ClinicalTrials.gg
CompletedNCT07906613Updated Nov 3, 2026

Ultrasound-Guided Pericapsular Nerve Group Block for Pain Control After Hip Surgery

An interventional study of Ultrasound-Guided Pericapsular Nerve Group Block with Bupivacaine and Ultrasound-Guided Placebo Injection with Normal Saline in Morphine Consumption and Postoperative Pain, sponsored by Cumhuriyet University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 20 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Cumhuriyet University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 5 years 3 months after the study started (first participant enrolled Jul 2021, registered Oct 2026).
Updated Oct 30, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
20 Years to 80 Years
Sex
All
01

Study summary

This study evaluated whether an ultrasound-guided pericapsular nerve group (PENG) block could reduce pain and morphine use during the first 24 hours after hip surgery. A PENG block involves injecting a local anesthetic near nerves that carry pain signals from the hip.

The study included 40 adults aged 20-80 years undergoing planned hip surgery under general anesthesia at Cumhuriyet University Hospital. Participants were randomly assigned to two groups of 20. Before surgery, one group received a PENG block with bupivacaine, a local anesthetic. The other group received an injection of normal saline in the same location as a placebo. Participants and the clinicians assessing postoperative outcomes did not know which injection had been given.

After surgery, both groups received morphine through a patient-controlled pump. Pain scores, morphine consumption, the need for additional pain medication, and side effects including nausea, vomiting, and constipation were assessed over 24 hours.

02

Conditions studied

  • Morphine Consumption
  • Postoperative Pain

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Keywords

  • Pericapsular Nerve Group Block
  • PENG Block
  • Hip Surgery
  • Bupivacaine
  • Morphine Consumption
  • Patient-Controlled Analgesia
  • Ultrasound-Guided Regional Anesthesia
03

In context

Pain, Postoperative

5,640 studies on the registry are indexed under Pain, Postoperative; 1,230 are open to participants now.

This study's enrollment of 40 is below the median of 75 across 4,821 interventional studies indexed under Pain, Postoperative.

Browse Pain, Postoperative studies →

Lead sponsor

Cumhuriyet University is the lead sponsor of 133 studies on the registry; 26 are open to participants now.

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

04

Who can participate

Ages eligible
20 Years to 80 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

  • Age 20 to 80 years.
  • (ASA) physical status I to III.
  • Scheduled for elective primary total hip arthroplasty for degenerative coxarthrosis under general anesthesia.
  • Willingness to participate and provision of .

Exclusion criteria

Exclusion Criteria:

  • IV.
  • Sequelae of developmental dysplasia of the hip causing anatomical abnormalities.
  • History of previous surgery on the hip.
  • Multiple trauma.
  • Hip arthroplasty for femoral neck fracture.
  • Refusal to participate.
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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    PENG Block Group

    Participants received a single ultrasound-guided pericapsular nerve group (PENG) block after induction of general anesthesia and before surgical incision. Bupivacaine 1 mg/kg was diluted with 0.9% sodium chloride to a total volume of 30 mL. Postoperative analgesia was provided with intravenous patient-controlled morphine, and participants were followed for 24 hours.

    Procedure: Ultrasound-Guided Pericapsular Nerve Group Block with Bupivacaine

  • Placebo comparator
    Placebo Group

    Participants received a single ultrasound-guided injection of 30 mL of 0.9% sodium chloride at the same anatomical location used for the pericapsular nerve group (PENG) block, after induction of general anesthesia and before surgical incision. Postoperative analgesia was provided with intravenous patient-controlled morphine, and participants were followed for 24 hours.

    Procedure: Ultrasound-Guided Placebo Injection with Normal Saline

Interventions

  • ProcedureUltrasound-Guided Pericapsular Nerve Group Block with Bupivacaine

    A single ultrasound-guided pericapsular nerve group (PENG) block was performed after induction of general anesthesia and before surgical incision. Using an in-plane approach, bupivacaine 1 mg/kg diluted with 0.9% sodium chloride to a total volume of 30 mL was injected between the psoas tendon and the iliopubic eminence.

  • ProcedureUltrasound-Guided Placebo Injection with Normal Saline

    A single ultrasound-guided injection of 30 mL of 0.9% sodium chloride was administered at the same anatomical location as the PENG block, between the psoas tendon and the iliopubic eminence, after induction of general anesthesia and before surgical incision.

