ClinicalTrials.gg
Not yet recruitingNCT07928011Updated Nov 10, 2026

A Pilot Randomized Controlled Trial of Suzetrigine as an Adjunct to Multimodal Analgesia Following Total Knee Arthroplasty

A Phase 4 interventional study of Suzetrigine in Total Knee Arthroplasty, sponsored by University of California, Irvine. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by University of California, Irvine · Phase 4, Interventional, and Treatment

Updated Nov 10, 2026Newly registeredGo to Updates ↓
Phase
Phase 4
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

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.

02

Conditions studied

  • Total Knee Arthroplasty
03

In context

Lead sponsor

University of California, Irvine is the lead sponsor of 476 studies on the registry; 98 are open to participants now.

Of its 41 completed or terminated interventional studies of FDA-regulated products, 30 (73%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
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

  • 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

Exclusion Criteria:

  • Chronic opioid use
  • Severe renal impairment ( \< 30 mL/min) or severe hepatic impairment ( 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
Terms in these criteria, in plain language(2)

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • No intervention
    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).

  • Experimental
    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

Interventions

  • 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.

06

What researchers measure

Primary outcomes

  1. Participant enrollment

    Enrollment rates

    Time frame: At enrollment

  2. Protocol adherence

    Protocol adherence rates

    Time frame: Within 14 days

  3. Data collection

    Completeness of data collection

    Time frame: At 14 days

Secondary outcomes

  1. Primary Clinical Outcome: Opioid consumption

    Total cumulative opioid consumption in milligrams morphine equivalents (MME) within the study period

    Time frame: Within 14 days

Other outcomes

  1. Pain

    Numeric Pain Rating Scale (NPRS): Zero is equivalent to no pain and 10 indicates the worst possible pain.

    Time frame: At 14 days

  2. First day of walking unassisted

    Time frame: Within 14 days

  3. Barthel Index for Activities of Daily Living (ADL)

    Cumulative score ranges from 0 to 100, where 0 indicates complete dependence and 100 signifies total independence

    Time frame: At 14 days

  4. Knee injury and Osteoarthritis Outcome Score (KOOS)

    0 represents extreme knee problems, and 100 represents no knee problems

    Time frame: At 14 days

  5. Knee range of motion

    Clinical assessment

    Time frame: At 14 days

  6. Time to opioid cessation

    Time frame: Within 14 days

  7. Opioid prescription renewal

    Time frame: Within 14 days

  8. Incidence of opioid-related adverse events

    Time frame: Within 14 days

07

Study locations

1 site
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Jan 2027; primary completion for Mar 2027, 2 months later.

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

Registered
Oct 1, 2026
First posted
Nov 10, 2026
StartEst.
Jan 2027
Primary completionEst.
Mar 2027
CompletionEst.
Apr 2027
Last update
Nov 10, 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.
Registered
First appeared on the registry. No changes since
Nov 10, 2026
Show all 1 update
  1. Nov 10, 2026
    First appeared on the registry

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 ↗

09

Registry details

Key details

Study ID
NCT07928011
Responsible party
Peter Hsiue (Assistant Professor of Clinical Orthopaedic Surgery, University of California, Irvine) — Principal investigator
First posted
Nov 10, 2026
Start date
Jan 2027 (estimated)
Primary completion
Mar 2027 (estimated)
Completion
Apr 2027 (estimated)
Last update
Nov 10, 2026

Study contacts

Peter Hsiue, MD
Contact
phsiue@hs.uci.edu
714-456-7012
Steven Yang, MD
Contact
stevey1@hs.uci.edu
714-456-7012
Peter Hsiue, MD
principal investigator · University of California, Irvine
Steven Yang, MD
principal investigator · University of California, Irvine

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Suzetrigine

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