Which additive works best for pain control in brain surgery?
NCT ID NCT07698665
First seen Jul 13, 2026 · Last updated Jul 14, 2026 · Updated 1 time
Summary
This trial tests whether adding ketamine or dexmedetomidine to a standard numbing drug (bupivacaine) in a scalp block improves pain control and reduces opioid use during brain tumor removal. About 80 adults undergoing supratentorial brain tumor surgery will receive one of the two combinations. Researchers will measure pain scores, opioid consumption, and side effects to see which additive works better.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ketamine and dexmedetomidine (as adjuvants to bupivacaine in scalp block)
- What this could lead to
- If one adjuvant proves better, it could lead to a standard way to reduce pain and opioid needs during brain tumor surgery.
- What could go wrong
- This is a small, early-stage comparison in one hospital. Results may not apply to all patients, and both drugs have side effects like sedation or blood pressure changes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
About 90 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Jan 2026
- Expected to finish
-
Jul 2026
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
20 to 60 years
- Sex
-
Anyone
- Healthy volunteers
-
Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age from 20 to 60 years, both sexes, American Society of Anesthesiologists (ASA) physical status II-III, Supratentorial tumor excision, Supine Position. and operation time: less than 6 hours. Exclusion Criteria: * Patient refusal, disturbed consciousness level (Glasgow Coma Scale \[GCS\] \< 15). Patients who required reintubation during the study period, those not extubated. immediately after surgery, or those who awoke with neurological deficits impairing. pain assessments were excluded from the final analysis, history of psychotic disorders or previous surgeries, Poor cognitive function. Postictal state or uncontrolled/recurrent seizures, known allergy to dexmedetomidine or ketamine, difficult intubation (Mallampati score \> III) or multiple intubation attempts, operation duration \> 6 hours, renal dysfunction (creatinine \> 1.2 mg/dL, BUN \> 20 mg/dL), heart block and patients with chronic headache disorders or those receiving chronic analgesic therapy (for \>3 months) were excluded.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Acute pain are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
2 sites. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
Cairo university
RECRUITINGCairo, Governorate, 002, Egypt
-
Cairo university Hospitals. kasralainy
RECRUITINGCairo, Egypt
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a new painkiller beat placebo after foot surgery?
- Can a heavy blanket calm pain and anxiety after trauma?
- Can a Non-Opioid pill ease pain after ankle replacement?
- Can we predict severe pain after C-Section?
- Can a VR headset turn painful joint injections into a distraction game for kids?
- Could a single nerve block slash opioid use in Children's elbow surgery?