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NCT Number: NCT07186426

A Clinical Trial Evaluating the Efficacy and Safety of HSK21542 in Patients for Postoperative Pain Treatment in Orthopedic Surgery

This is a multi-center, randomized, double-blind, placebo/active-controlled study. 405 subjects undergoing orthopedic surgery under general anesthesia are planned to be enrolled and randomized into the HSK21542 group, morphine group, and placebo group.

Recruiting

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Key information

Age range

18 year–74 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Xuanwu Hospital Capital Medical University, Beijing, Beijing Municipality, China

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 18 years old ≤ age ≤74 years old, regardless of gender;
  • 18 kg/m2≤BMI≤32 kg/m2,meet the weight range specified in the protocol;
  • American Society of Anesthesiologists (ASA) grade ⅰ-ⅲ;
  • Accept hip replacement under general anesthesia;
  • Within 4 hours after the end of surgery, NRS≥4 in the resting state at any time;
  • Fully understand and voluntarily participate this trial, and sign the informed consent form;

Exclusion criteria

  • Patients with allergy to opioids or any component of the trial drug;
  • Patients with a history of severe cardiovascular and cerebrovascular diseases, ,and psychiatric disorders;
  • Last use of opioid or non-opioid analgesics less than 5 half-lives or the duration of drug efficacy prior to randomization; use of drugs with unclear half-lives that may affect analgesic efficacy within 7 days prior to randomization, or last use of drugs affecting analgesic efficacy less than 5 half-lives prior to randomization, as well as Chinese herbal medicines or proprietary Chinese medicines deemed by the investigator as potentially impacting the evaluation of efficacy and safety;
  • Continuous use of opioid analgesics for more than 7 days for any reason within 30 days prior to screening;
  • Laboratory test results during the screening period meeting any of the following criteria: 1) Significantly abnormal hematology results; 2) Significantly abnormal prothrombin time test results; 3) Significantly abnormal liver or kidney function; 4) Significantly abnormal fasting blood glucose;
  • Positive test results during the screening period for hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCVAb), syphilis antibody, or human immunodeficiency virus (HIV) antibody;
  • A history of drug, drug, and/or alcohol abuse;
  • Participate in any clinical trail within 30 days;
  • Pregnant or lactating female subjects;
  • Subjects of childbearing potential who are unwilling to use contraception throughout the study period or plan to become pregnant within 3 months after the study.;
  • Subjects with any other factor considered by the investigator to be ineligible for participation in the trial.

Treatment and study plan

HSK21542

Drug

Patients administrated with HSK21542

Placebo

Drug

Patients administrated with placebo

Morphine

Drug

Patients administrated with morphine

Primary outcomes

  1. Sum of Pain Intensity Differences (SPID)

    Time frame: 48 hours

    Sum of Pain Intensity Differences (SPID) of each group

Secondary outcomes

  1. Proportion of subjects experiencing nausea

    Time frame: 48 hours

    Proportion of subjects experiencing nausea of each group

  2. Proportion of subjects experiencing vomit

    Time frame: 48 hours

    Proportion of subjects experiencing vomit of each group

  3. Sum of Pain Intensity Differences (SPID) in other time frame

    Time frame: 0-8 hours, 0-24 hours, 24-48 hours

    Sum of Pain Intensity Differences (SPID) in other time frame

  4. Number of times rescue analgesic medications were administered.

    Time frame: 48 hours

    Number of times rescue analgesic medications were administered.

  5. Total morphine consumption

    Time frame: 48 hours

    Total morphine consumption of each group

Study contacts

Contact information is provided by the study sponsor or research team.

Jianwei Tang

CONTACT

[email protected]

028-67258779

Sponsors and collaborators

Lead sponsor

Haisco Pharmaceutical Group Co., Ltd.

Industry

Registry information

Official study title

A Multi-Center, Randomized, Double-Blind, Placebo/Active-Controlled Phase III Clinical Study to Evaluate the Efficacy and Safety of HSK21542 Injection for Postoperative Pain Treatment in Orthopedic Surgery

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Sep 22, 2025
Registry last updated
Feb 13, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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