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Arthroscopic Rotator Cuff Repair (ARCR)NCT07779473

Tapentadol vs Tramadol in Arthroscopic Rotator Cuff Repair

An observational study of Arthroscopic Rotator Cuff Repair (ARCR) and Postoperative Pain, run by University of Thessaly at 1 site in Greece.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Compare the effectiveness of tapentadol and tramadol as part of a multimodal analgesia treatment for Arthroscopic Rotator Cuff Repair Surgery. Read more about this study

Who is it for?
Ages 18 to 80 years
What is being tested?
Tramadol and Tapentadol
How many people
64 participants
Where
1 siteGreece
Study dates
1 Jul 2026to 1 Sep 2029
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients who will undergo arthroscopic rotator cuff surgery

Who may be able to join

  • Patients for elective ARCR
  • ASA PS I - III
  • Age 18-80 (adults)

Who cannot join

  • Patient refusal
  • Cognitive disfunction
  • Severe psychiatric disease
  • Under medication with MAO inhibitors, tricyclic antidepressants, serotonin reuptake inhibitors
  • Not speaking Greek
  • Known allergy to the study drugs
Show all 12Show fewer
  • Contraindications for any of the study drugs
  • Chronic renal failure (GFR < 50 ml/h)
  • Liver failure
  • Known regular use or misuse of opioids
  • Pregnant women
  • Patients undergoing general anesthesia

Trial locations and contacts

1 site in 1 country.

Greece1 site
  • Larissa University Hospital

    Larissa, Thessaly, 41110

Other trials in Greece

About this study

Official title: Comparison of Tramadol vs Tapentadol as Postoperative Analgesia in Arthroscopic Rotator Cuff Repair Surgery

Compare the effectiveness of tapentadol and tramadol as part of a multimodal analgesia treatment for Arthroscopic Rotator Cuff Repair Surgery.

Read the detailed description

Arthroscopic rotator cuff repair (ARCR) is considered the treatment of choice for rotator cuff tears. Despite its minimally invasive nature, the procedure is associated with significant acute postoperative pain and, in a proportion of patients, with the development of chronic postoperative pain and stiffness, which may adversely affect rehabilitation, functional outcomes, and quality of life.

Contemporary postoperative pain management is based on multimodal analgesic protocols aimed at achieving adequate pain control while reducing opioid use and opioid-related adverse effects. Tramadol and tapentadol are centrally acting opioids with atypical mechanisms of action that are commonly used in clinical practice as part of multimodal analgesia. However, available data regarding their comparative effectiveness and safety in patients undergoing ARCR remain limited.

The aim of the present study is to compare the effectiveness of tapentadol versus tramadol in the management of postoperative pain in patients undergoing arthroscopic rotator cuff repair at the University General Hospital of Larissa.

The study will include patients aged 18-80 years, classified as ASA Physical Status I-III, who meet the predefined inclusion and exclusion criteria. Participants will be randomized into two groups and will receive, within a standardized multimodal analgesic protocol, either tapentadol or tramadol. All patients will undergo identical anesthetic and surgical management in accordance with established departmental clinical practice.

The primary outcome measure is pain intensity at rest and during movement, assessed using validated pain scales (VAS/NRS) at 6, 12, and 24 postoperative hours, as well as on postoperative days 1, 2, and 3. Secondary outcome measures include the occurrence of adverse effects, sleep quality, patient and surgeon satisfaction, and measures of functional outcome, quality of recovery, and quality of life assessed at 3 and up to 6 months postoperatively. The presence of neuropathic pain will also be assessed preoperatively and at 3 and 6 months postoperatively using the PainDETECT questionnaire, while depressive symptoms will be evaluated preoperatively and at 6 weeks, 3 months, and 6 months postoperatively using the Patient Health Questionnaire-9 (PHQ-9).

Participation will be entirely voluntary following the provision of written informed consent. Participant anonymity and personal data protection will be ensured in accordance with applicable national and European legislation (GDPR). This study is expected to contribute to the optimization of postoperative analgesic protocols following ARCR and to the improvement of the quality of patient care.

