Could a common steroid help kids avoid opioids after ankle surgery?
NCT ID NCT05887765
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested whether giving children a single dose of dexamethasone before a nerve block for ankle or foot surgery could extend pain relief and reduce the need for strong painkillers like opioids. 90 children took part, receiving either a small or large dose of dexamethasone or a placebo. Researchers measured how long until pain medication was first needed and total opioid use.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Dexamethasone
- What this could lead to
- If it works, this could provide a simple way to extend pain relief and reduce opioid use after pediatric ankle surgery.
- What could go wrong
- This is a small, completed Phase 4 trial with 90 children. Results may not apply to all surgeries or ages, and dexamethasone can raise blood sugar.
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
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
90 people
The number who actually took part.
- Started
-
Oct 2023
- Finished
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Jul 2025
- 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
-
3 months to 18 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: * children scheduled for ankle/foot surgery * body weight \> 5kg Exclusion Criteria: * infection at the site of the regional blockade * coagulation disorders * immunodeficiency * ASA= or \>4 * steroid medication in regular use
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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.
Contacts and locations
Locations
-
Department of Spine Diseases and Pediatric Orthopedics, University of Medical Sciences, Poznań, Poland
Poznan, Wielkopolska, 61-545, Poland
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Poznan Univesity of Medical Sciences
Poznan, Wielkopolska, 61-701, Poland
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