06

What researchers measure

Primary outcomes

  1. Cumulative Morphine Consumption During the First 24 Hours After Surgery

    Total intravenous morphine consumption, measured in milligrams, delivered through the patient-controlled analgesia pump during the first 24 hours after surgery.

    Time frame: First 24 hours after surgery

Secondary outcomes

  1. Postoperative Pain Intensity Assessed Using the Visual Analog Scale

    Postoperative pain intensity was assessed using a 10-cm visual analog scale (VAS), ranging from 0 (no pain) to 10 (worst imaginable pain). Higher scores indicate greater pain intensity.

    Time frame: At 1, 2, 3, 4, 8, 16, and 24 hours after surgery

  2. Time to First Rescue Analgesia

    Time, measured in hours, from the end of surgery to the first requirement for rescue analgesia. Rescue analgesia was administered when the visual analog scale pain score exceeded 5.

    Time frame: During the first 24 hours after surgery

  3. Participants Requiring Rescue Analgesia

    Number of participants requiring rescue analgesia during the first 24 postoperative hours. Rescue analgesia consisted of intravenous tramadol 100 mg and intravenous paracetamol 1000 mg when the visual analog scale pain score exceeded 5.

    Time frame: During the first 24 hours after surgery

  4. Incidence of Postoperative Nausea

    Number of participants experiencing postoperative nausea during the first 24 hours after surgery.

    Time frame: During the first 24 hours after surgery, assessed at 1, 2, 3, 4, 8, 16, and 24 hours

  5. Incidence of Postoperative Vomiting

    Number of participants experiencing postoperative vomiting during the first 24 hours after surgery.

    Time frame: During the first 24 hours after surgery, assessed at 1, 2, 3, 4, 8, 16, and 24 hours

  6. Incidence of Postoperative Constipation

    Number of participants experiencing constipation during the first 24 hours after surgery.

    Time frame: During the first 24 hours after surgery, assessed at 1, 2, 3, 4, 8, 16, and 24 hours

  7. Postoperative Heart Rate

    Heart rate, measured in beats per minute, at each postoperative assessment.

    Time frame: At 1, 2, 3, 4, 8, 16, and 24 hours after surgery

  8. Postoperative Mean Arterial Pressure

    Mean arterial pressure, measured in mmHg, at each postoperative assessment.

    Time frame: At 1, 2, 3, 4, 8, 16, and 24 hours after surgery

  9. Patient Satisfaction

    Patient satisfaction was assessed using four ordered categories: poor, fair, good, and very good. Categories toward very good indicate greater satisfaction.

    Time frame: At 24 hours after surgery

07

Study locations

1 site
  • Sivas Cumhuriyet University Hospital
    Sivas, Merkez 58140, Turkey (Türkiye)
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No — There is no plan to share individual participant data with other researchers.

09

Timeline

2 registry updates 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 Jul 2021 to primary completion in Jan 2022, 6 months.

Of 2,089 non-industry interventional studies with no phase under Pain, Postoperative, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 23. This study's 6 months is below that.

Counting every sponsor, half of 2,102 studies reached it within 11 months; a quarter within 6 and three quarters within 23.

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

Registered
Oct 25, 2026
First posted
Oct 30, 2026
StartActual
Jul 2, 2021
Primary completionActual
Jan 11, 2022
CompletionActual
Jan 11, 2022
Last update
Nov 3, 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.
Registered
First appeared on the registry. No changes since
Oct 30, 2026
Show all 2 updates
  1. Nov 3, 2026
    Minor edits only
    + 1 other change: responsible party
  2. Oct 30, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07906613
Responsible party
Ozan Altun (Specialist in Orthopaedics and Traumatology, Cumhuriyet University) — Principal investigator
First posted
Oct 30, 2026
Start date
Jul 2, 2021
Primary completion
Jan 11, 2022
Completion
Jan 11, 2022
Last update
Nov 3, 2026

Study contacts

İclal Özdemir Kol, MD-Prof.Dr.
principal investigator · Sivas Cumhuriyet University, Faculty of Medicine, Department of Anesthesiology and Reanimation

Oversight

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

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