posterior Knee for Patients Undergoing ACL Reconstruction

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Study Drug
n=8 Participants
Ultrasound guided posterior genicular nerve infiltration with 30mL of Bupivicaine 0.20% with epinephrine 1:300,000 Bupivacaine: 30mL of Bupivicaine 0.20% with epinephrine 1:300,000
Preservative Free Normal Saline
n=10 Participants
Ultrasound guided posterior genicular nerve infiltration posterior knee with 30mL of preservative free normal saline Preservative free normal saline: Ultrasound guided posterior genicular nerve infiltration posterior knee with 30mL of preservative free normal saline
Total
n=18 Participants
Total of all reporting groups
Age, Continuous
25 years
n=5 Participants
29 years
n=7 Participants
27 years
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
6 Participants
n=7 Participants
10 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Region of Enrollment
United States
8 participants
n=5 Participants
10 participants
n=7 Participants
18 participants
n=5 Participants

PRIMARY outcome

Timeframe: 24 hours

Opioid consumption (mg morphine equivalents)

Outcome measures

Outcome measures
Measure
Study Drug
n=8 Participants
Ultrasound guided posterior genicular nerve infiltration with 30mL of Bupivicaine 0.20% with epinephrine 1:300,000 Bupivacaine: 30mL of Bupivicaine 0.20% with epinephrine 1:300,000
Preservative Free Normal Saline
n=10 Participants
Ultrasound guided posterior genicular nerve infiltration posterior knee with 30mL of preservative free normal saline Preservative free normal saline: Ultrasound guided posterior genicular nerve infiltration posterior knee with 30mL of preservative free normal saline
Opioid Consumption
50 mg morphine equivalents
Interval 40.0 to 70.0
70 mg morphine equivalents
Interval 50.0 to 80.0

SECONDARY outcome

Timeframe: Pain Burden at 24hrs

Numeric Rating Scale (NRS) (NRS pain scores; 0 = no pain,10 = excruciating pain) in the back of the knee recorded every 4 hours up to 24hrs following surgery. Pain Bruden scale ranges from 0 (no pain) to 240 (extreme pain). For example, pain burden of 120 is equivalent to a NRS score of 5 out of 10.

Outcome measures

Outcome measures
Measure
Study Drug
n=8 Participants
Ultrasound guided posterior genicular nerve infiltration with 30mL of Bupivicaine 0.20% with epinephrine 1:300,000 Bupivacaine: 30mL of Bupivicaine 0.20% with epinephrine 1:300,000
Preservative Free Normal Saline
n=10 Participants
Ultrasound guided posterior genicular nerve infiltration posterior knee with 30mL of preservative free normal saline Preservative free normal saline: Ultrasound guided posterior genicular nerve infiltration posterior knee with 30mL of preservative free normal saline
Pain Score
Pain Score during plantar flexion
115 units on a scale
Interval 50.0 to 182.0
128 units on a scale
Interval 96.0 to 144.0
Pain Score
Pain Score at Rest
102 units on a scale
Interval 58.0 to 160.0
135 units on a scale
Interval 112.0 to 146.0

SECONDARY outcome

Timeframe: 24hr

Patient satisfaction with pain control scale ranges from 0 (no satisfaction) to 10 (very satisfied).

Outcome measures

Outcome measures
Measure
Study Drug
n=8 Participants
Ultrasound guided posterior genicular nerve infiltration with 30mL of Bupivicaine 0.20% with epinephrine 1:300,000 Bupivacaine: 30mL of Bupivicaine 0.20% with epinephrine 1:300,000
Preservative Free Normal Saline
n=10 Participants
Ultrasound guided posterior genicular nerve infiltration posterior knee with 30mL of preservative free normal saline Preservative free normal saline: Ultrasound guided posterior genicular nerve infiltration posterior knee with 30mL of preservative free normal saline
Patient Satisfaction
8 units on a scale
Interval 7.0 to 8.0
8 units on a scale
Interval 6.0 to 10.0

SECONDARY outcome

Timeframe: 24hrs

Quality of recovery (QoR15) is a questionnaire that asks 15 questions regarding how the participant has felt in the last 24 hours. Each question is followed by an 11-point numerical rating scale (0 = "none of the time" to 10 = "all of the time"; maximum score 150). The higher the QoR15 total score, the worse the quality of recovery reported.

Outcome measures

Outcome measures
Measure
Study Drug
n=8 Participants
Ultrasound guided posterior genicular nerve infiltration with 30mL of Bupivicaine 0.20% with epinephrine 1:300,000 Bupivacaine: 30mL of Bupivicaine 0.20% with epinephrine 1:300,000
Preservative Free Normal Saline
n=10 Participants
Ultrasound guided posterior genicular nerve infiltration posterior knee with 30mL of preservative free normal saline Preservative free normal saline: Ultrasound guided posterior genicular nerve infiltration posterior knee with 30mL of preservative free normal saline
Quality of Recovery (QoR15)
96 units on a scale
Interval 84.0 to 110.0
102 units on a scale
Interval 80.0 to 114.0

Adverse Events

Study Drug

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

Preservative Free Normal Saline

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

Rohit Rahangdale, M.D.

Northwestern University, Feinberg School of Medicine

Phone: 312-695-4814

Results disclosure agreements

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