Ketamine may ease chronic pain after mastectomy, major trial underway
NCT ID NCT05037123
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether giving the drug ketamine during or right after mastectomy surgery can lower the chance of developing long-lasting pain. About 765 women having breast cancer surgery will be randomly assigned to receive a low-dose ketamine drip during surgery, a single ketamine shot after surgery, or a placebo (salt water). The goal is to see if either ketamine approach reduces pain severity and interference with daily life three months later.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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765 people
The number who actually took part.
- Started
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Jan 2022
- Expected to finish
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Aug 2026
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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Female participants only
- 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: * Woman 18 years of age or older * Undergoing elective breast surgery for oncologic indication as follows: unilateral or bilateral mastectomy, prophylacticmastectomy, +/- lymph node dissection, +/- immediate or delayed reconstruction. * No distant metastases Exclusion Criteria: * History of cognitive impairment or clinical signs of altered mental status (AMS) that may interfere with adherence to study procedures and/or participant safety. Clinical signs of AMS may include but are not limited to: confusion, amnesia, disorientation, fluctuating levels of alertness, etc. * Past ketamine or phencyclidine misuse or abuse * Schizophrenia or history of psychosis * History of post-traumatic stress disorder * Known sensitivity or allergy to ketamine * Liver or renal insufficiency * History of uncontrolled hypertension, chest pain, cardiac arrhythmia, stroke, head trauma, intracranial mass or hemorrhage, glaucoma, porphyria, uncontrolled thyroid disease, or other contraindication to ketamine * Lamotrigine, alfentanil, physostigmine, or 4-aminopyridine use * Currently Pregnant * Body mass index (BMI) equal to or greater than 41 * Non-English or non-Spanish speaker * Currently participating in another pain interventional trial * Unwilling to comply with all study procedures and be available for the duration of the study * Patient is American Society of Anesthesiologists (ASA) physical status 4, 5, or 6 * Patient has started or undergone hormone therapy for gender transition into male. * Patient scheduled for any bilateral (or greater) flap reconstruction
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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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Brigham and Women's Hospital - Harvard University
Chestnut Hill, Massachusetts, 02467, United States
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Mayo Clinic
Rochester, Minnesota, 55905, United States
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Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
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Montefiore Medical Center - Albert Einstein College of Medicine
The Bronx, New York, 10467, United States
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NYU Langone Health (Tisch Hospital, Kimmel Pavilion)
New York, New York, 10016, United States
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New York Presbyterian Columbia University Irving Medical Center
New York, New York, 10032, United States
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Rush University Medical Center
Chicago, Illinois, 60612, United States
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University of Alabama at Birmingham
Birmingham, Alabama, 35233, United States
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University of Arkansas
Little Rock, Arkansas, 72205, United States
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University of Pittsburgh - Magee Women's Hospital
Pittsburgh, Pennsylvania, 15213, United States
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University of Texas - MD Anderson Cancer Center
Houston, Texas, 77030, United States
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University of Texas - Southwestern Medical Center
Dallas, Texas, 75390, United States
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University of Washington Medical Center
Seattle, Washington, 98195, United States
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Washington University at St. Louis Medical Center
St Louis, Missouri, 63110, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a nerve block stop pain months after hysterectomy?
- Can a new nerve block match the gold standard for Post-Surgery pain?
- A 15-minute video call after surgery may stop chronic pain in opioid users
- Mapping pain after lung surgery: a new way to predict chronic pain?
- Could a Patient's own blood prevent chronic pain after back surgery?
- New combo aims to ease Post-Surgery pain without strong opioids