New study tests safer pain relief for kids having hand surgery
NCT ID NCT07474909
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This study looks at whether giving the steroid dexamethasone near the nerves or through an IV can safely make pain relief last longer in children having hand or forearm surgery. About 150 children will be randomly assigned to one of three groups: dexamethasone near the nerve, dexamethasone through a vein, or a placebo. The researchers will check for nerve damage and pain levels over a year to find the safest and most effective approach.
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 safer, longer-lasting way to manage pain in children after hand or forearm surgery, reducing the need for opioids.
- What could go wrong
- This is a small, early-phase trial with only 150 children, so results may not apply to all. There is also a small risk of nerve injury from the injection itself.
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
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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 150 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Jan 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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3 months to 16 years
- 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 3 months to 16 years * Scheduled elective hand or forearm surgery under general anesthesia with a brachial plexus block * ASA physical status I-III * Planned use of ultrasound-guided regional anesthesia * Written informed consent from parent(s) or legal guardian and age-appropriate assent from the child Exclusion Criteria: * Pre-existing neurological disease or peripheral neuropathy * Preoperative sensory deficit in the operative limb * Infection at or near the needle insertion site * Coagulopathy or therapeutic anticoagulation * Systemic infection or sepsis * Chronic steroid therapy within 30 days before surgery * Known allergy to ropivacaine or dexamethasone * Diabetes mellitus * BMI \> 99th percentile for age and sex. * Pregnancy or breastfeeding * Participation in another interventional clinical trial within 30 days * Refusal of consent
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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 places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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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Poznan University of Medical Sciences
RECRUITINGPoznan, 62-701, Poland
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