ClinicalTrials.gg
Not yet recruitingNCT07789600Updated Aug 31, 2026

Trial Evaluating the Analgesic Efficacy of Magnesium Sulfate as an Adjuvant to Bupivacaine in Local Wound Infiltration for Patients Undergoing Modified Radical Mastectomy (MRM) With Axillary Clearance

An interventional study of Magnesium Sulfate 750 mg with Bupivacaine 0.5% for Local Wound Infiltration and Bupivacaine 0.5% + Normal Saline in Modified Radical Mastectomy, sponsored by King Hussein Cancer Center. Not yet recruiting at 1 site in Jordan. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-31.

Sponsored by King Hussein Cancer Center · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

This is a double-blind, randomized, controlled clinical trial evaluating the analgesic efficacy and safety of magnesium sulfate as an adjuvant to bupivacaine for local wound infiltration in patients undergoing modified radical mastectomy with axillary clearance. Participants will be randomized to receive either magnesium sulfate 750 mg with bupivacaine or the control intervention. Postoperative pain, analgesic requirements, and safety outcomes will be assessed during the postoperative period, including a follow-up safety assessment between Day 7 and Day 14 after surgery.

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Conditions studied

  • Modified Radical Mastectomy
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In context

Lead sponsor

King Hussein Cancer Center is the lead sponsor of 23 studies on the registry; 7 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
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

  • Adult female patients (age ≥18 years) undergoing elective modified radical mastectomy (MRM) with axillary clearance.
  • I-III.
  • Willingness to participate and provide .

Exclusion criteria

Exclusion Criteria:

  • Allergy to bupivacaine or magnesium.
  • Chronic opioid use or pre-existing chronic pain conditions.
  • Significant renal or hepatic impairment.
  • Pregnancy or lactation.
  • Neuromuscular disorders.
  • Abnormal baseline serum magnesium levels (e.g., hypermagnesemia).
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
70 participants (estimated)

Study arms

  • Experimental
    Magnesium Sulfate + Bupivacaine

    Participants will receive a single intraoperative local wound infiltration following modified radical mastectomy with axillary clearance, consisting of 750 mg magnesium sulfate combined with 0.5% bupivacaine. The planned bupivacaine dose is 100 mg (20 mL), subject to reduction if it exceeds the participant-specific maximum allowable dose based on body weight.

    Drug: Magnesium Sulfate 750 mg with Bupivacaine 0.5% for Local Wound Infiltration

  • Active comparator
    Bupivacaine + Normal Saline

    Participants will receive a single intraoperative local wound infiltration following modified radical mastectomy with axillary clearance, consisting of 0.5% bupivacaine combined with normal saline. The planned bupivacaine dose is 100 mg (20 mL), subject to reduction if it exceeds the participant-specific maximum allowable dose based on body weight.

    Drug: Bupivacaine 0.5% + Normal Saline

Interventions

  • DrugMagnesium Sulfate 750 mg with Bupivacaine 0.5% for Local Wound Infiltration

    Drug page: Magnesium Sulfate

    Magnesium sulfate 750 mg added to 0.5% bupivacaine for a single intraoperative local wound infiltration following modified radical mastectomy with axillary clearance.

  • DrugBupivacaine 0.5% + Normal Saline

    A single intraoperative local wound infiltration of 0.5% bupivacaine combined with normal saline following modified radical mastectomy with axillary clearance. The planned bupivacaine dose is 100 mg (20 mL), subject to reduction if it exceeds the participant-specific maximum allowable dose based on body weight.

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What researchers measure

Primary outcomes

  1. Overall Postoperative Pain Burden During the First 24 Hours After Surgery

    Area under the curve (AUC) of Visual Analogue Scale (VAS) pain scores at rest during the first 24 hours after surgery. The Visual Analogue Scale (VAS) ranges from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain; higher scores indicate worse pain.

    Time frame: From the end of surgery through 24 hours postoperatively.

