Personalized Analgesia Through Central Nervous System Engagement to Unlock Performance
Part of paid clinical trials in Pittsburgh, Pennsylvania.
- Sponsor
- Benedict Alter
- Study ID
- NCT07759336
- Phase
- PHASE4
- Status
- Not Yet Recruiting
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Conditions
- Chronic Knee Pain
- Chronic Pain
- Knee Osteoarthritis (Knee OA)
Eligibility Criteria
- Sex
- ALL
- Age
- 45 Years - 80 Years
- Healthy Volunteers
- Not accepted
Interventions
- Duloxetine — DRUGDuloxetine is an FDA-approved treatment for osteoarthritis. The drug will be prescribed for subjects with knee osteoarthritis pain to improve pain during mobility. The treatment consists of 30 mg of encapsulated duloxetine by mouth once daily for one week followed by 60 mg of encapsulated duloxetine by mouth once daily for 4 weeks. Then, patients will taper back down to 30 mg of encapsulated duloxetine by mouth once daily for one week.
- Placebo — DRUGThe placebo is a capsule that has been filled with an inactive filler, microcrystalline cellulose (Avicel). It will match in look to the overencapsulated duloxetine capsules but not contain the duloxetine itself. Participants will take 1 week of the placebo pill identical in appearance to encapsulated duloxetine 30 mg followed by 4 weeks of the placebo pill identical in appearance to encapsulated duloxetine 60 mg. Then, patients will take one week of the placebo pill identical in appearance to encapsulated duloxetine 30 mg.
Study Details
The goal of this clinical trial is to examine the effects of duloxetine on walking ability and physical activity in patients with knee osteoarthritis. Researchers will compare duloxetine to a placebo (a look-alike substance that contains no drug) to see if duloxetine works to improve walking ability in patients with knee osteoarthritis. At study visits, participants will complete surveys, perform physical function tasks, undergo non-invasive brain imaging, and undergo sensory testing.
Key Dates
- First listed
- Aug 12, 2026
- Start date
- Aug 31, 2026
- Status verified
- Aug 2026
- Primary completion
- Aug 31, 2028
- Completion
- Aug 31, 2028
Study Design
- Enrollment
- 85 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- CROSSOVER
- Primary purpose
- TREATMENT
Arms
- Experimental: Duloxetine, then placeboIn Period A, participants will receive duloxetine. In Period B, participants will receive placebo.
- Experimental: Placebo, then duloxetineIn Period A, participants will receive placebo. In Period B, participants will receive duloxetine.
Primary Outcome Measure
Distance walked in the 6-minute walking test [ Time Frame: 6 minutes per measurement; measured several times from enrollment to last study visit for up to 16 weeks. ]
Central Contacts
- Benedict Alter, MD, PhD412-677-0575
- Emma Racunas, BS412-665-8052
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| University of Pittsburgh - Center for Innovation in Pain Care (Research) | Pittsburgh | Pennsylvania | 15206 |
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