NCT03034096
Completed
Phase 4
General Anesthetics in CAncer REsection Surgery (GA-CARES) Trial: Pragmatic Randomized Trial of Propofol vs Volatile Inhalational Anesthesia
Overview
- Phase
- Phase 4
- Intervention
- Propofol
- Conditions
- Anesthesia, General
- Sponsor
- Stony Brook University
- Enrollment
- 1826
- Locations
- 5
- Primary Endpoint
- All-cause mortality
- Status
- Completed
- Last Updated
- 12 months ago
Overview
Brief Summary
This is a large pragmatic multicenter trial comparing maintenance of general anesthesia with total intravenous anesthesia using propofol versus volatile agent (sevoflurane, isoflurane, or desflurane) during cancer surgery. The primary endpoint is all-cause mortality.
Investigators
Elliott Bennett-Guerrero
Professor and Vice Chairman
Stony Brook University
Eligibility Criteria
Inclusion Criteria
- •Patients with known or suspected cancer and scheduled to undergo any of the following oncologic surgical procedures:
- •Lobectomy or pneumonectomy
- •Esophagectomy
- •Radical (total) cystectomy
- •Pancreatectomy
- •Partial hepatectomy
- •Hyperthermic intraperitoneal chemotherapy (HIPEC)
- •Gastrectomy (subtotal or total)
- •Cholecystectomy or bile duct resection
Exclusion Criteria
- •Age less than 18 years
- •American Society of Anesthesiologist Class 5
- •Projected life expectancy less than 30 days
- •Known or suspected hypersensitivity to either propofol, e.g. egg or soy allergy, or volatile general anesthetic agents
- •Known or suspected history of malignant hyperthermia
Arms & Interventions
Propofol infusion
Maintenance of general anesthesia with propofol infusion
Intervention: Propofol
Volatile agent
Maintenance of general anesthesia with volatile agent (sevoflurane, desflurane, or isoflurane)
Intervention: Volatile Agent
Outcomes
Primary Outcomes
All-cause mortality
Time Frame: 2 year minimum
Time to event
Secondary Outcomes
- Recurrence free survival(Minimum 2 years)
- All-cause mortality as a binary outcome(2 years)
Study Sites (5)
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