Clinical trial Recruiting at 1 site Interventional Ages 18 to 65 Women only

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 typeInterventional
Ages18 Years to 65 Years
SexWomen only
Enrollment60 (estimated)
SponsorNational Cancer Institute, Egypt
Academic / other
Drugs / interventionschemotherapy, radiation
Locations1 site (Cairo)
StatusRecruiting
StartedMay 1, 2026
Main results expectedAugust 1, 2026
Study endsAugust 2, 2026
Registry record updatedJune 16, 2026
Trial IDNCT07650305 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.