ClinicalTrials.gg
RecruitingNCT07751653Analgesia PTGUpdated Oct 23, 2026

Evaluation of Three Different Antalgic Blocks in Total Knee Prosthesis

An interventional study of Levobupivacaine in Analgesia, sponsored by I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio. Recruiting at 2 sites in Italy. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2026-10-23.

Sponsored by I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Started Aug 2026; still recruiting 3 months later.
Updated Oct 23, 2026Now RecruitingSite recruiting status changed+5 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
142
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

This randomised trial examines the three main anaesthetic blocks used in knee replacement surgery, comparing them in terms of analgesic efficacy (primary outcome), range of motion and degree of flexion in the immediate post-operative period.

Other outcomes include medication use and an analysis of any differences based on sex and age.

Read the detailed description

The three groups, each comprising 47 patients for a total of 141 patients, were randomly assigned and followed up in a 'double-blind' evaluation; they include patients meeting the following criteria Inclusion criteria are Both sexes, Unilateral knee prosthesis, Age > 40 years Informed consent

Exclusion criteria are:

Severe medical conditions and coagulation disorders Lack of cooperation Absence of informed consent Unicompartmental and/or bilateral prostheses

Patients will be monitored for the first 3 days of their hospital stay, and will then be followed up by telephone at 30 days.

All data will be recorded in a dedicated case report form and subsequently analysed and evaluated

02

Conditions studied

  • Analgesia
03

In context

Lead sponsor

I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio is the lead sponsor of 160 studies on the registry; 59 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Total Knee prosthesis
  • ASAC I-II
  • signed form

Exclusion criteria

Exclusion Criteria:

  • \<40 years
  • Mental confusion and delirium
  • Coagulation disorders
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
142 participants (estimated)

Study arms

  • Active comparator
    Femoral nerve,

    Femoral nerve block with levo-bupivacaine and Mepivacaine

    Drug: Levobupivacaine

  • Active comparator
    , Saphenous nerve,

    Saphenous nerve at two level, with the same drug composition

    Drug: Levobupivacaine

  • Active comparator
    , i-pack position

    Interspace between popliteal artery and femoral condilus plus low level saphenous, with the same drug

    Drug: Levobupivacaine

Interventions

06

What researchers measure

Primary outcomes

  1. pain, range of motion, weakness and mobilization.

    Primary outcome is pain evaluation. We willi use NRS scale, that's Numeric Scale Rating, with value between "0" and "10" where "0" means no pain and "10" the maximum possible pain. This evaluation should be repeated on day of surgery and after, creating a real "value report" The other primary outcome is a change in ROM (range of movement). For this measure we will use a goniometer to evaluate ROM. This goniometer allows us to measure the degree of Movement , starting from "0" and "120" degree. This values shlould be measured at day of surgery and more for the first three days after surgery

    Time frame: From surgery until the end of the third day after surgery

Secondary outcomes

  1. Motility, evaluated by a Physician (blind on kind of antalgic block) at day "0" (surgery day) and more on 1st - 2nd and Third day after surgery. Presence of any complication (fever, weakness, limitation in movements

    This secondary outcome are important to evaluate recovery and difference between age, sex, BMI, lenght of stay

    Time frame: From surgery until third day and, as follow up, 15 and 30 days after surgery. The follo up will be performed, by phone calla, at 15 and 30 days after discharge

07

Study locations

1 of 2 sites recruiting
  • Ospedale Galeazzi S.p.A.
    Milan, Italy 20100, Italy
    Completed

    Not enrolling at this site.

  • IRCCS Galeazzi Milano
    Milan, Michigan 20148, Italy
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Started Aug 2026 (actual). Primary completion is estimated for Feb 2027, 6 months after the start.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 23, 2026: start Feb 2025 → Aug 2026, primary completion Oct 2025 → Feb 2027 and completion May 2026 → Mar 2027.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Jun 10, 2026
First posted
Aug 7, 2026
StartActual
Aug 6, 2026was Feb 2025
Primary completionEst.
Feb 23, 2027was Oct 2025
CompletionEst.
Mar 10, 2027was May 2026
Last update
Oct 23, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Completed→Recruiting
changed Oct 23, 2026
Sites
1 site added. Ospedale Galeazzi S.p.A. is now Completed
Show site
  • IRCCS Galeazzi Milano · Milan, Italy
Oct 23, 2026
Start date
Feb 6, 2025→Aug 6, 2026
Oct 23, 2026
Primary completion
Oct 23, 2025→Feb 23, 2027
Oct 23, 2026
Study completion
May 10, 2026→Mar 10, 2027
Oct 23, 2026
Enrollment
141 (actual)→142 (estimated)
Oct 23, 2026
Show all 1 update
  1. Oct 23, 2026
    Completed→Recruiting
    1 site added. Ospedale Galeazzi S.p.A. is now Completed
    Show site
    • IRCCS Galeazzi Milano · Milan, Italy
    Start date Feb 6, 2025→Aug 6, 2026
    Primary completion Oct 23, 2025→Feb 23, 2027
    Study completion May 10, 2026→Mar 10, 2027
    Enrollment 141 (actual)→142 (estimated)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07751653
Responsible party
Sponsor
First posted
Aug 7, 2026
Start date
Aug 6, 2026
Primary completion
Feb 23, 2027 (estimated)
Completion
Mar 10, 2027 (estimated)
Last update
Oct 23, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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No contact was published for this record. The registry link below has the sponsor’s details.

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Studies of the drug tested here: Levobupivacaine

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