Status:

RECRUITING

Promoting Sleep to Alleviate Pain - Arthroplasty

Lead Sponsor:

Uppsala University

Conditions:

Osteoarthritis, Knee

Osteoarthritis, Hip

Eligibility:

All Genders

18-100 years

Phase:

NA

Brief Summary

PROSAP-A is a perioperative randomized, controlled trial with a 12-month follow-up period after total knee arthroplasty (TKA) or total hip arthroplasty (THA), aiming to investigate both acute and long...

Detailed Description

Although preoperative sleep disturbance is associated with poorer acute postoperative pain control, as well as development of chronic postsurgical pain, only very limited attempts have been made to ta...

Eligibility Criteria

Inclusion

  • age ≥18 years
  • insomnia severity index score \>10
  • fulfill DSM-V criteria for persistent insomnia disorder
  • average pain numerical rating scale (NRS) score ≥4 (scale 0 - 10) and/or movement-related pain NRS score ≥4 after 5 minutes walking
  • scheduled to undergo primary (first-time, i.e., not revision surgery) TKA or THA due to osteoarthritis

Exclusion

  • uncontrolled medical disorders
  • nightshift work
  • ongoing major depressive disorder, bipolar disorder, psychotic disorder, substance dependence
  • current history or high likelihood of primary sleep disorders (other than insomnia), including obstructive sleep apnea syndrome, narcolepsy, nocturnal myoclonus
  • severely impaired vision (precluding ability to take part of study interventions)

Key Trial Info

Start Date :

September 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2030

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT06145516

Start Date

September 1 2025

End Date

December 1 2030

Last Update

July 9 2025

Active Locations (1)

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Department of Surgical Sciences, Uppsala University

Uppsala, Uppland, Sweden, 75185