New nerve block could replace morphine for hip surgery pain
NCT ID NCT07449585
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares a nerve block (PENG) to spinal morphine for pain after total hip replacement. About 180 adults will be randomly assigned to one of three groups: PENG block, spinal morphine, or spinal anesthesia alone. The goal is to see which method provides better pain control with fewer side effects like nausea and itching.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Ropivacaine and dexamethasone (PENG block) vs. morphine (intrathecal)
- What this could lead to
- If the PENG block works better, it could offer a safer way to manage pain after hip replacement, reducing the need for opioids and their side effects.
- What could go wrong
- This is a small, early-stage trial that hasn't started yet. The nerve block may not be as effective as morphine, and results may not apply to all patients.
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 180 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Mar 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2028
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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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: * Informed, written consent for study participation. * Qualification for elective primary total hip arthroplasty via a posterolateral approach. * Age above 18 years. * ASA Physical Status I-III. * Absence of contraindications to spinal anesthesia. * Absence of contraindications to performing a Pericapsular Nerve Group (PENG) block. * Absence of contraindications to the administration of the pharmacological agents utilized in the study. Exclusion Criteria: * Absence of informed consent. * Age below 18 years. * Psychoactive substance abuse or dependence. * Chronic opioid therapy. * Contraindications to spinal anesthesia. * Contraindications to the Pericapsular Nerve Group (PENG) block. * Contraindications to the administration of study medications. * Body Mass Index (BMI) above 30 kg/m\^2. * Pregnancy. * History of chronic pain management.
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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 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.
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