Trial Outcomes & Findings for Pregabalin for Central Sensitization in TKA (NCT NCT05460871)

NCT ID: NCT05460871

Last Updated: 2025-03-04

Results Overview

The difference in change on the Knee Osteoarthritis Outcome Survey (KOOS) - Activities of Daily Living subscale will be calculated between the treatment groups. The survey will be administered at baseline and at the subject's 6-weeks post procedure follow-up. The survey is scored on a continuous scale as follows: 1 = none, 2 = mild, 3 = moderate, 4 = severe, 5 = extreme.

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

20 participants

Primary outcome timeframe

Approximately 6 weeks

Results posted on

2025-03-04

Participant Flow

After participants signed their informed consent, the participants completed surveys (Columbia Suicide Severity Rating Screen and Central Sensitization Inventory) to determine if they met the study inclusion criteria. Due to the sensitive nature of these surveys, our local IRB required that informed consent be signed before completing the assessments. If suicidal or the participant did not demonstrate Central Sensitization, they were not eligible for continued participation.

Participant milestones

Participant milestones
Measure
Control
Participants will receive standard peri-operative pain management
Study (Pregabalin)
Participants will receive pregabalin orally 75mg twice daily x 7 days prior to surgery, 150mg twice daily x 7 days after surgery, followed by 75mg twice daily x 7 days. Then Stop.
Overall Study
STARTED
1
2
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
1
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Control
Participants will receive standard peri-operative pain management
Study (Pregabalin)
Participants will receive pregabalin orally 75mg twice daily x 7 days prior to surgery, 150mg twice daily x 7 days after surgery, followed by 75mg twice daily x 7 days. Then Stop.
Overall Study
Withdrawal by Subject
1
2

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control
n=1 Participants
Participants will receive standard peri-operative pain management
Study (Pregabalin)
n=2 Participants
Participants will receive pregabalin orally 75mg twice daily x 7 days prior to surgery, 150mg twice daily x 7 days after surgery, followed by 75mg twice daily x 7 days. Then Stop. Pregabalin 75mg: participants will receive pregabalin orally 75mg twice daily x 7 days prior to surgery, then 150mg twice daily x 7 days after surgery, followed by 75mg twice daily x 7 days, then stop.
Total
n=3 Participants
Total of all reporting groups
Age, Continuous
62 years
STANDARD_DEVIATION 0 • n=1 Participants
55.5 years
STANDARD_DEVIATION 4.5 • n=2 Participants
57.6 years
STANDARD_DEVIATION 4.78 • n=3 Participants
Sex: Female, Male
Female
0 Participants
n=1 Participants
1 Participants
n=2 Participants
1 Participants
n=3 Participants
Sex: Female, Male
Male
1 Participants
n=1 Participants
1 Participants
n=2 Participants
2 Participants
n=3 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
1 participants
n=1 Participants
2 participants
n=2 Participants
3 participants
n=3 Participants
Grade 3-4 primary osteoarthritis
1 Participants
n=1 Participants
2 Participants
n=2 Participants
3 Participants
n=3 Participants
no previous adverse reaction to study drug
1 Participants
n=1 Participants
2 Participants
n=2 Participants
3 Participants
n=3 Participants

PRIMARY outcome

Timeframe: Approximately 6 weeks

Population: No subjects completed baseline or follow-up surveys.

The difference in change on the Knee Osteoarthritis Outcome Survey (KOOS) - Activities of Daily Living subscale will be calculated between the treatment groups. The survey will be administered at baseline and at the subject's 6-weeks post procedure follow-up. The survey is scored on a continuous scale as follows: 1 = none, 2 = mild, 3 = moderate, 4 = severe, 5 = extreme.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Approximately 6 weeks

Population: No subjects completed both the baseline and follow-up survey.

