NCT01670448

Brief Summary

Pain after breast cancer surgery could be severe and about 1/3 of patients will develop chronic pain. The PECBLOCK is the injection of local anesthetics between the two pectoral muscles to block pectoral nerves and intercostal nerves innervating the breast. The aim of this study is to evaluate the efficacy of the PECBLOCK performed under echoguidance in minor and major breast surgery. The prevention of chronic pain following surgery will also be evaluated.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
128

participants targeted

Target at P50-P75 for not_applicable cancer

Timeline
Completed

Started Jan 2014

Geographic Reach
2 countries

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 17, 2012

Completed
5 days until next milestone

First Posted

Study publicly available on registry

August 22, 2012

Completed
1.4 years until next milestone

Study Start

First participant enrolled

January 1, 2014

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2015

Completed
Last Updated

October 3, 2019

Status Verified

July 1, 2015

Enrollment Period

1.4 years

First QC Date

August 17, 2012

Last Update Submit

October 2, 2019

Conditions

Keywords

Postoperative painChronic pain preventionRegional anesthesiaMastectomy

Outcome Measures

Primary Outcomes (1)

  • Pain score at rest in the recovery room

    Using a 0-10 verbal numerical scale where 0 is no pain and 10 the worst pain imaginable

    30 min after entering the recovery room or just before morphine administration if needed

Secondary Outcomes (1)

  • Total morphine consumption in the recovery room

    in the recovery room before discharge (after 1 h on average))

Other Outcomes (2)

  • Total sufentanil consumption during surgery

    at the end of surgery (1-2 h on average)

  • Assess any complication from PECBLOCK

    first 24 hours post surgery

Study Arms (2)

PECBLOCK performed with bupivacaine

ACTIVE COMPARATOR

Active drug given through PECBLOCK in these patients.

Procedure: PECBLOCK under echoguidance

PECBLOCK performed with NaCl 0.9%

PLACEBO COMPARATOR

Placebo drug given through PECBLOCK in these patients

Procedure: PECBLOCK under echoguidance

Interventions

Performance of block under echography

PECBLOCK performed with NaCl 0.9%PECBLOCK performed with bupivacaine

Eligibility Criteria

Age18 Years - 85 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • women aged 18-85 yrs old
  • patients ASA status I-IV

You may not qualify if:

  • refusal of the PECBLOCK
  • allergy to a drug used in the protocol (local anesthetic)
  • patients with chronic pain before the surgery

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

CHUM

Montreal, Quebec, H2W 1T8, Canada

Location

University Hospital, Limoges

Limoges, 87042, France

Location

Related Publications (1)

  • Cros J, Senges P, Kaprelian S, Desroches J, Gagnon C, Labrunie A, Marin B, Crepin S, Nathan N, Beaulieu P. Pectoral I Block Does Not Improve Postoperative Analgesia After Breast Cancer Surgery: A Randomized, Double-Blind, Dual-Centered Controlled Trial. Reg Anesth Pain Med. 2018 Aug;43(6):596-604. doi: 10.1097/AAP.0000000000000779.

MeSH Terms

Conditions

NeoplasmsPainPain, Postoperative

Condition Hierarchy (Ancestors)

Neurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsPostoperative ComplicationsPathologic Processes

Study Officials

  • Jérôme Cros, MD

    CHU Limoges

    PRINCIPAL INVESTIGATOR
  • Pierre Beaulieu, MD

    CHUM

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 17, 2012

First Posted

August 22, 2012

Study Start

January 1, 2014

Primary Completion

June 1, 2015

Study Completion

June 1, 2015

Last Updated

October 3, 2019

Record last verified: 2015-07

Locations