Effects of Buprenorphine, Clonidine, and Dexamethasone on Pain Management After Shoulder Surgery
Official title: Effects of a Triple Adjuvant Combination of Buprenorphine, Clonidine, and Dexamethasone on Duration of Brachial Plexus Blocks for Upper Extremity Surgery, a Prospective, Randomized Clinical Trial
Run by Loyola University · NCT05824832 · Data updated 2026-11-12
This study is testing if adding buprenorphine, clonidine, and dexamethasone to a common pain relief method can help people manage pain better after shoulder surgery.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 120 (estimated) |
| Sponsor | Loyola University Academic / other |
| Locations | 1 site (Maywood, Illinois) |
| Status | Recruiting |
| Started | February 28, 2023 |
| Main results expected | June 30, 2026 |
| Study ends | June 30, 2026 |
| Registry record updated | March 7, 2025 |
| Trial ID | NCT05824832 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older who are scheduled for shoulder arthroscopy and are willing to participate.
✕Probably not a fit
Patients with severe COPD, chronic pain requiring daily opioid use, or those with contraindications to general anesthesia may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial aims to evaluate the impact of adding buprenorphine, clonidine, and dexamethasone to Interscalene brachial plexus blocks on postoperative pain management in patients undergoing shoulder arthroscopy. A total of 120 patients will be randomly assigned to receive either the enhanced block with adjuvants or the standard block alone. The primary outcome is to assess differences in morphine requirements post-surgery between the two groups. This prospective, randomized, single-blinded study seeks to determine if the addition of these medications can improve pain control.
Why it matters
Potential benefit: If successful, this study could lead to improved pain management strategies for patients undergoing upper extremity surgeries.
How similar studies have gone: Previous studies have shown promising results with similar approaches in enhancing pain management after surgical procedures.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients ≥ 18 years old * Patients undergoing shoulder arthroscopy * Patients willing to participate and sign informed consent Exclusion Criteria: * Severe COPD/other contraindication to general anesthesia * Patient with a weight of less than 60 kg * Dementia, not alert or oriented to person, place, or time * Chronic pain patient with daily opioid use at home. * Patient with allergy to local anesthetics * Patient refusal * Total shoulder arthroplasty * Concomitant pain in different area from operative site. * Pregnancy * Patient with active infection on the injection sites for the blocks * Patients unable or willing to understand or comply with the study protocol
Where it's running
-
Loyola University Chicago
Maywood, Illinois, United States Recruiting
Study contacts
- Principal investigator: Audrice Francois, MD — Loyola University Chicago
- Study coordinator: Susan Fargo
- Email: sfargo@luc.edu
- Phone: 708-216-8046
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Low-Volume PENG Block With Dexamethasone After Hip Replacement
This trial tests whether a smaller PENG block with dexamethasone provides similar pain relief but preserves quadriceps strength after hip replacement, compared with the standard-volume PENG block.
-
Analgesia after open inguinal hernia repair using intrathecal morphine or a transversalis fascia plane block
This trial tests whether intrathecal morphine or a ultrasound-guided transversalis fascia plane block can provide better pain relief after open inguinal hernia repair in adults.
-
Single-level vs two-level erector spinae plane block for breast surgery
This study tests whether a single-level ESPB provides similar pain relief to a two-level ESPB for adults undergoing breast surgery.
-
Transverse vs Longitudinal Serratus Anterior Plane Block for Breast Surgery
This trial tests whether a longitudinal ultrasound view for serratus anterior plane block provides better pain relief after breast surgery than the standard transverse view.
-
iPAWS: Helping teens manage pain and risky behaviors after wisdom tooth removal
This program tests a short online intervention to help teens and their parents handle post-surgical pain and reduce risky behaviors after wisdom tooth extraction.
-
Single-shot nerve block with IV dexamethasone for rebound pain after shoulder surgery
This trial tests whether giving a one-time shoulder nerve block plus an IV dexamethasone dose can prevent rebound pain after shoulder surgery.
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.