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Trial registered on ANZCTR
Registration number
ACTRN12607000637448
Ethics application status
Approved
Date submitted
4/12/2007
Date registered
13/12/2007
Date last updated
15/09/2020
Date data sharing statement initially provided
15/09/2020
Date results provided
15/09/2020
Type of registration
Prospectively registered
Titles & IDs
Public title
Epidural use and cancer recurrence
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Scientific title
Perioperative Epidural Analgesia and Incidence of Late Cancer Recurrence. A follow-up study of patients with cancer who were previously enrolled in the MASTER Trial (1995-2001)
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Secondary ID [1]
302317
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Nil Known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cancer surgery
2601
0
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Condition category
Condition code
Anaesthesiology
2714
2714
0
0
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Anaesthetics
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Cancer
2738
2738
0
0
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Biliary tree (gall bladder and bile duct)
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Anaesthesiology
2739
2739
0
0
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Anaesthetics
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Follow-up of patients enrolled in MASTER Trial - Epidural v control analgesia for cancer surgery. General anaesthesia and epidural drugs and doses were given at the discretion of the anaesthetist during surgery for excision of cancer.
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Intervention code [1]
2359
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Treatment: Other
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Comparator / control treatment
Epidural block for surgery
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Control group
Active
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Outcomes
Primary outcome [1]
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Recurrence-free survival
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Assessment method [1]
3610
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Timepoint [1]
3610
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7-13 years postoperatively
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Secondary outcome [1]
6051
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All cause mortality
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Assessment method [1]
6051
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Timepoint [1]
6051
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7-13 years postoperatively
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Eligibility
Key inclusion criteria
Patients previously enrolled in MASTER Trial 1995-2001. ASA III-IV patients (American Society of Anesthesiology physical status classification) having major abdominal surgery.
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients not enrolled in MASTER Trial. Patients were excluded if they were inelligible for epidural anaesthesia due to sepsis, impaired coagulation status, infection at epidural puncture site, non-vascular disorder or impaired mental state.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Telephone randomisation (in blocks)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer randomisation
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/02/2008
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Actual
2/05/2008
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Date of last participant enrolment
Anticipated
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Actual
18/06/2010
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Date of last data collection
Anticipated
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Actual
2/08/2010
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Sample size
Target
600
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Accrual to date
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Final
503
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,SA,TAS,WA,VIC
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Recruitment postcode(s) [1]
512
0
3004
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Recruitment outside Australia
Country [1]
702
0
Hong Kong
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State/province [1]
702
0
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Country [2]
703
0
Malaysia
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State/province [2]
703
0
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Country [3]
704
0
Thailand
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State/province [3]
704
0
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Country [4]
705
0
Singapore
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State/province [4]
705
0
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Country [5]
706
0
Saudi Arabia
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State/province [5]
706
0
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Funding & Sponsors
Funding source category [1]
2853
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Hospital
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Name [1]
2853
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The Alfred Hospital
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Address [1]
2853
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Commercial Road
Melbourne VIC 3004
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Country [1]
2853
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Australia
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Primary sponsor type
Individual
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Name
Professor Paul Myles
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Address
Dept Anaesthesia and Perioperative Medicine
The Alfred Hospital
Commercial Road
Melbourne VIC 3004
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Country
Australia
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Secondary sponsor category [1]
2571
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Individual
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Name [1]
2571
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Professor Konrad Jamrozik
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Address [1]
2571
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Level 2 Public Health Building School of Population Health
University of Queensland
Herston Road
Herston QLD 4006
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Country [1]
2571
0
Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
306915
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Alfred Helath research and ethics committee
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Ethics committee address [1]
306915
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Commercial road Melbourne, 3004 vic
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Ethics committee country [1]
306915
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Australia
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Date submitted for ethics approval [1]
306915
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17/01/2008
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Approval date [1]
306915
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04/03/2008
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Ethics approval number [1]
306915
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10/08
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Summary
Brief summary
We plan to undertake an observational "follow-up" study of The MASTER Trial (Alfred EC approval 98/94). The MASTER Trial was conducted between 1995 and 2001. The study consisted of 915 high-risk patients (ASA III-IV) having major abdominal surgery. Many of these patients underwent cancer surgery. Half of the patients in The MASTER Trial received epidural analgesia. We aim to identify whether epidural analgesia protects the immune system during and early after surgery and thus reduces later cancer recurrence. Those We intend to follow uo all MASTER Trial patients who had surgery for cancer will be followed up to determine if their cancer has returned and when it returned. See attached Telephone interview and Protocol 4. AThere are no new interventions and all patients have previously provided informed consent to the original study but this did not include contact for future research. The study does not require any new interventions and will involve involve looking through the histories of patients enrolled in The MASTER Trial to determine whether their original surgery was for excision of cancer, therefore making them eligible for inclusion in this follow-up study. All eligible patients will then be screened by the Victorian Cancer Council’s (VCC) Database to identify patients who are no longer living. The VCC Database will also provide valuable information regarding cause of death. Information regarding deceased patients will prevent researchers from attempting to contact next of kin and causing unnecessary distress. All patients not listed as having died will be contacted by phone and asked to answer a brief questionnaire regarding their health.and also ringing some patients up. Patients who cannot be contacted by phone after 3 attempts will be sent a questionnaire. Researchers will approach GPs and / or next of kin of patients who we are unable to contact. In the event that researchers are unable to contact patients, GPs or next-of-kin, we will attempt to follow-up patients using a national death index, the Western Australian cancer registry and medical records. The primary endpoints are the recurrence of cancer within 5 years of initial surgery, and cancer-related deaths. Secondary endpoints are the type of cancer recurrence: local, regional or distal, and survival. Researchers will undertake a feasibility study of the Alfred’s 180 patients over an estimated 6 months, prior to following up patients at other centres.
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Trial website
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Trial related presentations / publications
Myles PS, Peyton M, Silbert BS, Hunt J, Rigg JRA. Sessler DI. Perioperative epidural analgesia for major abdominal surgery for cancer and recurrence-free survival: a randomised trial. BMJ 2011; 342:d1491.
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Public notes
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Contacts
Principal investigator
Name
28224
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Prof Paul Myles
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Address
28224
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Director, Dept of Anaesthesiology and Perioperative Medicine
Alfred Hospital and Monash University, Melbourne, vic, 3004
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Country
28224
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Australia
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Phone
28224
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+61 390762000
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Fax
28224
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+61 390768176
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Email
28224
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[email protected]
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Contact person for public queries
Name
11381
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Professor Paul Myles
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Address
11381
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Director
Department of Anaesthesia and Perioperative Medicine
Alfred Hospital and Monash University
Commercial Road
Melbourne VIC 3004
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Country
11381
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Australia
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Phone
11381
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+61 3 90763176
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Fax
11381
0
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Email
11381
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[email protected]
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Contact person for scientific queries
Name
2309
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Professor Paul Myles
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Address
2309
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Director
Department of Anaesthesia and Perioperative Medicine
Alfred Hospital and Monash University
Commercial Road
Melbourne VIC 3004
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Country
2309
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Australia
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Phone
2309
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+61 3 90763176
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Fax
2309
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Email
2309
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
Perioperative epidural analgesia for major abdominal surgery for cancer and recurrence-free survival: randomised trial
2011
https://doi.org/10.1136/bmj.d1491
N.B. These documents automatically identified may not have been verified by the study sponsor.
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