Actively Recruiting

Phase 4
Age: 18Years - 80Years
All Genders
ID04729686

The Pericapsular Nerve Block in Total Hip Arthroplasty A Randomized, Controlled Trial Comparing Pain Management Approaches

Led by LifeBridge Health · Updated on 2025-01-22

78

Participants Needed

1

Research Sites

259 weeks

Total Duration

On this page

Sponsors

L

LifeBridge Health

Lead Sponsor

R

Rubin Institute for Advanced Orthopedics

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating the effectiveness of the pericapsular nerve block compared to the fascia iliaca nerve block for managing pain after total hip arthroplasty (THA). This Phase 4 randomized controlled trial focuses on adults with hip osteoarthritis or hip arthropathy undergoing primary total hip replacement using the anterior (Smith-Peterson) approach. Effective pain control is important for recovery, mobility, and reducing complications such as blood clots after surgery. Participants will receive one of two nerve block treatments as part of their standard care: the pericapsular nerve block or the fascia iliaca nerve block, both administered according to standard institutional practice. These nerve blocks are given around the time of surgery to help control pain. The study includes pre-operative, operative, and follow-up visits at 2 weeks and 4 to 6 weeks after surgery. During the study, pain levels will be measured every 4 hours up to 48 hours after surgery using the Visual Analog Pain Scale (VAS), and opioid use will be tracked for one month post-surgery. Participants will be monitored closely for pain control and any safety concerns. The total participation time includes surgery and follow-up visits over approximately 4 to 6 weeks.

CONDITIONS

Official Title

The Pericapsular Nerve Block in Total Hip Arthroplasty

Who Can Participate

Age: 18Years - 80Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed and dated informed consent form
  • Willingness to comply with all study procedures and availability for the duration of the study
  • Planned primary total hip arthroplasty with anterior (Smith-Peterson) approach
  • ASA score of 1 to 3
  • Indicated for one of the two nerve block groups
  • Opioid naive at screening as defined by the FDA (not taking opioids at specified doses for one week or longer)
Not Eligible

You will not qualify if you...

  • Current or previous diagnosis of chronic pain
  • Opioid tolerant at time of screening (using opioids at or above specified doses for one week or longer)
  • Diagnosis of ankylosing spondylitis
  • Allergy to any medications used in the nerve block groups
  • Conversion to general anesthesia during surgery
  • Treatment with another investigational drug or intervention for pain
  • Any physical or psychological condition or exam finding that would prevent participation according to the investigator

AI-Screening

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Trial Site Locations

Total: 1 location

1

Sinai Hospital of Baltimore

Baltimore, Maryland, United States, 21215

Actively Recruiting

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Research Team

M

Martin Gesheff

N

Nirav Patel

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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