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CompletedNCT04603911Updated Jan 10, 2025

RCT Comparing ESPB Solutions in Breast Surgery

A Phase 2 interventional study of Liposomal bupivacaine and Bupivacaine, epinephrine, dexamethasone, and clonidine in Breast Cancer, sponsored by Tufts Medical Center. Completed at 1 site in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-01-10.

Sponsored by Tufts Medical Center · Phase 2, Interventional, and Other

From the registry’s dates

  • Primary completion was Apr 2023, 3 years 6 months ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
75
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The object of our research is to investigate the relative efficacy of liposomal bupivacaine administered via an Erector Spinae Plane (ESP) block as compared to our standard of care medication solution of (bupivacaine mixed with epinephrine, dexamethasone, and clonidine) for pain management in subjects undergoing bilateral surgical intervention for breast cancer. This will be an investigator-initiated, double-blind, patient-controlled, randomized control trial comparing pain scores at 48 hours after injection.

02

Conditions studied

  • Breast Cancer

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Keywords

  • bilateral breast surgery
03

In context

Breast Neoplasms

12,815 studies on the registry are indexed under Breast Neoplasms; 2,920 are open to participants now.

This study's enrollment of 75 is close to the median of 72 across 9,494 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Tufts Medical Center is the lead sponsor of 200 studies on the registry; 29 are open to participants now.

Of its 31 completed or terminated interventional studies of FDA-regulated products, 16 (52%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Adults 18 to 75 years of age at screening
  2. Scheduled to undergo oncoplastic bilateral mastectomy and reconstruction surgery at Tufts Medical Center

Exclusion criteria

Exclusion Criteria:

  1. Adults unable to consent (inability to read, write, or has some impairment that hampers consent process or documentation, or cognitively impaired adults)
  2. Pregnant women
  3. Pregnant minors
  4. Woman of childbearing potential who are unwilling or unable to complete a pregnancy test
  5. Minors i.e., individuals who are not yet adults (neonates, children, teenagers)
  6. Wards of the state
  7. Non-viable neonates
  8. Neonates of uncertain viability
  9. Prisoners
  10. Adults with known allergy, hypersensitivity, intolerance or contraindication to study medication
05

Study design

Phase
Phase 2
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
75 participants (actual)

Study arms

  • Active comparator
    Control

    Control arm will receive standard of care solution for the ESPB block

    Drug: Bupivacaine, epinephrine, dexamethasone, and clonidine

  • Active comparator
    Liposomal Bupivicaine

    Liposomal Bupivicaine arm will receive Liposomal Bupivicaine for the ESPB block

    Drug: Liposomal bupivacaine

Interventions

  • The liposomal bupivacaine used in the research study has been approved by the U.S. Food and Drug Administration (FDA) for use in humans for pain management. The specific approved uses are postsurgical single-dose wound infiltration analgesia and brachial plexus nerve block. In this study, we will be using liposomal bupivacaine in an additional way by infiltrating liposomal bupivacaine in a tissue plane to numb the nerves that provide sensation over the chest.

    Also known as: Exparel

  • DrugBupivacaine, epinephrine, dexamethasone, and clonidine

    The medications that are typically administered as a solution in this block include bupivacaine, epinephrine, dexamethasone, and clonidine.

    Also known as: Standard Preparation

06

What researchers measure

Primary outcomes

  1. Pain Score at 48 hours

    Pain score will be recorded using a visual analogue scale (VAS) where 0 is no pain and 10 is unbearable pain. Pain will be recorded for the right and left side independently.

    Time frame: 48 hours

Secondary outcomes

  1. Pain Scores at 6, 12, 18, 24, 30, 38, 42, and 72 hours

    Pain score will be recorded using a visual analogue scale (VAS) where 0 is no pain and 10 is unbearable pain. Pain will be recorded for the right and left side independently.

    Time frame: 72 hours

07

Study locations

1 site
  • Tufts Medical Center
    Boston, Massachusetts 02111, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2020 to primary completion in Apr 2023, 28 months.

Of 983 non-industry phase 2 interventional studies under Breast Neoplasms, half reached primary completion within 54 months of starting (the median), counting those still running; a quarter within 34 and three quarters within 85. This study's 28 months is below that.

Counting every sponsor, half of 1,201 studies reached it within 49 months; a quarter within 31 and three quarters within 80.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 21, 2020
First posted
Oct 27, 2020
StartActual
Dec 4, 2020
Primary completionActual
Apr 10, 2023
CompletionActual
Apr 10, 2023
Last update
Jan 10, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 10, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04603911
Responsible party
Sponsor
First posted
Oct 27, 2020
Start date
Dec 4, 2020
Primary completion
Apr 10, 2023
Completion
Apr 10, 2023
Last update
Jan 10, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Liposomal Bupivacaine

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