Trial Outcomes & Findings for PEMF and PEC Blocks in Mastectomy Reconstruction Patients (NCT NCT03360214)

NCT ID: NCT03360214

Last Updated: 2025-06-15

Results Overview

Pain level will be measured using the VAS scale. Subjects will rate their pain level on a scale of 0-10. Number "0" indicates no pain and number "10" indicates terrible pain.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

60 participants

Primary outcome timeframe

1 hour post-intervention

Results posted on

2025-06-15

Participant Flow

Participant milestones

Participant milestones
Measure
Active PEMF + Treatment PIB
Participants will receive an active device (Pulsed Electromagnetic Field (PEMF) Device) and active drug (Bupivacaine Hydrochloride or Ropivacaine HCl). Bupivacaine Hydrochloride: For active drug, 0.25% marcaine, will be used. Pulsed Electromagnetic Field (PEMF) Device: The pulsed electromagnetic field signal will consist of a 2-m sec burst of 27.12 megahertz (MHz) radiofrequency sinusoidal waves repeating at 2 bursts/second. Ropivacaine Hydrochloride: For active drug, 0.25% naropin, will be used.
Active PEMF + Sham PIB
Participants will receive an active device (Pulsed Electromagnetic Field (PEMF) Device) and placebo drug. Placebo Drug: For sham drug, 0.9% saline, will be used. Pulsed Electromagnetic Field (PEMF) Device: The pulsed electromagnetic field signal will consist of a 2-m sec burst of 27.12 megahertz (MHz) radiofrequency sinusoidal waves repeating at 2 bursts/second.
Sham PEMF + Treatment PIB
Participants will receive a placebo device and active drug (Bupivacaine Hydrochloride). Bupivacaine Hydrochloride: For active drug, 0.25% marcaine, will be used. Placebo Device: Sham devices will appear identical to and will be used in exactly the same manner as active devices but will produce no electromagnetic field.
Sham PEMF + Sham PIB
Participants will receive placebo drug and placebo device. Placebo Drug: For sham drug, 0.9% saline, will be used. Placebo Device: Sham devices will appear identical to and will be used in exactly the same manner as active devices but will produce no electromagnetic field.
Overall Study
STARTED
15
15
15
15
Overall Study
COMPLETED
15
15
15
15
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

PEMF and PEC Blocks in Mastectomy Reconstruction Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active PEMF + Treatment PIB
n=15 Participants
Participants will receive an active device (Pulsed Electromagnetic Field (PEMF) Device) and active drug: 0.25% Bupivacaine Hydrochloride or 0.25% Ropivacaine HCl.
Active PEMF + Sham PIB
n=15 Participants
Participants will receive an active device (Pulsed Electromagnetic Field (PEMF) Device) and placebo drug: 0.9% saline.
Sham PEMF + Treatment PIB
n=15 Participants
Participants will receive a placebo device (identical appearance to active device, but produces no electromagnetic field) and active drug: 0.25% Bupivacaine Hydrochloride.
Sham PEMF + Sham PIB
n=15 Participants
Participants will receive placebo drug and placebo device.
Total
n=60 Participants
Total of all reporting groups
Age, Continuous
50 years
n=5 Participants
53 years
n=7 Participants
48 years
n=5 Participants
53 years
n=4 Participants
50 years
n=21 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
15 Participants
n=7 Participants
15 Participants
n=5 Participants
15 Participants
n=4 Participants
60 Participants
n=21 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
6 Participants
n=7 Participants
5 Participants
n=5 Participants
7 Participants
n=4 Participants
23 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
n=5 Participants
9 Participants
n=7 Participants
10 Participants
n=5 Participants
8 Participants
n=4 Participants
37 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants
3 Participants
n=4 Participants
8 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
6 Participants
n=4 Participants
18 Participants
n=21 Participants
Race (NIH/OMB)
White
9 Participants
n=5 Participants
10 Participants
n=7 Participants
8 Participants
n=5 Participants
4 Participants
n=4 Participants
31 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
3 Participants
n=21 Participants
Region of Enrollment
United States
15 participants
n=5 Participants
15 participants
n=7 Participants
15 participants
n=5 Participants
15 participants
n=4 Participants
15 participants
n=21 Participants

PRIMARY outcome

Timeframe: 1 hour post-intervention

Population: 4 participants declined to do the VAS assessment.

Pain level will be measured using the VAS scale. Subjects will rate their pain level on a scale of 0-10. Number "0" indicates no pain and number "10" indicates terrible pain.

