Suzetrigine to reduce pain after total knee replacement
Official title: Suzetrigine for Treatment and Reduction of Intense Discomfort After knEe Replacement PAIN
Run by Icahn School of Medicine at Mount Sinai · NCT07548385 · Data updated 2026-11-12
This trial tests whether giving Suzetrigine before surgery helps adults having total knee replacement use fewer opioids and have less postoperative pain.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 85 Years |
| Sex | All |
| Enrollment | 235 (estimated) |
| Sponsor | Icahn School of Medicine at Mount Sinai Academic / other |
| Locations | 1 site (New York, New York) |
| Status | Recruiting |
| Started | April 2026 |
| Main results expected | February 23, 2027 |
| Study ends | February 23, 2027 |
| Registry record updated | April 23, 2026 |
| Trial ID | NCT07548385 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–85 of any gender who are scheduled for elective total knee replacement and who are not taking contraindicated CYP3A modulators and do not have significant liver impairment are ideal candidates.
✕Probably not a fit
Patients with moderate-to-severe hepatic impairment, those taking strong CYP3A inhibitors or inducers, chronic opioid users or those with substance use disorder, emergent or repeat knee surgeries, and pregnant patients are unlikely to be eligible or to benefit from this trial.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective, randomized, placebo-controlled Phase 3 trial enrolling adults scheduled for total knee replacement at Mount Sinai West. Participants are randomly assigned to receive a preoperative dose of Suzetrigine or a matching placebo in addition to standard perioperative pain care. The main outcomes are total opioid consumption after surgery and pain intensity measured by the visual analog scale. The study excludes patients with significant hepatic impairment, those taking strong CYP3A modulators, chronic opioid users, substance use disorders, emergent surgeries, reoperations, and pregnant patients.
Why it matters
Potential benefit: If effective, Suzetrigine could reduce postoperative pain and the need for opioids after knee replacement, potentially speeding recovery and lowering opioid-related side effects.
How similar studies have gone: Preoperative non-opioid analgesics have reduced opioid use in some prior trials, but Suzetrigine itself is a novel agent and has not been widely tested in large Phase 3 settings.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: To be eligible to participate in this study, an individual must meet all of the following criteria: * Adults 18-85 years old * Scheduled to undergo total knee replacement surgery * All genders Exclusion Criteria: Any individual who meets any of the following criteria will be excluded from participation in this study: * American Society of Anesthesiology Physical Classification (ASA) Class V * Urgent or emergent surgery * Contraindications to administration of Suzetrigine: * Patients who take moderate-to-severe CYP3A inhibitors (such as Ritonavir, Voriconazole, and Clarithromycin) * Patients who take moderate-to-severe CYP3A inducers (such as Phenytoin, Carbamazapine, and Rifabutin) * Patients with moderate to severe hepatic impairment * History of substance use disorder or chronic opioid use or alcohol abuse * Reoperation * Patient refusal or inability to consent * Pregnancy
Where it's running
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Mount Sinai West
New York, New York, United States Recruiting
Study contacts
- Principal investigator: Michael Lazar, MD — Icahn School of Medicine at Mount Sinai
- Study coordinator: Michael Lazar, MD
- Email: michael.lazar@mountsinai.org
- Phone: 212-523-2500
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.