A Pilot Randomized Controlled Trial of Suzetrigine as an Adjunct to Multimodal Analgesia Following Total Knee Arthroplasty
Total Knee Arthroplasty
What this study involves
The registry does not currently label this study as recruiting. Ask about its status before planning a screening visit.
- Study type
- Interventional
- Phase
- Phase 4
- Age range
- 18 years - 80 years
- Sex eligible
- All sexes
- Healthy volunteers
- Not accepted
- Participants
- 40 Estimated
These are starting points, not an eligibility decision. The research team must review the full requirements.
About the research
This proposal seeks to determine if the addition of Suzetrigine, a novel non-opioid pain medication, to a standardized multimodal pain management pathway significantly reduces total postoperative opioid consumption (measured in Morphine Milligram Equivalents \[MME\]) and improves patient-reported pain scores during the first 14 days following primary total knee arthroplasty (TKA). Prior to conducting a definitive randomized control trial (RCT), we propose a pilot study to inform the trial's design and feasibility.
Objective: To inform the design and feasibility of a definitive RCT comparing postoperative pain control with and without Suzetrigine after TKA. To achieve this objective, we will conduct a pilot trial and address the following aims:
1\) to determine if participant enrollment is feasible, 2) to assess compliance with treatment protocol and key aspects of the protocol, and 3) to refine data collection methods.
Who may be able to participate?
The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.
Inclusion Criteria:
- Adults aged 18 to 80 years
- Diagnosis of knee osteoarthritis
- Scheduled for unilateral TKA
- Willingness to maintain a 14-day medication and pain log
Exclusion Criteria:
- Chronic opioid use
- Severe renal impairment (eGFR \< 30 mL/min) or severe hepatic impairment (Child-Pugh Class C)
- History of active peptic ulcer disease or GI bleeding
- Known allergies to any of the study medications (suzetrigine, acetaminophen, meloxicam, or oxycodone).
- Significant peripheral neuropathy in the operative extremity
- Active history of substance abuse or opioid use disorder
Treatment, groups and participation
The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.
- Assignment
- Random assignment
- Masking
- No masking
Standard Multimodal Group
Standard multimodal control group will receive treatment components such as nerve block through an adductor canal catheter for 4 days, cryotherapy/icing as needed, scheduled non-opioid drug (acetaminophen 1000 mg 3 times a day), nonsteroidal anti-inflammatory drug (NSAID) (Meloxicam 15mg daily), and breakthrough opioid (Oxycodone 5mg every 4 hours as needed).
Suzetrigine Group
The Suzetrigine group will receive a 100 mg loading dose of Suzetrigine, followed by 50mg Q12h for 14 days as an addition to a standardized multimodal pain management pathway. The standardized multimodal pain management pathway consists of treatment components such as nerve block through an adductor canal catheter for 4 days, cryotherapy/icing as needed, scheduled non-opioid drug (acetaminophen 1000 mg 3 times a day), nonsteroidal anti-inflammatory drug (NSAID) (Meloxicam 15mg daily), and breakthrough opioid (Oxycodone 5mg every 4 hours as needed).
Drug: Suzetrigine
Suzetrigine DRUG
100 mg loading dose of Suzetrigine, followed by 50mg every 12 hours for 14 days as an addition to a standardized multimodal pain management pathway.
What researchers are measuring
Outcome measures describe what is being studied. They are not proof that a treatment works.
Primary measures
Participant enrollment
Time frame: At enrollment
Enrollment rates
Protocol adherence
Time frame: Within 14 days
Protocol adherence rates
Data collection
Time frame: At 14 days
Completeness of data collection
Secondary measures
Primary Clinical Outcome: Opioid consumption
Time frame: Within 14 days
Total cumulative opioid consumption in milligrams morphine equivalents (MME) within the study period
Other measures
Pain
Time frame: At 14 days
Numeric Pain Rating Scale (NPRS): Zero is equivalent to no pain and 10 indicates the worst possible pain.
First day of walking unassisted
Time frame: Within 14 days
Not reported in this registry record.
Barthel Index for Activities of Daily Living (ADL)
Time frame: At 14 days
Cumulative score ranges from 0 to 100, where 0 indicates complete dependence and 100 signifies total independence
Knee injury and Osteoarthritis Outcome Score (KOOS)
Time frame: At 14 days
0 represents extreme knee problems, and 100 represents no knee problems
Knee range of motion
Time frame: At 14 days
Clinical assessment
Time to opioid cessation
Time frame: Within 14 days
Not reported in this registry record.
Opioid prescription renewal
Time frame: Within 14 days
Not reported in this registry record.
Incidence of opioid-related adverse events
Time frame: Within 14 days
Not reported in this registry record.
Review the complete result tables and limitations in the official record.
Open official results ↗Research locations (1)
The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.
1 locations
UCI Health Medical CenterOrange, California, United StatesStatus unknown
Study team and timeline
- Lead sponsor
- University of California, Irvine
- Study start
- 2027-01 Estimated
- Primary completion
- 2027-03 Estimated
- Study completion
- 2027-04 Estimated
- First posted
- Nov 10, 2026 Actual
- Last updated
- Nov 10, 2026 Actual
Official study contacts
Official study title
A Pilot Randomized Controlled Trial of Suzetrigine as an Adjunct to Multimodal Analgesia Following Total Knee Arthroplasty
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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.
Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026
