Status:

COMPLETED

Cannabidiol for Bilateral Total Knee Arthroplasty

Lead Sponsor:

Hospital for Special Surgery, New York

Conditions:

Pain, Postoperative

Opioid Use

Eligibility:

All Genders

18-75 years

Phase:

PHASE4

Brief Summary

In light of the opioid epidemic and evidence suggesting that cannabis may be opioid-sparing, we are in a unique position to conduct a novel, high-impact study that would set the stage for future RCTs ...

Eligibility Criteria

Inclusion

  • Age 18 to 75
  • Scheduled for same-day bilateral total knee replacements with participating surgeons
  • American Society of Anesthesiologists (ASA) Physical Status 1 or 2

Exclusion

  • ASA 3 and higher
  • Weight \< 40kg
  • Planned use of general anesthesia
  • Contraindication to major components of study protocol
  • Cannabis or cannabinoid use within the past 3 months (recreational and/or medical)
  • Use or ingestion of hemp seeds or hemp oil in any form within the past 30 days
  • Chronic opioid use (\>3 months)
  • Coumadin use
  • Current use of SSRI or SNRIs
  • History of substance abuse or dependence
  • Active or history of major psychiatric illness
  • Severe cardiovascular disorder
  • Severe hepatic or renal insufficiency (transaminase levels above ULN)
  • History of epilepsy
  • Diagnosis of rheumatic disease, autoimmune disease, or immunodeficiency (e.g. rheumatoid arthritis, psoriatic arthritis, inflammatory bowel disease, multiple sclerosis, etc.)
  • Use of valproate or clobazam
  • Known or suspected hypersensitivity, allergy, or contraindication to cannabinoids or any of the excipients in the study medications (i.e. sesame oil, sucralose, strawberry flavor)
  • Active use of steroids - oral steroids upon admission
  • Stress dose steroids
  • Non-English speakers
  • Planned discharge to home without caregiver(s)

Key Trial Info

Start Date :

November 2 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 8 2025

Estimated Enrollment :

37 Patients enrolled

Trial Details

Trial ID

NCT04749628

Start Date

November 2 2022

End Date

January 8 2025

Last Update

February 6 2025

Active Locations (1)

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1

Hospital for Special Surgery

New York, New York, United States, 10021