ClinicalTrials.gg
CompletedNCT07807605Updated Sep 8, 2026

Ultrasound Guided Serratus Anterior Plane Block Versus Ultrasound Guided Thoracic Epidural Analgesia

An interventional study of Bupivacaine 0.25% Injectable Solution in Breast Cancer, sponsored by Beni-Suef University. Completed at 1 site in Egypt. Open to female participants aged 20 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-09-08.

Sponsored by Beni-Suef University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 3 years 7 months after the study started (first participant enrolled Jan 2023, registered Sep 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
20 Years to 60 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 22 studies testing bupivacaine in Breast Neoplasms — none open to participants now, 1 under way, 1 of them phase 3. Bupivacaine · Breast Neoplasms.

Enrollment
7th of 22
70 · median 60
Started
2023
with 1 other
No phase
6 of 22
none open now
Registered
22nd of 22
by date
Lead sponsor
1 of 22
Beni-Suef University

Among the 22 studies testing bupivacaine in Breast Neoplasms, this one is the 7th largest by enrollment, is one of 2 that started in 2023, is one of 6 with no phase, and was the 22nd registered.

By phase

22 studies; the count open now beside each. This study's row is marked.

Phase 29 · 0 open
No phasethis study6 · 0 open
Phase 33 · 0 open
Phase 42 · 0 open
Phase 11 · 0 open
Phase 2/31 · 0 open

By the year they started

First in 2003; this study’s year is marked. 2 started in 2023.

Size and results

Median enrollment 60 across the 22 interventional studies. Of the 15 that completed or were terminated, 6 (40%) have results posted.

Download CSVWith an account: the 22 studies testing bupivacaine in Breast Neoplasms as a file.
02

Study summary

Regional/local analgesic techniques are an important component of a multimodal analgesic strategy, with the aim of reducing opioid requirements and opioid-related adverse events. This change parallels quality improvement initiatives and the Enhanced Recover after Surgery.

Breast conserving surgery with radiation therapy is today standard therapy for low grade breast cancer. It is safe and preferred therapeutic procedure in all early detected breast cancers ,because it provide the same level of overall survival rates as seen in patients treated with mastectomy ,have been found by several prospective and randomized studies and number of clinical trials .

Read the detailed description

Acute post-surgical pain leads to delayed discharge from post-operative recovery area, impairs pulmonary and immune functions, increases risk of ileus, thromboembolism, myocardial infarction and may lead to increased length of hospital stay.

It is also an important factor leading to the development of chronic persistent post-operative pain in almost half of the patients. Post-operative pain, stress and use of morphine have been elucidated as factors responsible for increased risk of metastasis.

Hence, an effective perioperative pain management of patients undergoing breast surgery is essential. Regional blocks have been considered as one of the modalities for effective perioperative pain control. They have an opioid-sparing effect, and allow early mobilisation and early discharge from hospital.

Ultrasound-guided muscle plane blocks have changed the practice of regional anesthesia for breast surgeries. Different variations of Pecs block have been described with an aim to provide anesthesia and analgesia of the hemi thorax.

Recently described serratus anterior plane (SAP) block was designed to target primarily the thoracic intercostal nerves, providing complete analgesia to the lateral part of the thorax. Compared with Pecs-II, the needle is placed more caudally and posteriorly in SAP block and local anesthetic (LA) is deposited either superficial or deep to the serratus anterior muscle.

Serratus Anterior Plane (SAP) block has been described recently as injection of local Anesthetic (LA) in mid axillary line at the level of the 5th rib either superficial or deep to the serratus anterior (SA) muscle. The intention is to block the thoracic intercostal nerves to provide complete analgesia of the lateral part of the chest.

There are some clinical reports validating its use in breast surgeries. Although serratus anterior plane (SAP) block affects the long thoracic nerve of bell supplying serratus anterior (SA) but there is no mention of blocking the thoracodorsal nerve supplying latissmus dorsi (LD).The thoracodorsal nerve is the sole nerve that supplies latissmus dorsi (LD) and forms a plexus between serratus anterior (SA)and latissmus dorsi (LD).

On the other hand, regarding thoracic epidural analgesia, the results from MRI studies indicate that the spinal cord lies anteriorly within its thecal sac in the thoracic curve and the following measures were found: 5.19 mm in T2, 7.75 mm in T5 and 5.88 mm in T10, this let us say, sufficient distance to permit the careful advancement of a needle (accidentally or intentionally) without reaching the cord and administer anesthetic for a segmental spinal anesthesia. This anatomical explanation was proposed for the absence of spinal cord injury during an accidental perforation during attempted thoracic epidural.

03

Conditions studied

  • Breast Cancer

Browse trials for

04

Who can participate

Ages eligible
20 Years to 60 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

  • patients of the American Society of Anesthesiology physical status (І and ІІ) Female patients.
  • Female patients diagnosed with breast
  • Patients with Body weight: patients with less than 35.

Exclusion criteria

Exclusion Criteria:

  • Uncooperative patient, those with any for spinal or epidural anesthesia (systemic coagulopathy-local infection)
  • Patients with >35
  • Patients with
  • Patients with anatomic abnormalities
  • Patients with allergy to study drugs
Terms in these criteria, in plain language(4)

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
70 participants (actual)

Study arms

  • Active comparator
    Serratus anterior plane block Group

    About 35 female patients diagnosed with breast malignancy subjected to Breast Conservative Surgery under general anesthesia by Ultrasound guided serratus anterior plane block anesthesia

    Drug: Bupivacaine 0.25% Injectable Solution

  • Active comparator
    Thoracic epidural analgesia Group

    About 35 female patients diagnosed with breast malignancy subjected to Breast Conservative Surgery under general anesthesia by ultrasound guided Thoracic Epidural Analgesia

    Drug: Bupivacaine 0.25% Injectable Solution

Interventions

  • to compare and evaluate safety, efficacy, benefits and complications of thoracic epidural analgesia and serratus anterior plane block in patients undergoing Conservative breast surgery under general anesthesia.

    Also known as: fentanyl

06

What researchers measure

Primary outcomes

  1. Post Operative Pain

    the duration of effective analgesia from the block till the first analgesic dose is required.the severity of postoperative pain as assessed by the visual analogue scale ((0 = no pain, 10 = most imaginable pain) at 1, 4, 8, 12, and 24 hours after the completion of the surgery.

    Time frame: from 2 hous till 24 hours after the surgery

07

Study locations

1 site
  • Beni Suef University Hospital
    Banī Suwayf, Egypt
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07807605
Responsible party
Hyam Abdelwahab Abdelhamid (Assistant lecturer at Anesthesiology, Surgical intensive care and pain management Department, Beni-Suef University) — Principal investigator
First posted
Sep 8, 2026
Start date
Jan 10, 2023
Primary completion
Jun 1, 2023
Completion
Jun 10, 2023
Last update
Sep 8, 2026

Study contacts

Mahmoud Attia Ali, Professor
study chair · Anesthesiology,Surgical intensive care & pain management,Faculty of Medicine,Beni-Suef University

Oversight

Data monitoring committee
Yes
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 Jan 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Bupivacaine

Start the discussion