Outcome measures

Outcome measures
Measure
Active PEMF + Treatment PIB
n=14 Participants
Participants will receive an active device (Pulsed Electromagnetic Field (PEMF) Device) and active drug (Bupivacaine Hydrochloride or Ropivacaine HCl). Bupivacaine Hydrochloride: For active drug, 0.25% marcaine, will be used. Pulsed Electromagnetic Field (PEMF) Device: The pulsed electromagnetic field signal will consist of a 2-m sec burst of 27.12 megahertz (MHz) radiofrequency sinusoidal waves repeating at 2 bursts/second. Ropivacaine Hydrochloride: For active drug, 0.25% naropin, will be used.
Active PEMF + Sham PIB
n=15 Participants
Participants will receive an active device (Pulsed Electromagnetic Field (PEMF) Device) and placebo drug. Placebo Drug: For sham drug, 0.9% saline, will be used. Pulsed Electromagnetic Field (PEMF) Device: The pulsed electromagnetic field signal will consist of a 2-m sec burst of 27.12 megahertz (MHz) radiofrequency sinusoidal waves repeating at 2 bursts/second.
Sham PEMF + Treatment PIB
n=13 Participants
Participants will receive a placebo device and active drug (Bupivacaine Hydrochloride). Bupivacaine Hydrochloride: For active drug, 0.25% marcaine, will be used. Placebo Device: Sham devices will appear identical to and will be used in exactly the same manner as active devices but will produce no electromagnetic field.
Sham PEMF + Sham PIB
n=14 Participants
Participants will receive placebo drug and placebo device. Placebo Drug: For sham drug, 0.9% saline, will be used. Placebo Device: Sham devices will appear identical to and will be used in exactly the same manner as active devices but will produce no electromagnetic field.
Score on Visual Analog Scale (VAS) - 1 Hour Post-intervention
6.64 score on a scale
Standard Deviation 2.76
6.67 score on a scale
Standard Deviation 2.29
4.62 score on a scale
Standard Deviation 3.57
6.93 score on a scale
Standard Deviation 2.4

PRIMARY outcome

Timeframe: 3 weeks post-intervention

Pain level will be measured using the VAS scale. Subjects will rate their pain level on a scale of 0-10. Number "0" indicates no pain and number "10" indicates terrible pain.

Outcome measures

Outcome measures
Measure
Active PEMF + Treatment PIB
n=15 Participants
Participants will receive an active device (Pulsed Electromagnetic Field (PEMF) Device) and active drug (Bupivacaine Hydrochloride or Ropivacaine HCl). Bupivacaine Hydrochloride: For active drug, 0.25% marcaine, will be used. Pulsed Electromagnetic Field (PEMF) Device: The pulsed electromagnetic field signal will consist of a 2-m sec burst of 27.12 megahertz (MHz) radiofrequency sinusoidal waves repeating at 2 bursts/second. Ropivacaine Hydrochloride: For active drug, 0.25% naropin, will be used.
Active PEMF + Sham PIB
n=15 Participants
Participants will receive an active device (Pulsed Electromagnetic Field (PEMF) Device) and placebo drug. Placebo Drug: For sham drug, 0.9% saline, will be used. Pulsed Electromagnetic Field (PEMF) Device: The pulsed electromagnetic field signal will consist of a 2-m sec burst of 27.12 megahertz (MHz) radiofrequency sinusoidal waves repeating at 2 bursts/second.
Sham PEMF + Treatment PIB
n=15 Participants
Participants will receive a placebo device and active drug (Bupivacaine Hydrochloride). Bupivacaine Hydrochloride: For active drug, 0.25% marcaine, will be used. Placebo Device: Sham devices will appear identical to and will be used in exactly the same manner as active devices but will produce no electromagnetic field.
Sham PEMF + Sham PIB
n=15 Participants
Participants will receive placebo drug and placebo device. Placebo Drug: For sham drug, 0.9% saline, will be used. Placebo Device: Sham devices will appear identical to and will be used in exactly the same manner as active devices but will produce no electromagnetic field.
Score on Visual Analog Scale (VAS) - 3 Weeks Post-intervention
2.53 score on a scale
Standard Deviation 2.07
2.00 score on a scale
Standard Deviation 2.20
2.00 score on a scale
Standard Deviation 1.89
2.67 score on a scale
Standard Deviation 2.89

SECONDARY outcome

Timeframe: 1 hour post-intervention

Population: Some participants in each arm declined to do the QoR assessment.

Quality of recovery will be measured using QoR. QoR is a 15-item self-reported questionnaire, with each response on a scale of 0-10 pertaining to patient's comfort, support system, pain, well being, and ability to carry out daily activities. The total score range is 0 to 150, with a higher score indicating a better quality of recovery.

