Status:

NOT_YET_RECRUITING

Study to Use Oral Losartan to Decrease the Risk of Postoperative Scarring Following (ACL) Reconstruction

Lead Sponsor:

Rush University Medical Center

Collaborating Sponsors:

Arthroscopy Association of North America (AANA)

Conditions:

ACL Injury

ACL Reconstruction

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

The purpose of this study to investigate the effect of using losartan (a blood pressure lowering drug with anti-scarring properties) on preventing primary postoperative arthrofibrosis (formation of ab...

Detailed Description

Losartan, an angiotensin-II receptor blocker (ARB), approved by the Food and Drug Administration (FDA) for the treatment of hypertension and diabetic nephropathy, has garnered recent interest in the f...

Eligibility Criteria

Inclusion

  • Must be undergoing a primary ACLR with or without the following:
  • Chondroplasty
  • Synovectomy
  • Loose body removal
  • Removal of hardware
  • Meniscal surgery (excluding meniscal allograft transplantation/MAT)
  • Lateral extra-articular tenodesis
  • Must have skeletal maturity in the distal femur and proximal tibial physes
  • Must be age 18 years or older at time of enrollment

Exclusion

  • \<18 years at time of enrollment
  • No diagnosis of ACL tear
  • ACL repairs
  • Revision ACL reconstructions
  • Open distal femur or proximal tibia physes
  • Major concomitant procedures (such as osteotomy, MAT, or cartilage restoration surgery)
  • History of prior proximal or distal femur fracture (including those receiving nonoperative treatment)
  • History of prior ipsilateral femur or tibia osteomyelitis
  • Medical history
  • History of hypotensive disease, including postural orthostatic hypotension syndrome (POTS), autonomic dysreflexia, or Shy-Drager syndrome (aka multiple system atrophy), baseline hypotension \<90 systolic or \<60 diastolic mmHg.
  • History of significant hepatic disease (liver transplantation, cirrhosis of any cause, or any liver disease with Child-Pugh classification B or C) due to hepatic metabolism of ARBs.
  • Chronic kidney disease
  • Rheumatologic disorders on immunologic medications
  • Current medications including diuretics (i.e. furosemide), lithium, and spironolactone
  • Current hypertension with prescription of an ARB or ACE-I
  • Allergy to losartan
  • Current pregnancy or breastfeeding

Key Trial Info

Start Date :

August 1 2026

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2028

Estimated Enrollment :

144 Patients enrolled

Trial Details

Trial ID

NCT07135687

Start Date

August 1 2026

End Date

December 1 2028

Last Update

December 15 2025

Active Locations (1)

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1

Rush University Medical Center

Chicago, Illinois, United States, 60612