New combo may ease post-mastectomy pain without strong drugs
NCT ID NCT07022353
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether adding a single dose of the muscle relaxant tizanidine to a nerve block (ESP block) improves pain control after mastectomy. 90 patients were randomly assigned to receive either the nerve block alone or the nerve block plus tizanidine before surgery. The goal was to see if the combination delays the need for extra pain medication and lowers pain scores in the first 24 hours.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tizanidine (a muscle relaxant) and an erector spinae plane (ESP) nerve block
- What this could lead to
- If it works, this combination could offer better pain relief after mastectomy, reducing the need for strong opioids and improving recovery.
- What could go wrong
- This is a small, single-center trial with 90 participants. The results may not apply to all patients, and the nerve block requires skilled placement. Side effects from tizanidine or the block are possible.
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
-
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
-
90 people
The number who actually took part.
- Started
-
Jul 2025
- Finished
-
Dec 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
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18 to 65 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. American Society of Anesthesiology (ASA) ІІ patients. 2. Scheduled for unilateral modified radical mastectomy. 3. BMI levels between 18.5- 35 Kg/m2. Exclusion Criteria: 1. Patient's refusal. 2. Altered mental status or un-cooperative patients. 3. History of known sensitivity to the used anesthetics. 4. Bleeding or coagulation diathesis. 5. Infection or redness at the injection site. 6. Cardiac, renal, hepatic, hematological disease, peptic ulcer, gastrointestinal bleeding, and central or peripheral neurological disease. 7. Chronic pain. 8. Participants used analgesics routinely within the last 24 h.
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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
-
Oncology Centre
Al Mansurah, Egypt
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