Outcome measures

Outcome measures
Measure
Active PEMF + Treatment PIB
n=8 Participants
Participants will receive an active device (Pulsed Electromagnetic Field (PEMF) Device) and active drug (Bupivacaine Hydrochloride or Ropivacaine HCl). Bupivacaine Hydrochloride: For active drug, 0.25% marcaine, will be used. Pulsed Electromagnetic Field (PEMF) Device: The pulsed electromagnetic field signal will consist of a 2-m sec burst of 27.12 megahertz (MHz) radiofrequency sinusoidal waves repeating at 2 bursts/second. Ropivacaine Hydrochloride: For active drug, 0.25% naropin, will be used.
Active PEMF + Sham PIB
n=10 Participants
Participants will receive an active device (Pulsed Electromagnetic Field (PEMF) Device) and placebo drug. Placebo Drug: For sham drug, 0.9% saline, will be used. Pulsed Electromagnetic Field (PEMF) Device: The pulsed electromagnetic field signal will consist of a 2-m sec burst of 27.12 megahertz (MHz) radiofrequency sinusoidal waves repeating at 2 bursts/second.
Sham PEMF + Treatment PIB
n=11 Participants
Participants will receive a placebo device and active drug (Bupivacaine Hydrochloride). Bupivacaine Hydrochloride: For active drug, 0.25% marcaine, will be used. Placebo Device: Sham devices will appear identical to and will be used in exactly the same manner as active devices but will produce no electromagnetic field.
Sham PEMF + Sham PIB
n=12 Participants
Participants will receive placebo drug and placebo device. Placebo Drug: For sham drug, 0.9% saline, will be used. Placebo Device: Sham devices will appear identical to and will be used in exactly the same manner as active devices but will produce no electromagnetic field.
Quality of Recovery Questionnaires (QoR) - 1 Hour Post-intervention
82.88 score on a scale
Standard Deviation 25.67
90.90 score on a scale
Standard Deviation 36.14
82.91 score on a scale
Standard Deviation 35.24
77.50 score on a scale
Standard Deviation 16.84

SECONDARY outcome

Timeframe: 3 weeks post-intervention

Population: 1 participant declined to do the QoR assessment.

Quality of recovery will be measured using QoR. QoR is a 15-item self-reported questionnaire, with each response on a scale of 0-10 pertaining to patient's comfort, support system, pain, well being, and ability to carry out daily activities. The total score range is 0 to 150, with a higher score indicating a better quality of recovery.

Outcome measures

Outcome measures
Measure
Active PEMF + Treatment PIB
n=15 Participants
Participants will receive an active device (Pulsed Electromagnetic Field (PEMF) Device) and active drug (Bupivacaine Hydrochloride or Ropivacaine HCl). Bupivacaine Hydrochloride: For active drug, 0.25% marcaine, will be used. Pulsed Electromagnetic Field (PEMF) Device: The pulsed electromagnetic field signal will consist of a 2-m sec burst of 27.12 megahertz (MHz) radiofrequency sinusoidal waves repeating at 2 bursts/second. Ropivacaine Hydrochloride: For active drug, 0.25% naropin, will be used.
Active PEMF + Sham PIB
n=15 Participants
Participants will receive an active device (Pulsed Electromagnetic Field (PEMF) Device) and placebo drug. Placebo Drug: For sham drug, 0.9% saline, will be used. Pulsed Electromagnetic Field (PEMF) Device: The pulsed electromagnetic field signal will consist of a 2-m sec burst of 27.12 megahertz (MHz) radiofrequency sinusoidal waves repeating at 2 bursts/second.
Sham PEMF + Treatment PIB
n=15 Participants
Participants will receive a placebo device and active drug (Bupivacaine Hydrochloride). Bupivacaine Hydrochloride: For active drug, 0.25% marcaine, will be used. Placebo Device: Sham devices will appear identical to and will be used in exactly the same manner as active devices but will produce no electromagnetic field.
Sham PEMF + Sham PIB
n=14 Participants
Participants will receive placebo drug and placebo device. Placebo Drug: For sham drug, 0.9% saline, will be used. Placebo Device: Sham devices will appear identical to and will be used in exactly the same manner as active devices but will produce no electromagnetic field.
Quality of Recovery Questionnaires (QoR) - 3 Weeks Post-intervention
122 score on a scale
Standard Deviation 23.79
123.27 score on a scale
Standard Deviation 18.77
125.93 score on a scale
Standard Deviation 20.29
121 score on a scale
Standard Deviation 26.92

Adverse Events

Active PEMF + Bupivacaine Hydrochloride

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Active PEMF + Ropivacaine HCl

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Active PEMF + Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Sham PEMF + Bupivacaine Hydrochloride

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Sham PEMF + Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Sherene Ishtihar

Columbia University

Phone: 212-342-3681

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place