Stellate Ganglion Destruction With Alcohol Versus Thermal Ablation for Chronic Post Mastectomy Pain
1 other identifier
interventional
70
1 country
1
Brief Summary
- Group A: SGB with alcohol injection by ultrasound guidance and C7 level confirmation by fluoroscopy.
- Group B: Thermal RF; thermal RF neurolysis will be applied with a time of 60 seconds at 80º C, and then will be repeated twice . Stellate ganglion RF therapy will be done under fluoroscopy, integrated by ultrasound guidance
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2023
Shorter than P25 for not_applicable
1 active site
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
January 1, 2023
CompletedFirst Submitted
Initial submission to the registry
February 21, 2023
CompletedFirst Posted
Study publicly available on registry
March 16, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 30, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
July 30, 2023
CompletedAugust 2, 2023
July 1, 2023
7 months
February 21, 2023
July 31, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Changes in VAS
assessment of pain relief pre and post neuro destruction of stellate ganglion 1, 4, 8 and 12 weeks . A 10 cm horizontal line version was used with 2 ends (left-end means no pain and right-end means the worst pain). Changes in VAS for assessment of pain relief pre and post neuro destruction of stellate ganglion 1, 4, 8 and 12 weeks. A 10 cm horizontal line version was used with 2 ends (left-end means no pain and right-end means the worst pain). Changes in VAS for assessment of pain relief pre and post neuro destruction of stellate ganglion 1, 4, 8 and 12 weeks. A 100 mm horizontal line version was used with 2 ends (left-end means no pain and right-end means the worst pain).
12 WEEKS
Secondary Outcomes (1)
patient satisfaction by patient satisfaction score and the analgesic concomitant medications consumption will be assessed before and 1,4,8 and 12 weeks after block
12 weeks
Study Arms (2)
Stellate ganglion block with alcohol injection
ACTIVE COMPARATORStellate ganglion block with alcohol injection by ultrasound guidance and C7 level confirmation by fluoroscopy.
thermal RF neurolysis of Stellate ganglion
ACTIVE COMPARATORStellate ganglion RF therapy will be done under fluoroscopy, integrated by ultrasound guidance
Interventions
Stellate ganglion block with alcohol injection versus thermal RF neurolysis of Stellate ganglion
Eligibility Criteria
You may qualify if:
- Female patient 20-65yrs underwent surgery for breast cancer
- Pain duration of more than 6 months
- Pain is moderate to severe pain (visual analog scale \[VAS\] ≥ 4 cm),
- Pain described as a refractory one that is defined as pain for which classic biomedical therapy has proven ineffective
- Pain is of positive neuropathic character as detected by the grading system for neuropathic pain (GSNP), with a score of 3 or 4
You may not qualify if:
- Refusal of the patient
- Recent myocardial infarction
- Anti-coagulated patients or coagulopathy (evaluate risk/benefit ratio)
- Glaucoma
- Pre-existing counter lateral nerve palsy
- Severe emphysema
- Cardiac conduction block
- Local and systemic sepsis
- Local anatomical distortion (which may render the block technically difficult or hazardous.
- Psychiatric illness.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
NCIEgypt IRB office
Cairo, 11796, Egypt
Study Officials
- PRINCIPAL INVESTIGATOR
suzan adlan, lecturer
National Cancer Institute, Egypt
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 21, 2023
First Posted
March 16, 2023
Study Start
January 1, 2023
Primary Completion
July 30, 2023
Study Completion
July 30, 2023
Last Updated
August 2, 2023
Record last verified: 2023-07
Data Sharing
- IPD Sharing
- Will not share