Bilevel erector spinae plane block vs pectoserratus block for pain relief after mastectomy
Official title: Bilevel Erector Spinae Plane Block Versus Pecto-serratus Block for Analgesia in Modified Radical Mastectomy in Cancer Surgery
Run by National Cancer Institute, Egypt · NCT07650305 · Data updated 2026-11-12
This study tests whether a bilevel erector spinae plane block or a pectoserratus block provides better pain relief after modified radical mastectomy in women with breast cancer.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | Women only |
| Enrollment | 60 (estimated) |
| Sponsor | National Cancer Institute, Egypt Academic / other |
| Drugs / interventions | chemotherapy, radiation |
| Locations | 1 site (Cairo) |
| Status | Recruiting |
| Started | May 1, 2026 |
| Main results expected | August 1, 2026 |
| Study ends | August 2, 2026 |
| Registry record updated | June 16, 2026 |
| Trial ID | NCT07650305 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adult female breast cancer patients (18–65 years) undergoing elective modified radical mastectomy with axillary dissection, ASA II-III, BMI 20–35 kg/m2.
✕Probably not a fit
Patients with BMI outside the 20–35 range, pregnancy, or significant medical comorbidities may not experience added benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study compares two ultrasound-guided regional anesthesia techniques—bilevel erector spinae plane block (ESPB) and pectoserratus block (PSPB)—for postoperative analgesia in women undergoing modified radical mastectomy with axillary dissection. Participants are adult female breast cancer patients, ASA II-III, aged 18–65, with BMI 20–35 kg/m2. Outcomes focus on analgesia quality, opioid consumption, recovery parameters, and potential side effects within the immediate postoperative period. The trial takes place at the National Cancer Institute, Cairo University, sponsored by the National Cancer Institute, Egypt. Data from this comparison could inform multimodal analgesia strategies for breast surgery and reduce opioid needs.
Why it matters
Potential benefit: If successful, the bilevel ESPB could provide superior or equivalent pain relief with lower opioid use after mastectomy.
How similar studies have gone: Regional anesthesia techniques for mastectomy have shown meaningful pain reduction in prior studies, though this exact bilevel ESPB versus PSPB comparison is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Breast cancer female patients. 2. ASA class II and III. 3. Age ≥ 18 and ≤ 65 Years. 4. Body mass index (BMI): \> 20 kg/m2 and \< 35 kg/m2. 5. Type of surgery; elective breast cancer surgery modified radical mastectomy combined with axillary dissection. Exclusion Criteria: 1. Patient refusal. 2. Age \<18 years or \>65 years. 3. BMI \<20 kg/m2 and \>35 kg/m2. 4. Major medical conditions. 5. Pregnancy or lactation.
Where it's running
-
National Cancer Institute - Cairo University
Cairo, Egypt Recruiting
Study contacts
- Study coordinator: Ayman Sharawy Abdelrahman Aboul Nasr, MD
- Email: ayman.sharawy@nci.cu.edu.eg
- Phone: 01282649008
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Gyrotonic exercise for elders with breast cancer and Behcet disease
We’re testing whether a gyrotonic exercise program helps older people who have both Behcet disease and breast cancer.
-
PECS II vs SPSIP nerve blocks for pain after mastectomy
This study tests whether two ultrasound-guided nerve blocks (PECS II and SPSIP) differ in how much opioid patients need after mastectomy.
-
CG-7321: a first-in-human test in advanced solid tumors
We’re testing CG-7321 alone and with fulvestrant to see if it’s safe and tolerable in adults with advanced solid tumors.
-
Compare a new endoscopy-assisted breast-conserving surgery with the usual approach
This study tests whether a new endoscopy-assisted breast-conserving technique can provide similar or better cosmetic outcomes and safety compared with conventional breast-conserving surgery in women with early breast cancer who want to preserve their breast.
-
Different skin care approaches to prevent skin reactions after mastectomy radiation
This study tests three standard skin care methods to see which best prevents radiation dermatitis in people who had a mastectomy and are receiving post-mastectomy radiation therapy.
-
3D Heart Strain to Detect Early Cardiotoxicity in Cancer Therapy
This study tests whether 3D echocardiography can detect early heart damage from cancer treatments like anthracyclines or HER2-targeted therapy better than standard 2D methods.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.