General Anesthetics in CAncer REsection Surgery (GA-CARES) Trial (GA-CARES)
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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. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT03034096 |
Recruitment Status :
Active, not recruiting
First Posted : January 27, 2017
Last Update Posted : October 17, 2022
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Condition or disease | Intervention/treatment | Phase |
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Anesthesia, General Surgical Oncology | Drug: Propofol Drug: Volatile Agent | Phase 4 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 1804 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 |
Actual Study Start Date : | January 31, 2017 |
Estimated Primary Completion Date : | September 2024 |
Estimated Study Completion Date : | December 2024 |

Arm | Intervention/treatment |
---|---|
Experimental: Propofol infusion
Maintenance of general anesthesia with propofol infusion
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Drug: Propofol
Maintenance of general anesthesia with propofol infusion |
Experimental: Volatile agent
Maintenance of general anesthesia with volatile agent (sevoflurane, desflurane, or isoflurane)
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Drug: Volatile Agent
Maintenance of general anesthesia with volatile agent (sevoflurane, desflurane, or isoflurane) |
- All-cause mortality [ Time Frame: 2 year minimum ]Time to event
- Recurrence free survival [ Time Frame: Minimum 2 years ]Time to event
- All-cause mortality as a binary outcome [ Time Frame: 2 years ]

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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:
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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

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 ClinicalTrials.gov identifier (NCT number): NCT03034096
United States, New York | |
Roswell Park Cancer Center | |
Buffalo, New York, United States, 14203 | |
Long Island Jewish Medical Center | |
New Hyde Park, New York, United States, 11040 | |
Icahn School of Medicine at Mount Sinai | |
New York, New York, United States, 10029 | |
University of Rochester Medical Center | |
Rochester, New York, United States, 14642 | |
Stony Brook University Hospital | |
Stony Brook, New York, United States, 11794-8480 |
Responsible Party: | Elliott Bennett-Guerrero, Professor and Vice Chairman, Stony Brook University |
ClinicalTrials.gov Identifier: | NCT03034096 |
Other Study ID Numbers: |
967670-3 |
First Posted: | January 27, 2017 Key Record Dates |
Last Update Posted: | October 17, 2022 |
Last Verified: | October 2022 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Product Manufactured in and Exported from the U.S.: | No |
Neoplasms Propofol Hypnotics and Sedatives Central Nervous System Depressants |
Physiological Effects of Drugs Anesthetics, Intravenous Anesthetics, General Anesthetics |