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NCT02660411

Impact of Anesthesia Maintenance Methods on Long-term Survival

Completed NA Last updated 4 March 2022
What this trial tests

NA trial testing Sevoflurane in Aged in 1,228 participants. Completed in 30 September 2020.

Timeline
1 April 2015
Primary endpoint
29 September 2017
30 September 2020

Quick facts

Lead sponsorPeking University First Hospital
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposeprevention
Enrollment1,228
Start date1 April 2015
Primary completion29 September 2017
Estimated completion30 September 2020
Sites17 locations across China

Drugs / interventions tested

Conditions studied

Sponsor

Peking University First Hospital

Who can join

Adults 65 to 90, any sex, with Aged or Neoplasms. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Surgery is one of the major treatment methods for patients with malignant tumor. And, alone with the ageing process, more and more elderly patients undergo surgery for malignant tumor. Evidence emerges that choice of anesthetics, i.e., either inhalational or intravenous anesthetics, may influence the outcome of elderly patients undergoing cancer surgery. From the point of view of immune function after surgery and invasiveness of malignant tumor cells, propofol intravenous anesthesia may be superior to inhalational anesthesia. However, the clinical significance of these effects remains unclear. Retrospective studies indicated that use of propofol intravenous anesthesia was associated higher long-term survival rate. Prospective studies exploring the effect of anesthetic choice on long-term survival in cancer surgery patients are urgently needed.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Long-term survival in older patients given propofol or sevoflurane anaesthesia for major cancer surgery: follow-up of a multicentre randomised trial.
    Cao SJ, Zhang Y, Zhang YX, Zhao W, et al · · 2023 · cited 32× · PMID 37474242 · DOI 10.1016/j.bja.2023.01.023
  2. Long-term prognosis after cancer surgery with inhalational anesthesia and total intravenous anesthesia: a systematic review and meta-analysis.
    Jin Z, Li R, Liu J, Lin J. · · 2019 · cited 31× · PMID 31333811
  3. Anesthetic Strategies in Oncological Surgery: Not Only a Simple Sleep, but Also Impact on Immunosuppression and Cancer Recurrence.
    Longhini F, Bruni A, Garofalo E, De Sarro R, et al · · 2020 · cited 26× · PMID 32104075 · DOI 10.2147/cmar.s237224
  4. Anesthetics or anesthetic techniques and cancer surgical outcomes: a possible link.
    Alam A, Rampes S, Patel S, Hana Z, et al · · 2021 · cited 22× · PMID 33596628 · DOI 10.4097/kja.20679
  5. Impact of inhalational versus intravenous anaesthesia on early delirium and long-term survival in elderly patients after cancer surgery: study protocol of a multicentre, open-label, and randomised controlled trial.
    Zhang Y, Li HJ, Wang DX, Jia HQ, et al · · 2017 · cited 16× · PMID 29187413 · DOI 10.1136/bmjopen-2017-018607
  6. The immunosuppressive effects of volatile versus intravenous anesthesia combined with epidural analgesia on kidney cancer: a pilot randomized controlled trial.
    Efremov SM, Kozireva VS, Moroz GB, Abubakirov MN, et al · · 2020 · cited 6× · PMID 32098012 · DOI 10.4097/kja.19461
  7. General Anesthetics in CAncer REsection Surgery (GA-CARES) randomized multicenter trial of propofol vs volatile inhalational anesthesia: protocol description.
    Bennett-Guerrero E, Romeiser JL, DeMaria S, Nadler JW, et al · · 2023 · cited 3× · PMID 36631831 · DOI 10.1186/s13741-022-00290-z
  8. Harnessing interventions during the immediate perioperative period to improve the long-term survival of patients following radical gastrectomy.
    Liu LB, Li J, Lai JX, Shi S. · · 2023 · cited 2× · PMID 37206066 · DOI 10.4240/wjgs.v15.i4.520

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