NCT02741232

Brief Summary

In this study, the investigators will compare the intraoperative opioid consumption for patients undergoing breast cancer surgery. The patients will be divided in two groups, the first one will receive a pectoral nerve block right after induction of anesthesia and the second one, the control group, will not receive the pectoral block. Our hypothesis is that the pectoral nerve block reduces the opioid consumption during the surgery.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
50

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Mar 2016

Geographic Reach
1 country

1 active site

Status
completed

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2016

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

April 13, 2016

Completed
5 days until next milestone

First Posted

Study publicly available on registry

April 18, 2016

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 30, 2017

Completed
16 days until next milestone

Study Completion

Last participant's last visit for all outcomes

September 15, 2017

Completed
Last Updated

March 20, 2019

Status Verified

March 1, 2019

Enrollment Period

1.5 years

First QC Date

April 13, 2016

Last Update Submit

March 18, 2019

Conditions

Keywords

analgesics, opioidspectoral block

Outcome Measures

Primary Outcomes (1)

  • Intraoperative remifentanil consumption for the first 30 minutes of surgery

    30 minutes

Secondary Outcomes (6)

  • Total intraoperative remifentanil consumption

    2 hours

  • Total intraoperative sevoflurane consumption

    2 hours

  • Postoperative pain evaluation

    30 minutes

  • Postoperative nausea and vomiting evaluation

    30 minutes

  • Total time in the recovery room

    60 minutes

  • +1 more secondary outcomes

Study Arms (2)

Pectoral nerve block

ACTIVE COMPARATOR

After induction of general anesthesia and under ultrasound visual guidance, pectoral block is performed with 30 mL total of local anesthetic (1% lidocaine + 1/400000 epinephrine). 10 mL of local anesthetic between pectoralis major muscle and pectoralis minor muscle and 20 mL between pectoralis minor muscle and serratus anterior muscle at the third rib.

Drug: Lidocaine 1% with epinephrine 1/400000

Sham block

SHAM COMPARATOR

No needle or injection will be used

Other: sham block

Interventions

Also known as: xylocaine with epinephrine
Pectoral nerve block
Sham block

Eligibility Criteria

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

You may qualify if:

  • ASA 1 to 3 inclusively
  • breast cancer surgery with or without axillary dissection

You may not qualify if:

  • any contraindication to the pectoral nerve block (coagulopathy, infection, pre- existing neuropathy, local anesthetic allergy and refusal of local anesthesia)
  • refusal to participate in the study
  • patient with dementia
  • preoperative breast pain
  • preoperative opioid consumption
  • breast reconstructive surgery
  • bilateral surgery
  • pregnant patient

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hôpital Maisonneuve-Rosemont

Montreal, Quebec, H1T 2M4, Canada

Location

MeSH Terms

Interventions

LidocaineEpinephrine

Intervention Hierarchy (Ancestors)

AcetanilidesAnilidesAmidesOrganic ChemicalsAniline CompoundsAminesEthanolaminesAmino AlcoholsAlcoholsBiogenic MonoaminesBiogenic AminesCatecholaminesCatecholsPhenolsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbons

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
PRINCIPAL INVESTIGATOR
PI Title
Clinical Assistant Professor

Study Record Dates

First Submitted

April 13, 2016

First Posted

April 18, 2016

Study Start

March 1, 2016

Primary Completion

August 30, 2017

Study Completion

September 15, 2017

Last Updated

March 20, 2019

Record last verified: 2019-03

Locations