Which numbing drug gets feet ready for surgery faster?
NCT ID NCT05425979
First seen Sep 18, 2026 · Last updated Sep 18, 2026
Summary
Researchers at Mayo Clinic are comparing two local anesthetics, mepivacaine and bupivacaine, for ultrasound-guided ankle blocks used during foot surgery. Both drugs are already standard for this purpose, and the trial asks whether mepivacaine numbs the foot just as reliably but with a faster onset. Fifty adults having foot surgery receive one of the two drugs injected near the ankle nerves, and researchers time how long it takes for the block to work. They also track block failures, pain scores after surgery, and any side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- mepivacaine and bupivacaine, two local anesthetics injected near the ankle nerves
- What this could lead to
- If mepivacaine numbs the foot as well as bupivacaine but faster, surgical teams could start foot operations sooner and use one standard numbing drug for ankle blocks.
- What could go wrong
- This is a small, single-center study of 50 people, so its results may not apply to every patient or hospital. Ankle blocks can fail and require extra pain medicine or general anesthesia, and both drugs carry small risks of allergic reaction or nerve irritation.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2024
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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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
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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 greater than or equal to 18 years old. * Patients who provide informed consent to participate. * Patients undergoing foot surgery who require a peripheral nerve block of the ankle as primary anesthesia. * ASA (American Society of Anesthesiology) Physical Status Classification I - III. Exclusion Criteria: * Inability to consent. * Allergy to local anesthetic. * Infection at site of injection. * Pregnancy. * Coagulopathy. * Hepatic or renal failure. * Preexisting neuropathy in operative limb. * Planned spinal anesthetic or general anesthesia.
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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.
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The places running it
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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
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Mayo Clinic in Rochester
Rochester, Minnesota, 55905, United States
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