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General Anesthetics in CAncer REsection Surgery (GA-CARES) Trial (GA-CARES)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Identifier: NCT03034096
Recruitment Status : Recruiting
First Posted : January 27, 2017
Last Update Posted : December 1, 2021
Information provided by (Responsible Party):
Elliott Bennett-Guerrero, Stony Brook University

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.

Condition or disease Intervention/treatment Phase
Anesthesia, General Surgical Oncology Drug: Propofol Drug: Volatile Agent Phase 4

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 1800 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: General Anesthetics in CAncer REsection Surgery (GA-CARES) Trial: Pragmatic Randomized Trial of Propofol vs Volatile Inhalational Anesthesia
Study Start Date : January 2017
Estimated Primary Completion Date : October 2023
Estimated Study Completion Date : December 2023

Resource links provided by the National Library of Medicine

Drug Information available for: Propofol

Arm Intervention/treatment
Experimental: Propofol infusion
Maintenance of general anesthesia with propofol infusion
Drug: Propofol
Maintenance of general anesthesia with propofol infusion

Experimental: Volatile agent
Maintenance of general anesthesia with volatile agent (sevoflurane, desflurane, or isoflurane)
Drug: Volatile Agent
Maintenance of general anesthesia with volatile agent (sevoflurane, desflurane, or isoflurane)

Primary Outcome Measures :
  1. All-cause mortality [ Time Frame: 2 year minimum ]
    Time to event

Secondary Outcome Measures :
  1. Recurrence free survival [ Time Frame: Minimum 2 years ]
    Time to event

  2. All-cause mortality as a binary outcome [ Time Frame: 2 years ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT03034096

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United States, New York
Roswell Park Cancer Center Recruiting
Buffalo, New York, United States, 14203
Contact: Timothy Quinn, MD   
Principal Investigator: Timothy Quinn, MD         
Long Island Jewish Medical Center Recruiting
New Hyde Park, New York, United States, 11040
Contact: Sanjeev Ponnappan, MD   
Principal Investigator: Sanjeev Ponnappan, MD         
Sub-Investigator: Linda Shore-Lesserson, MD         
Icahn School of Medicine at Mount Sinai Recruiting
New York, New York, United States, 10029
Contact: Samuel Demaria, MD   
Sub-Investigator: Parissa Tabrizian, MD         
University of Rochester Medical Center Recruiting
Rochester, New York, United States, 14642
Contact: Jacob Nadler, MD PhD   
Stony Brook University Hospital Recruiting
Stony Brook, New York, United States, 11794-8480
Contact: Elliott Bennett-Guerrero, MD   
Sub-Investigator: Aaron Sasson, MD         
Sub-Investigator: Jie Yang, PhD         
Sponsors and Collaborators
Stony Brook University
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Responsible Party: Elliott Bennett-Guerrero, Professor and Vice Chairman, Stony Brook University Identifier: NCT03034096    
Other Study ID Numbers: 967670-3
First Posted: January 27, 2017    Key Record Dates
Last Update Posted: December 1, 2021
Last Verified: November 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Additional relevant MeSH terms:
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Hypnotics and Sedatives
Central Nervous System Depressants
Physiological Effects of Drugs
Anesthetics, Intravenous
Anesthetics, General