Effectiveness of Adding Morphine to Intraosseous Vancomycin for Pain Control in Total Knee Arthroplasty

Study Purpose

Study investigators propose to investigate if a bony injection of pain medication during a knee replacement will help pain levels following primary knee replacement surgery. To investigate this, 86 patients will be enrolled. Half of the patients will receive a bony injection of antibiotics with morphine (pain medication) while the other half will receive a bony injection of antibiotics with placebo (no pain medication). Following surgery, patient pain levels and pain medication consumption will be measured. The injection is intraosseous meaning in the bone. The needle pierces the bone and the medication is injected into the bone. The site of injection is on the anterior (front) of the upper portion of the tibia. The medications are Vancomycin (antibiotic) and Morphine (pain medication) which are mixed in separate syringes and then injected. Intraosseous vancomycin is standard of care while intraosseous vancomycin with morphine is also standard of care, depending on operating surgeon.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

1. 18-100 years old. 2. Primary total knee arthroplasty. 3. Participants must be able to consent for themselves. 4. Capable and comfortable with text messaging.

Exclusion Criteria:

1. Non-primary total knee arthroplasty. 2. Intraoperative or postoperative deviation from standard of care. 3. Post-traumatic surgical indication. 4. Post-infectious surgical indication. 5. Chronic narcotic use or history of narcotic addiction. 6. Allergy to vancomycin. 7. Allergy to morphine. 8. Inability to receive spinal anesthesia. 9. Inability to receive intraoperative adductor canal block. 10. Inability to provide informed consent for the study. 11. Inability to speak English fluently

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT06716749
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 2
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Carilion Clinic
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Joseph T Moskal, MD
Principal Investigator Affiliation Carilion Clinic
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other
Overall Status Recruiting
Countries United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Primary Total Knee Arthroplasty, Intraosseous Morphine Injection, Knee Osteoarthritis
Arms & Interventions

Arms

Placebo Comparator: Control (Intraosseous vancomycin with no morphine)

Control patients will receive 500 mg of vancomycin in 100 mL of normal saline + 10 mL of normal saline (placebo). Both with be injected intraosseously in the tibia.

Experimental: Experimental (Intraosseous vancomycin with morphine)

Control patients will receive 500 mg of vancomycin in 100 mL of normal saline + 10 mg of morphine in 10 mL of normal saline. Both with be injected intraosseously in the tibia.

Interventions

Drug: - Morphine

10 mg morphine in 10 mL normal saline

Drug: - Vancomycin

500 mg Vancomycin in 100 mL of normal saline

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

Carilion Clinic, Roanoke, Virginia

Status

Recruiting

Address

Carilion Clinic

Roanoke, Virginia, 24014

Site Contact

William Burks, PhD

[email protected]

540-855-0420