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Study locations

1 site
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References and documents

Publications

  • Antel R, Ingelmo P. Local anesthetic systemic toxicity. CMAJ. 2022 Sep 26;194(37):E1288. doi: 10.1503/cmaj.220835. No abstract available. PubMed 36162843 ↗
  • Rosenberg PH, Veering BT, Urmey WF. Maximum recommended doses of local anesthetics: a multifactorial concept. Reg Anesth Pain Med. 2004 Nov-Dec;29(6):564-75; discussion 524. doi: 10.1016/j.rapm.2004.08.003. PubMed 15635516 ↗
  • Stamenkovic DM, Bezmarevic M, Bojic S, Unic-Stojanovic D, Stojkovic D, Slavkovic DZ, Bancevic V, Maric N, Karanikolas M. Updates on Wound Infiltration Use for Postoperative Pain Management: A Narrative Review. J Clin Med. 2021 Oct 11;10(20):4659. doi: 10.3390/jcm10204659. PubMed 34682777 ↗
  • Albrecht E, Kirkham KR, Liu SS, Brull R. Peri-operative intravenous administration of magnesium sulphate and postoperative pain: a meta-analysis. Anaesthesia. 2013 Jan;68(1):79-90. doi: 10.1111/j.1365-2044.2012.07335.x. Epub 2012 Nov 1. PubMed 23121612 ↗
  • Eldaba AA, Amr YM, Sobhy RA. Effect of wound infiltration with bupivacaine or lower dose bupivacaine/magnesium versus placebo for postoperative analgesia after cesarean section. Anesth Essays Res. 2013 Sep-Dec;7(3):336-40. doi: 10.4103/0259-1162.123227. PubMed 25885979 ↗
  • 5. Dabbagh A, Elyasi H, Fathololoumi S, Fathi M. Magnesium sulfate infiltration of pectoralis major muscle for analgesia after mastectomy: A randomized controlled trial. Regional Anesthesia and Pain Medicine. 2021;46(8):655-661.
  • 4. Alshawadfy A, Abdel-Ghaffar M, Magdy N. Comparative analgesic efficacy of adding magnesium sulphate to bupivacaine in serratus anterior plane block to reduce pain after mastectomy. Southern African Journal of Anaesthesia and Analgesia. 2022;28(6):235-240. doi:10.36303/SAJAA.2022.28.6.2783
  • Tauzin-Fin P, Sesay M, Svartz L, Krol-Houdek MC, Maurette P. Wound infiltration with magnesium sulphate and ropivacaine mixture reduces postoperative tramadol requirements after radical prostatectomy. Acta Anaesthesiol Scand. 2009 Apr;53(4):464-9. doi: 10.1111/j.1399-6576.2008.01888.x. Epub 2009 Feb 18. PubMed 19226292 ↗
  • Dave S, Gopalakrishnan K, Krishnan S, Natarajan N. Analgesic Efficacy of Addition of Magnesium Sulfate to Bupivacaine in Wound Infiltration Technique in Perianal Surgeries. Anesth Essays Res. 2022 Apr-Jun;16(2):250-254. doi: 10.4103/aer.aer_107_22. Epub 2022 Oct 7. PubMed 36447918 ↗
  • Kundra S, Singh RM, Singh G, Singh T, Jarewal V, Katyal S. Efficacy of Magnesium Sulphate as an Adjunct to Ropivacaine in Local Infiltration for Postoperative Pain Following Lower Segment Caesarean Section. J Clin Diagn Res. 2016 Apr;10(4):UC18-22. doi: 10.7860/JCDR/2016/17119.7683. Epub 2016 Apr 1. PubMed 27190924 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 31, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07789600
Lead sponsor
King Hussein Cancer Center
Responsible party
Sponsor
First posted
Aug 27, 2026
Start date
Sep 1, 2026 (estimated)
Primary completion
Dec 1, 2027 (estimated)
Completion
Mar 1, 2028 (estimated)
Last update
Aug 31, 2026

Study contacts

Supervisor, Clinical Trials Unit
Contact
FZahran@KHCC.JO
+962 6 5300460 ext. 1342
Clinical Research Coordinator
Contact
aa.18586@KHCC.JO
+962 788390734

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Magnesium Sulfate

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