Anesthetic drugs & techniques

General Anesthetics in CAncer REsection Surgery (General Anesthetics in Cancer Resection (GA-CARES)) randomized multicenter trial of propofol vs volatile inhalational anesthesia: protocol description

Perioper Med (Lond)Published Protocol of a randomised controlled trial

Study context

Population
Adults with known or suspected cancer undergoing one of eight oncologic surgeries with a high risk of cancer recurrence, five sites in New York Stateenrolment completed
Participants
1,804 adults
Comparison
Propofol vs volatile agent for maintenance of general anesthesia (GA)
Primary endpoint
Overall survival (assumed 5% absolute difference, 85% vs 90%)
Follow-up
2 years (minimum 2-year )
Methodological detailspragmatic, phase 3, multicentre, 1:1 randomisation stratified by center and surgery type, no planned interim analyses, Target enrolment 1800; power 97.4% (two-sided log-rank test, type I error 0.05), Data from National Death Index, New York (NY) Cancer Registry and electronic harvesting from electronic medical records (EMR)
  • Pragmatic
  • Phase 3
  • Multicentre
  • 1:1 randomisation stratified by center and surgery type
  • No planned interim analyses
  • Target enrolment 1800; power 97.4% (two-sided log-rank test, type I error 0.05)
  • Data from National Death Index, NY Cancer Registry and electronic harvesting from EMR

Primary result

As reported in the abstract

  • Enrolment completed; study in follow-up phase (no results reported)

Original publication

General Anesthetics in CAncer REsection Surgery (GA-CARES) randomized multicenter trial of propofol vs volatile inhalational anesthesia: protocol description. Perioper Med (Lond). Published 11 January 2023. doi:10.1186/s13741-022-00290-z

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