Being tested
Tramadol, Tapentadol
Keywords
Arthroscopic rotator cuff repair, postoperrative pain, chronic pain, tramadol, tapentadol
Medical subject headings
Pain, Postoperative, Chronic Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TramadolDrug

    Add tapentadol, for effective pain management in a multimodal setting during ARCR

  • TapentadolDrug

    Add tramadol, for effective pain management in a multimodal setting during ARCR

Study groups in NCT07779473
Study groupRoleWhat they receive
TramadolTramadol will be administered in a multimodal analgesic approach to manage postoperative pain.
Receives: Drug: Tramadol
TapentadolTapentadol will be administered in a multimodal analgesic approach to manage postoperative pain.
Receives: Drug: Tapentadol

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Post-operative pain

    Numerical Rating Scale (NRS) score measures 0 to 10 (0=no pain, 10=the worst pain)

    Measured: 6 hours after surgery

  2. Post-operative pain

    Numerical Rating Scale (NRS) score measures 0 to 10 (0=no pain, 10=the worst pain)

    Measured: 12 hours after surgery

  3. Post-operative pain

    Numerical Rating Scale (NRS) score measures 0 to 10 (0=no pain, 10=the worst pain)

    Measured: 1st postoperative day

  4. Post-operative pain

    Numerical Rating Scale (NRS) score measures 0 to 10 (0=no pain, 10=the worst pain)

    Measured: 2nd postoperative day

  5. Post-operative pain

    Numerical Rating Scale (NRS) score measures 0 to 10 (0=no pain, 10=the worst pain)

    Measured: 3rd postoperative day

Secondary outcomes (51)
  1. Post-operative pain

    Numerical Rating Scale (NRS) score measures 0 to 10 (0=no pain, 10=the worst pain)

    Measured: 3 weeks after surgery

  2. Post-operative pain

    Numerical Rating Scale (NRS) score measures 0 to 10 (0=no pain, 10=the worst pain)

    Measured: 6 weeks after surgery

  3. Post-operative pain

    Numerical Rating Scale (NRS) 0 to 10 (0=no pain, 10=the worst pain)

    Measured: 3 months after surgery

  4. Post-operative pain

    Numerical Rating Scale (NRS) score measures 0 to 10 (0=no pain, 10=the worst pain)

    Measured: 6 months after surgery

  5. Neuropathic pain

    PainDETECT(not an abbreviation) (0-35 scale with 0-12 being negative result for neuropathic pain 13-18 ambiguous result and 19-35 positive for neuropathic pain)

    Measured: 6 months after surgery

  6. Quality of recovery

    Quality of Recovery-15 ( QoR15) ( scale 0-10 with 0 being poor outcome and 10 being excellent outcome)

    Measured: preoperatively

  7. Patient Satisfaction

    5-point Likert scale (not an abbreviation) (0-5) [5 representing higher satisfaction]

    Measured: 1st postoperative day

  8. Function

    ROWE Score(not an abbreviation) (scale 0-100 with 0 being poor outcome 100 being excellent outcome)

    Measured: 6 weeks after surgery

  9. Function

    ROWE Score (not an abbreviation) (scale 0-100 with 0 being poor outcome 100 being excellent outcome)

    Measured: 3 months after surgery

  10. Function

    ROWE Score (not an abbreviation) (scale 0-100 with 0 being poor outcome 100 being excellent outcome)

    Measured: 6 months after surgery

  11. Function

    The Constant-Murley Score (not an abbreviation) (scale 0-100 with 0 being poor outcome 100 being excellent outcome)

    Measured: 6 weeks after surgery

  12. Function

    The Constant-Murley Score (not an abbreviation) (scale 0-100 with 0 being poor outcome 100 being excellent outcome)

    Measured: 3 months after surgery

  13. Function

    The Constant-Murley Score (not an abbreviation) (scale 0-100 with 0 being poor outcome 100 being excellent outcome)

