Pancreatic Cancer Research

Clinical trialPhase 2Terminated

Impact of Total Intravenous Anesthesia Following Cancer Surgery, TIVACS Study

The Impact of Total Intravenous Anesthesia Following Cancer Surgery (TIVACS) Study

Outcome
Stopped earlyPrincipal investigator departed sponsoring organization (Business decision)
Phase
Phase 2
Status
Terminated
Study type
Interventional
Start
2 June 2023
Expected end
26 January 2024
Enrollment
8 participants
Sites
1
Primary outcomes
Impact of Anesthetic Agent on Inflammation and Immunosuppression
Sponsor
Other
Results posted
2025-07-10
Last update
10 July 2025

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Brief summary public domain (ClinicalTrials.gov)

This phase II trials studies the impact of total intravenous anesthesia (TIVA) following cancer surgery. Surgery and the anesthesia delivered causes physiologic stress and trauma resulting in immune suppression. TIVA is an alternative method of general anesthesia that has several benefits over volatile inhalation agents such as reducing nausea, vomiting, and opioid consumption, and promotes earlier return of bowel function following surgery. In addition, TIVA is less immunosuppressive than inhalational agents and has been shown to decrease cancer cell proliferation, migration, and metastasis formation. Giving TIVA during cancer-directed abdominal surgery may decrease the immunosuppressive state in the peri-surgical period.

Detailed description public domain (ClinicalTrials.gov)

PRIMARY OBJECTIVE: I. To evaluate the impact of anesthetic agent on inflammation and immunosuppression among patients undergoing abdominal cancer surgery. SECONDARY OBJECTIVE: I. To determine the impact of anesthetic choice on short-term anesthetic and surgical outcomes. OUTLINE: Patients are randomized to 1 of 2 arms. ARM I: Patients undergo surgical resection with TIVA. ARM II: Patients undergo surgical resection with inhaled volatile anesthetics. After completion of study treatment, patients are followed up for up to 2 years.

Posted results (ClinicalTrials.gov registry) · primary outcome public domain (ClinicalTrials.gov)

Impact of Anesthetic Agent on Inflammation and Immunosuppression [Up to 2 years].

Posted results (ClinicalTrials.gov registry) · secondary outcome public domain (ClinicalTrials.gov)

Impact of Anesthetic Choice on Short-term Anesthetic and Surgical Outcomes [Up to 2 years].