A Multi-Pronged attack on Post-Surgery nausea: a new trial for head and neck cancer patients
NCT ID NCT07786155
First seen Aug 25, 2026 · Last updated Aug 27, 2026 · Updated 2 times
Summary
This trial tests whether a combination of antiemetic strategies can better prevent postoperative nausea and vomiting (PONV) in patients undergoing flap surgery for head and neck cancer. Participants will be randomly assigned to receive either a standard antiemetic protocol or a multimodal one that includes total intravenous anesthesia, a nerve block, and three different antiemetic medications. The study will compare the number of nausea and vomiting episodes, pain levels, and overall recovery quality between the two groups.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A multimodal antiemetic protocol combining total intravenous anesthesia with propofol, a superficial cervical plexus block, and medications (dexamethasone, palonosetron, acetaminophen)
- What this could lead to
- If effective, this approach could offer a better way to prevent postoperative nausea and vomiting, improving recovery and comfort for head and neck cancer surgery patients.
- What could go wrong
- This is a small, early-stage trial, and the results may not apply to all patients. The added interventions carry their own risks, such as nerve block complications or drug side effects.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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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
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About 72 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2029
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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19 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: * Patients aged 19 years or older undergoing elective flap surgery for head and neck cancer Exclusion Criteria: * Patients who do not consent to participate in the study * Patients undergoing emergency surgery * Patients with signs of inflammation (such as erythema) at the nerve block injection site * Patients with a history of hypersensitivity or adverse reactions to ropivacaine * Patients with difficulty completing questionnaires due to conditions such as dementia or delirium * Patients with severe cardiopulmonary disease * Patients with QT prolongation on preoperative ECG Patients deemed unsuitable for participation by the investigator
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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.
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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.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a new antibody help the immune system fight Hard-to-Treat tumors?
- Could a stick of gum ease post-surgery nausea and get bowels moving again?