    Measured: 6 months after surgery

  14. Function

    DASH score (Disabilities of the Arm, Shoulder and Hand)(scale 0-100 with 0 being poor outcome 100 being excellent outcome)

    Measured: 6 weeks after surgery

  15. Function

    DASH score (Disabilities of the Arm, Shoulder and Hand) (scale 0-100 with 0 being poor outcome 100 being excellent outcome)

    Measured: 3 months after surgery

  16. Function

    DASH score (Disabilities of the Arm, Shoulder and Hand) (scale 0-100 with 0 being poor outcome 100 being excellent outcome)

    Measured: 6 months after surgery

  17. Function

    ASES (American Shoulder and Elbow Surgeons) Shoulder Score (scale 0-100 with 0 being poor outcome 100 being excellent outcome and is split evenly into two 0-50 subscores for pain and function)

    Measured: 6 weeks after surgery

  18. Function

    ASES (American Shoulder and Elbow Surgeons) Shoulder Score (scale 0-100 with 0 being poor outcome 100 being excellent outcome and is split evenly into two 0-50 subscores for pain and function)

    Measured: 3 months after surgery

  19. Function

    ASES (American Shoulder and Elbow Surgeons) Shoulder Score (scale 0-100 with 0 being poor outcome 100 being excellent outcome and is split evenly into two 0-50 subscores for pain and function)

    Measured: 6 months after surgery

  20. Quality of sleep

    Athens Insomnia Scale (scale 0-24 with 0 being excellent outcome and 24 being poor outcome)

    Measured: 1st postoperative day

  21. Quality of sleep

    Athens Insomnia Scale (scale 0-24 with 0 being excellent outcome and 24 being poor outcome)

    Measured: 2nd postoperative day

  22. Quality of sleep

    Athens Insomnia Scale (scale 0-24 with 0 being excellent outcome and 24 being poor outcome)

    Measured: 3rd postoperative day

  23. Quality of sleep

    Athens Insomnia Scale (scale 0-24 with 0 being excellent outcome and 24 being poor outcome)

    Measured: 3 weeks after surgery

  24. Quality of sleep

    Athens Insomnia Scale (scale 0-24 with 0 being excellent outcome and 24 being poor outcome)

    Measured: 6 weeks after surgery

  25. Quality of sleep

    Athens Insomnia Scale (scale 0-24 with 0 being excellent outcome and 24 being poor outcome)

    Measured: 3 months after surgery

  26. Quality of sleep

    Athens Insomnia Scale (scale 0-24 with 0 being excellent outcome and 24 being poor outcome)

    Measured: 6 months after surgery

  27. Quality of recovery

    Quality of Recovery-15 ( QoR15) (scale 0-10 with 0 being poor outcome and 10 being excellent outcome)

    Measured: 24 hours after surgery

  28. Neuropathic pain

    PainDETECT (0-35) (not an abbreviation) (0-35 scale with 0-12 being negative result for neuropathic pain 13-18 ambiguous result and 19-35 positive for neuropathic pain)

    Measured: 3 months after surgery

  29. Depression

    Patient Health Questionnaire 9 (PHQ9) (0-27) [The higher the score, more severe the depression]

    Measured: preoperatively

  30. Depression

    Patient Health Questionnaire 9 (PHQ9) (0-27) [The higher the score, more severe the depression]

    Measured: 6 weeks after surgery

  31. Depression

    Patient Health Questionnaire 9 (PHQ9) (0-27) [The higher the score, more severe the depression]

    Measured: 3 months after surgery

  32. Depression

    Patient Health Questionnaire 9 (PHQ9) (0-27) [The higher the score, more severe the depression]

    Measured: 6 months after surgery

  33. Neuropathic pain

    PainDETECT (0-35) (not an abbreviation) (0-35 scale with 0-12 being negative result for neuropathic pain 13-18 ambiguous result and 19-35 positive for neuropathic pain)

