ClinicalTrials.gg
CompletedNCT07798895Updated Sep 2, 2026

Opioid-Free Versus Opioid-Based Anesthesia in Modified Radical Mastectomy

An interventional study of Pectoral Nerve Block (PECS I and II) and Dexmedetomidine in Breast Cancer, sponsored by Muhammad Fiqhi Amiruddin. Completed at 1 site in Indonesia. Open to female participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-09-02.

Sponsored by Muhammad Fiqhi Amiruddin · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled May 2026, registered Aug 2026).

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Phase
Not applicable
Study type
Interventional
Enrollment
28
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 14 studies testing dexmedetomidine in Breast Neoplasms — 3 open to participants now, 3 under way, 1 of them phase 3. Dexmedetomidine · Breast Neoplasms.

Enrollment
13th of 14
28 · median 94
Started
2026
the only one that year
No phase
5 of 14
none open now
Registered
14th of 14
by date
Lead sponsor
1 of 14
Muhammad Fiqhi Amiruddin

Among the 14 studies testing dexmedetomidine in Breast Neoplasms, this one is the 13th largest by enrollment, is the only one that started in 2026, is one of 5 with no phase, and was the 14th registered.

Breast Neoplasms

14,832 studies on the registry are indexed under Breast Neoplasms; 3,320 are open to participants now.

Browse Breast Neoplasms studies →

Open to participants now

3 of the 14 studies testing dexmedetomidine in Breast Neoplasms are open now, in 2 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

About dexmedetomidine

Dexmedetomidine: first FDA approval 1999 (PRECEDEX), first EMA approval 2011. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 2,399 Breast Neoplasms studies recruiting now, 1,570 (65%) set no upper age limit and 592 (25%) stop at 75 or younger; 103 take children under 18; 215 take healthy volunteers.

This study: 18 Years to 65 Years · female · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 14 studies testing dexmedetomidine in Breast Neoplasms, or all of them as a file.
02

Study summary

This randomized controlled trial compares opioid-free anesthesia combined with pectoral nerve block (PECS I and II) with opioid-based anesthesia in patients undergoing modified radical mastectomy. The study evaluates postoperative CD4+ T-cell counts as a marker of cellular immune response, as well as postoperative pain intensity and nausea and vomiting. Twenty-eight patients were randomly assigned to receive either opioid-free anesthesia with PECS I and II block or opioid-based anesthesia with fentanyl. CD4+ T-cell counts were assessed before and 24 hours after surgery, while postoperative pain was assessed at 2, 6, 12, and 24 hours after surgery.

Read the detailed description

This randomized controlled trial was conducted in patients undergoing modified radical mastectomy at Wahidin Sudirohusodo General Hospital and affiliated teaching hospitals in Makassar, Indonesia. The study compared opioid-free anesthesia combined with pectoral nerve block (PECS I and II) with opioid-based anesthesia.

Twenty-eight patients were randomly allocated in a 1:1 ratio to two groups. The opioid-free anesthesia group received ultrasound-guided PECS I and II blocks before induction, followed by a dexmedetomidine-based anesthetic regimen. The opioid-based anesthesia group received a fentanyl-based anesthetic regimen. General anesthesia was maintained with sevoflurane in both groups. Randomization was performed using a computer-generated random sequence with allocation concealment using sealed, opaque envelopes. Participants and outcome assessors were blinded to group allocation.

The primary immunological outcome was the absolute CD4+ T-cell count. Venous blood samples were collected 24 hours before surgery and 24 hours after surgery, and CD4+ T-cell counts were measured using the Pima™ Alere CD4 Analyzer. Postoperative pain intensity was assessed using a 0-10 visual analogue scale at 2, 6, 12, and 24 hours after surgery, both at rest and during movement. Postoperative nausea and vomiting were assessed during the first 24 postoperative hours. Rescue analgesia with intravenous fentanyl was administered when the visual analogue scale score was 4 or higher.

The study included women aged 18-65 years undergoing modified radical mastectomy with American Society of Anesthesiologists Physical Status I-II and a body mass index greater than 18 and less than 30 kg/m². Patients with major cardiovascular, cerebrovascular, hepatic, or renal disease, uncontrolled systemic disease, previous chemotherapy or radiotherapy, long-term opioid use, allergy to local anesthetics or opioids, infection at the injection site, coagulation disorders, bilateral breast surgery, or refusal to participate were excluded.

