Actively Recruiting

Phase 3
Age: 1Year - 7Years
All Genders
ID04928352

Preemptive Nebulized Bupivacaine for Pain Control After Cleft Palate Repair in Children: A Randomized Double Blind Controlled Trial

Led by Assiut University · Updated on 2026-01-02

60

Participants Needed

1

Research Sites

5 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the use of nebulized bupivacaine, a local anesthetic, as a preemptive pain relief method for children undergoing cleft palate repair. This Phase 3 randomized, double-blind controlled trial aims to compare the safety and effectiveness of this treatment with a saline placebo in children aged 1 to 7 years. The study is sponsored by Assiut University and focuses on improving postoperative pain management in pediatric patients undergoing this surgery. Participants will be randomly assigned to one of two groups, each with 30 children. One group will receive nebulized bupivacaine at a concentration of 0.5% and a dose of 0.5 mg/kg before surgery, while the other group will receive a similar volume of nebulized saline as a placebo. Both treatments are delivered preoperatively in opaque bags labeled as "study drug" to maintain blinding. The trial is designed to carefully monitor and compare the effects of the active drug versus the placebo. Children's guardians will provide informed consent before participation. During the study, researchers will monitor the total amount of rescue pain medication used during the 24 hours following surgery, the children's pain levels using the FLACC scale, and the time until the first request for rescue analgesics. The study includes thorough safety monitoring and aims to complete follow-up assessments within the first day after surgery, providing detailed information on pain control and medication needs.

CONDITIONS

Brief Title

Nebulized Bupivacaine Analgesia for Cleft Palate Repair

Who Can Participate

Age: 1Year - 7Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Children aged 1 to 7 years with physical status ASA I or II
  • Scheduled for elective cleft palate repair or cleft lip surgery under general anesthesia
Not Eligible

You will not qualify if you...

  • Coronary artery disease
  • Hypertension
  • Developmental delay
  • Allergy to study drug

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Surgery day and immediate postoperative period

Participants receive preoperative nebulized Bupivacaine or nebulized saline placebo before cleft palate repair surgery under general anesthesia.

1 preoperative treatment visit and observation during surgery

Follow-up

Duration - 24 hours after surgery

Participants are monitored for pain control and use of rescue analgesics during the 24 hours after surgery.

Postoperative observation and assessment visits within 24 hours

Trial Site Locations

Total: 1 location

1

Assiut university hospital

Asyut, Assuit, Egypt, Assuit universi

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Research Team

O

Omar Soliman, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Bilateral suprazygomatic maxillary nerve block for cleft palate repair in children: a prospective, randomized, double-blind study versus placebo.

Julien Chiono, Olivier Raux, Sophie Bringuier...

https://pubmed.ncbi.nlm.nih.gov/24525630