The difference in change on the Knee Osteoarthritis Outcome Survey (KOOS) - Symptoms subscale will be calculated between the treatment groups. The survey will be administered at baseline and at the subject's 6-weeks post procedure follow-up. The survey is scored on a continuous scale as follows: 1 = never, 2 = rarely, 3 = sometimes, 4 = often, 5=always.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Approximately 6 weeks

Population: No subjects completed both the baseline and follow-up survey.

The difference in change on the Knee Osteoarthritis Outcome Survey (KOOS) - Stiffness subscale will be calculated between the treatment groups. The survey will be administered at baseline and at the subject's 6-weeks post procedure follow-up. The survey is scored on a continuous scale as follows: 1 = none, 2 = mild, 3 = moderate, 4 = severe, 5 = extreme.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Approximately 6 weeks

Population: No subjects completed both the baseline and follow-up survey.

The difference in change on the Knee Osteoarthritis Outcome Survey (KOOS) - Sports and Recreational Activities subscale will be calculated between the treatment groups. The survey will be administered at baseline and at the subject's 6-weeks post procedure follow-up. The survey is scored on a continuous scale as follows: 1 = none, 2 = mild, 3 = moderate, 4 = severe, 5 = extreme.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Approximately 6 weeks

Population: No subjects completed both the baseline and follow-up survey.

The difference in change on the Central Sensitization Inventory assessment will be calculated between the treatment groups. The survey will be administered at baseline and at the subject's 6-weeks follow-up. The survey is scored on a continuous scale as follows: 1 = never, 2 = rarely, 3 = sometimes, 4 = often, 5 = always.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Approximately 6 weeks

Population: No subjects completed both the baseline and follow-up assessment.

The change of physical function using the Timed Up \& Go Assessment (TUG) will be evaluated at four intervals during the study; baseline, during the immediate post-operative time period (day of surgery or post-operative day 1), 7-day follow-up, and at 6-week follow-up. Patients will stand up from a chair, walk approximately 10 feet, turn, walk back and sit back down. This activity will be timed in seconds. The change from baseline until 6-week follow-up will be reported.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Approximately 6 weeks

Population: No subjects completed both the baseline and follow-up assessment

The change of physical function using the Stand to Sit Assessment (STS) will be evaluated at four intervals during the study; baseline, during the immediate post-operative time period (day of surgery or post-operative day 1), 7-day follow-up, and at 6-week follow-up. Patients will stand up and sit down from a chair 5 times in a row, as quickly as they can. This activity will be timed in seconds. The change from baseline until 6-week follow-up will be reported.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Approximately 6 weeks

Population: No subjects completed both the baseline and follow-up assessment

The change of physical function using the Patient-Specific Functional Scale Assessment (PSFS) will be evaluated at four intervals during the study; baseline, during the immediate post-operative time period (day of surgery or post-operative day 1), 7-day follow-up, and at 6-week follow-up. At baseline, patients will asked to identify activities they are having difficulty/unable to do and would like to gain the mobility back after procedure. The activities will be scored on a continuous rating with The change from baseline until 6-week follow-up will be reported.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Approximately 6 weeks

Population: No subjects completed both the baseline and follow-up measurements

Using a numerical rating scale (0-10), patients will be asked to report their pain level. The scale is from 0 to 10 with 0 being no pain and 10 representing the most intense pain. The pain scores will be collected on 7-day post procedure follow-up and at the 6-week follow up. The change between the timepoints will be reported.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Approximately 6 weeks

Population: No subjects completed this.

Review with subjects the type and amount of additional pain (opioid) medication required to control their pain. This will be examined approximately 7-day post procedure and at the 6-week post procedure follow-up. The amount of opioid medication taken by the subject will be converted to morphine equivalents for reporting purposes.

Outcome measures

Outcome data not reported

Adverse Events

Control

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

Study (Pregabalin)

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

Dr. Lee Kral

University of Iowa Hospitals and Clinics

Phone: (319) 384-6593

Results disclosure agreements

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