    Measured: preoperatively

  34. Health Status

    5 level EuroQol 5 Dimensions 5 level Score (EQ-5D-5L) (0-100) [The higher the score, the worse the health status] (not an abbreviation)

    Measured: preoperatively

  35. Health Status

    5 level EuroQol 5 Dimensions 5 level Score (EQ-5D-5L) (0-100) [The higher the score, the worse the health status] (not an abbreviation)

    Measured: 6 weeks after surgery

  36. Health Status

    5 level EuroQol 5 Dimensions 5 level Score (EQ-5D-5L) (0-100) [The higher the score, the worse the health status] (not an abbreviation)

    Measured: 3 months after surgery

  37. Health Status

    5 level EuroQol 5 Dimensions 5 level Score (EQ-5D-5L) (0-100) [The higher the score, the worse the health status] (not an abbreviation)

    Measured: 6 months after surgery

  38. Quality of sleep

    Athens Insomnia Scale (scale 0-24 with 0 being excellent outcome and 24 being poor outcome)

    Measured: preoperatively

  39. Surgeon Satisfaction

    5-point Likert scale (0-5) [5 representing higher satisfaction] (scale 0-24 with 0 being excellent outcome and 24 being poor outcome)

    Measured: 1st postoperative day

  40. Joint awareness

    Forgotten Joint Score (FJS) (scale 0-100 with 0 being poor outcome and 100 being excellent outcome)

    Measured: 6 weeks after surgery

  41. Joint awareness

    Forgotten Joint Score (FJS) (scale 0-100 with 0 being poor outcome and 100 being excellent outcome)

    Measured: 3 months after surgery

  42. Joint awareness

    Forgotten Joint Score (FJS) (scale 0-100 with 0 being poor outcome and 100 being excellent outcome)

    Measured: 6 months after surgery

  43. Joint awareness

    Forgotten Joint Score (FJS) (scale 0-100 with 0 being poor outcome and 100 being excellent outcome)

    Measured: preoperatively

  44. Function

    The Constant-Murley Score (not an abbreviation) (scale 0-100 with 0 being poor outcome 100 being excellent outcome)

    Measured: preoperatively

  45. Function

    ROWE Score (not an abbreviation) (scale 0-100 with 0 being poor outcome 100 being excellent outcome)

    Measured: preoperatively

  46. Function

    DASH score (Disabilities of the Arm, Shoulder and Hand) (not an abbreviation) (scale 0-100 with 0 being poor outcome 100 being excellent outcome)

    Measured: preoperatively

  47. Function

    ASES (American Shoulder and Elbow Surgeons) Shoulder Score (scale 0-100 with 0 being poor outcome 100 being excellent outcome and is split evenly into two 0-50 subscores for pain and function)

    Measured: preoperatively

  48. Nausia and vomiting

    Apfel Score (not an abbreviation) (scale 0-4 with 0 being excellent outcome 4 being poor outcome)

    Measured: 1st postoperative day

  49. Nausia and vomiting

    Apfel Score (not an abbreviation) (scale 0-4 with 0 being excellent outcome 4 being poor outcome)

    Measured: 2nd postoperative day

  50. Nausia and vomiting

    Apfel Score (not an abbreviation) (scale 0-4 with 0 being excellent outcome 4 being poor outcome)

    Measured: 3rd postoperative day

  51. Patient comorbidities

    Charlson scale (not an abbreviation) (scale that 0 means excellent outcome and more than 5 means poor outcome, there is no absolute scale number)

    Measured: properatively

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Aug 2026
  2. Study start1 Jul 2026
  3. Primary completion1 Jul 2029 (estimated)
  4. Study completion1 Sep 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Prospective
Enrolment
64 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07779473
Sponsor's protocol ID
17/3/10-02-26
Status last verified
Aug 2026
First submitted
24 Jul 2026
Last updated
21 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Arthroscopic Rotator Cuff Repair (ARCR) and Postoperative Pain, run by University of Thessaly at 1 site in Greece.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 21 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Greece. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Post-operative pain (time frame: 6 hours after surgery). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Oct 2026.

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