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NCT05278494NARecruiting

Dextromethorphan for Treatment of Postoperative Pain

Nathanael Heckmann

Start Date

9/15/2022

Completion Date

12/31/2026

Summary

A Randomized, Placebo-Controlled Study to Evaluate the Efficacy of Perioperative Dextromethorphan compared to Placebo for the Treatment of Postoperative Pain

Detailed Description

There is extensive preclinical evidence that dextromethorphan has an analgesic effect in patients with pain of traumatic origin. The primary objective is to of this study is to evaluate the efficacy of perioperative dextromethorphan compared to placebo for postoperative pain in patients undergoing total knee arthroplasty (TKA). This is a single-institution, multi-dose, randomized, placebo-controlled, trial to evaluate the efficacy of perioperative dextromethorphan compared to placebo for postoperative pain in patients undergoing TKA. Male and/or female patients will be randomized to either dextromethorphan treatment group (n = 80) or placebo group (n= 80). Patients will receive 60 mg oral dextromethorphan (or matching placebo) preoperatively, as well as 30 mg 8- and 16-hours postoperatively.

Eligibility Criteria

Age Range: 18 years to No maximum

Main Inclusion Criteria: * Patients Age ≥18 planning to undergo total knee arthroplasty * ASA classes I - III Main Exclusion Criteria: * BMI ≥ 35 * History opioid abuse * History of intractable vomiting after previous surgery

Interventions

DRUG

Dextromethorphan Hydrobromide

DRUG

Placebo

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Conditions

Post-operative Pain

Locations

Keck School of Medicine of USC

Los Angeles, California 90033

United States