New pain block could replace standard for breast surgery
NCT ID NCT04827030
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested whether a newer nerve block called ESP works as well as the standard PVB block for pain after breast cancer surgery. 292 women received one of the two blocks before surgery. The main goal was to see how many needed morphine in the first two hours after surgery. The results could help doctors choose a simpler pain control method.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Ropivacaine (a numbing medicine)
- What this could lead to
- If ESP works as well as PVB, it could offer a simpler, safer option for controlling pain after breast surgery.
- What could go wrong
- This is a completed Phase 4 trial, so results are known. The main risk is that ESP may not be as effective as PVB, leading to more pain or morphine use.
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
-
292 people
The number who actually took part.
- Started
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Jun 2021
- Finished
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Jul 2023
- 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
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18 to 85 years
- Sex
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Female participants only
- Healthy volunteers
-
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: 1. Woman with breast adenocarcinoma without metastasis or breast in situ adenocarcinoma (with or without breast reconstruction by prosthesis) to by treated: * either by breast-conserving surgery with axillary dissection, * either by modified radical mastectomy with axillary dissection * either by modified radical mastectomy with lymph node dissection * either by modified radical mastectomy without axillary 2. Patients aged between 18 and 85 years old. 3. ASA class 1, 2 or 3 (Physical Status Classification System of American Society of Anesthesiologists (ASA)). 4. Signed informed consent form. 5. Patient able to answer self-assessment questionnaires (sufficient understanding of evaluations and in French). 6. Patient affiliated to the health care insurance. Exclusion Criteria: 1. Preoperative consumption of opioid in the patient's current medications within three months before inclusion. 2. Ipsilateral breast surgery during 3 months prior to the inclusion. 3. Allergy to local anaesthetics and morphine and NSAID. 4. Local skin inflammation at the puncture area. 5. Bilateral breast surgery planned at inclusion. 6. Major immediate ipsilateral breast reconstruction by using tissue flap procedure (example: latissimus dorsi flap, Deep Inferior Epigastric Perforator (DIEP), Transverse Rectus Abdominis Musculocutaneous (TRAM)…). 7. Any contra-indication or patient's refusal for regional anesthesia. 8. Male subjects. 9. Pregnant woman or breastfeeding. 10. B blocker medication. 11. Patient already participating in an analgesia protocol that may interfere with the pain assessment criteria. 12. Patient under legal protection. 13. Inability to undergo medical monitoring of the trial for geographical, social or psychological reasons.
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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
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AP-HP Hôpital Tenon
Paris, 75970, France
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Centre Jean Perrin
Clermont-Ferrand, 63000, France
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Institut Claudius Régaud UICT
Toulouse, 31059, France
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Institut Curie
Saint-Cloud, 92210, France
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Institut de Cancérologie de Lorraine
Vandœuvre-lès-Nancy, 54500, France
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