The study was conducted from May to July 2026 and was approved by the Biomedical Research Ethics Committee, Faculty of Medicine, Hasanuddin University (approval number 979/UN4.6.4.5.31/PP36/2026). Written informed consent was obtained from all participants before participation.

03

Conditions studied

  • Breast Cancer

Keywords

  • opioid-free anesthesia
  • opioid-based anesthesia
  • pectoral nerve block
  • PECS block
  • modified radical mastectomy
  • CD4+ T-cell
  • postoperative pain
  • postoperative nausea and vomiting
04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
Female
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. Female patients aged 18-65 years.
  2. Patients undergoing modified radical mastectomy for breast cancer.
  3. (ASA) Physical Status I-II.
  4. (BMI) >18 and \<30 kg/m².
  5. Patients who agreed to participate and provided written .

Exclusion criteria

Exclusion Criteria:

  1. Major cardiovascular disease.
  2. Cerebrovascular disease.
  3. Hepatic or renal disease.
  4. Uncontrolled systemic disease.
  5. Previous chemotherapy or radiotherapy.
  6. Long-term opioid use.
  7. Allergy to local anesthetics or opioids.
  8. Infection at the injection site.
  9. Coagulation disorders.
  10. Bilateral breast surgery.
  11. Refusal to participate in the study.
Terms in these criteria, in plain language(3)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
28 participants (actual)

Study arms

  • Experimental
    Opioid-Free Anesthesia + PECS I and II Block

    Participants received opioid-free anesthesia combined with ultrasound-guided pectoral nerve blocks (PECS I and II).

    Procedure: Pectoral Nerve Block (PECS I and II) · Drug: Dexmedetomidine

  • Active comparator
    Opioid-Based Anesthesia

    Participants received opioid-based anesthesia with fentanyl according to the study protocol.

    Drug: Fentanyl

Interventions

  • ProcedurePectoral Nerve Block (PECS I and II)

    Ultrasound-guided pectoral nerve blocks (PECS I and II) performed before induction of general anesthesia.

  • Dexmedetomidine-based opioid-free anesthetic regimen administered according to the study protocol.

  • Fentanyl-based opioid anesthesia administered according to the study protocol.

06

What researchers measure

Primary outcomes

  1. Change in Absolute CD4+ T-Cell Count From Baseline to 24 Hours After Surgery

    Change in absolute CD4+ T-cell count measured from baseline before surgery to 24 hours after surgery. CD4+ T-cell counts were measured using the Pima™ Alere CD4 Analyzer.

    Time frame: Baseline to 24 hours after surgery

Secondary outcomes

  1. Postoperative Pain Intensity

    Postoperative pain intensity was assessed using a visual analogue scale (VAS) from 0 to 10, with higher scores indicating greater pain intensity. Pain was assessed at rest and during movement.

    Time frame: 2, 6, 12, and 24 hours after surgery

  2. Postoperative Nausea and Vomiting

    Postoperative nausea and vomiting were assessed during the first 24 hours after surgery.

    Time frame: Within 24 hours after surgery

07

Study locations

1 site
  • Jl. Perintis Kemerdekaan Km. 10, Makassar 90245, Indonesia
    Makassar, South Sulawesi 90245, Indonesia
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

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 May 2026 to primary completion in Jul 2026, 2 months.

Of 2,663 non-industry interventional studies with no phase under Breast Neoplasms, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 66. This study's 2 months is below that.

Counting every sponsor, half of 2,773 studies reached it within 33 months; a quarter within 15 and three quarters within 66.

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

Registered
Aug 28, 2026
First posted
Sep 2, 2026
StartActual
May 3, 2026
Primary completionActual
Jul 27, 2026
CompletionActual
Jul 30, 2026
Last update
Sep 2, 2026
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 Sep 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07798895
Lead sponsor
Muhammad Fiqhi Amiruddin
Responsible party
Muhammad Fiqhi Amiruddin (MD, Hasanuddin University) — Sponsor-investigator
First posted
Sep 2, 2026
Start date
May 3, 2026
Primary completion
Jul 27, 2026
Completion
Jul 30, 2026
Last update
Sep 2, 2026

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 completed, as verified in Aug 2026. 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: Dexmedetomidine

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