Trial Outcomes & Findings for Regional Anesthesia and Breast Cancer Recurrence (NCT NCT00418457)

NCT ID: NCT00418457

Last Updated: 2020-06-16

Results Overview

time to breast cancer recurrence from the end of surgery.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

2108 participants

Primary outcome timeframe

up to 10 years

Results posted on

2020-06-16

Participant Flow

Participant milestones

Participant milestones
Measure
General Anesthesia and Opioid
General anesthesia followed by opioid administration General anesthesia and opioids: General anesthesia, usually with sevoflurane, and opioid analgesia
Regional Analgesia and Propofol
Regional anesthesia and analgesia (either epidural or paravertebral) combined with propofol Regional analgesia and propofol: Regional anesthesia and analgesia (either epidural or paravertebral), combined with deep sedation or general anesthesia
Overall Study
STARTED
1065
1043
Overall Study
COMPLETED
1065
1043
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Regional Anesthesia and Breast Cancer Recurrence

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
General Anesthesia and Opioid
n=1065 Participants
General anesthesia followed by opioid administration General anesthesia and opioids: General anesthesia, usually with sevoflurane, and opioid analgesia
Regional Analgesia and Propofol
n=1043 Participants
Regional anesthesia and analgesia (either epidural or paravertebral) combined with propofol Regional analgesia and propofol: Regional anesthesia and analgesia (either epidural or paravertebral), combined with deep sedation or general anesthesia
Total
n=2108 Participants
Total of all reporting groups
Age, Continuous
53 years
STANDARD_DEVIATION 11 • n=5 Participants
53 years
STANDARD_DEVIATION 12 • n=7 Participants
53 years
STANDARD_DEVIATION 11 • n=5 Participants
Sex: Female, Male
Female
1065 Participants
n=5 Participants
1043 Participants
n=7 Participants
2108 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
989 Participants
n=5 Participants
972 Participants
n=7 Participants
1961 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
72 Participants
n=5 Participants
68 Participants
n=7 Participants
140 Participants
n=5 Participants

PRIMARY outcome

Timeframe: up to 10 years

time to breast cancer recurrence from the end of surgery.

Outcome measures

Outcome measures
Measure
General Anesthesia and Opioid
n=1065 Participants
General anesthesia followed by opioid administration General anesthesia and opioids: General anesthesia, usually with sevoflurane, and opioid analgesia
Regional Analgesia and Propofol
n=1043 Participants
Regional anesthesia and analgesia (either epidural or paravertebral) combined with propofol Regional analgesia and propofol: Regional anesthesia and analgesia (either epidural or paravertebral), combined with deep sedation or general anesthesia
Number of Participants Who Had Breast Cancer Recurrence After Breast Cancer Surgery
111 participants
102 participants

SECONDARY outcome

Timeframe: 6 months and 1 year

Population: data was not available/collected for all participants due to lost follow up or miss phone call.

Brief Pain Inventory is used to evaluate with values of any pain vs. no pain (binary)

Outcome measures

Outcome measures
Measure
General Anesthesia and Opioid
n=872 Participants
General anesthesia followed by opioid administration General anesthesia and opioids: General anesthesia, usually with sevoflurane, and opioid analgesia
Regional Analgesia and Propofol
n=856 Participants
Regional anesthesia and analgesia (either epidural or paravertebral) combined with propofol Regional analgesia and propofol: Regional anesthesia and analgesia (either epidural or paravertebral), combined with deep sedation or general anesthesia
Number of Participants That Experienced Post-Surgical Pain
at 6-month
456 Participants
442 Participants
Number of Participants That Experienced Post-Surgical Pain
1-year
232 Participants
239 Participants

SECONDARY outcome

Timeframe: 6 month and 1 year

Population: data was not available/collected for all participants due to lost follow up or miss phone call.

neuropathic pain is a binary outcome: any pain vs. no pain

Outcome measures

Outcome measures
Measure
General Anesthesia and Opioid
n=870 Participants
General anesthesia followed by opioid administration General anesthesia and opioids: General anesthesia, usually with sevoflurane, and opioid analgesia
Regional Analgesia and Propofol
n=859 Participants
Regional anesthesia and analgesia (either epidural or paravertebral) combined with propofol Regional analgesia and propofol: Regional anesthesia and analgesia (either epidural or paravertebral), combined with deep sedation or general anesthesia
Number of Participants That Experienced Neuropathic Pain After Surgery
at 6-month
89 Participants
87 Participants
Number of Participants That Experienced Neuropathic Pain After Surgery
1-year
57 Participants
57 Participants

SECONDARY outcome

Timeframe: 6 month and 1 year

Population: data was not available/collected for all participants due to lost follow up or miss phone call.

Physical and Mental Health Composite Scores (PCS \& MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.

Outcome measures

Outcome measures
Measure
General Anesthesia and Opioid
n=804 Participants
General anesthesia followed by opioid administration General anesthesia and opioids: General anesthesia, usually with sevoflurane, and opioid analgesia
Regional Analgesia and Propofol
n=807 Participants
Regional anesthesia and analgesia (either epidural or paravertebral) combined with propofol Regional analgesia and propofol: Regional anesthesia and analgesia (either epidural or paravertebral), combined with deep sedation or general anesthesia
SF-12 PCS Score
at 6-month
49.7 score on a scale
Standard Deviation 8.1
49.8 score on a scale
Standard Deviation 8.2
SF-12 PCS Score
1-year
52.3 score on a scale
Standard Deviation 6.7
52.1 score on a scale
Standard Deviation 7.3

SECONDARY outcome

Timeframe: 6 month and 1 year

Population: data was not available/collected for all participants due to lost follow up or miss phone call.

Physical and Mental Health Composite Scores (PCS \& MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.

Outcome measures

Outcome measures
Measure
General Anesthesia and Opioid
n=804 Participants
General anesthesia followed by opioid administration General anesthesia and opioids: General anesthesia, usually with sevoflurane, and opioid analgesia
Regional Analgesia and Propofol
n=807 Participants
Regional anesthesia and analgesia (either epidural or paravertebral) combined with propofol Regional analgesia and propofol: Regional anesthesia and analgesia (either epidural or paravertebral), combined with deep sedation or general anesthesia
SF-12 MCS Score
at 6-month
48.1 units on a scale
Standard Deviation 8.6
48.7 units on a scale
Standard Deviation 8.1
SF-12 MCS Score
1-year
48 units on a scale
Standard Deviation 9.7
48.7 units on a scale
Standard Deviation 9.4

Adverse Events

General Anesthesia and Opioid

Serious events: 0 serious events
Other events: 0 other events
Deaths: 22 deaths

Regional Analgesia and Propofol

Serious events: 0 serious events
Other events: 0 other events
Deaths: 18 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Daniel Sessler, MD

Cleveland Clinic

Phone: 216-444-4900

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place