Using dexmedetomidine to improve long-term survival after cancer surgery in older patients
Official title: Impact of Perioperative Dexmedetomidine on Long-term Survival in Older Patients After Cancer Surgery: a Multicenter Randomized Trial
Run by Peking University First Hospital · NCT06030804 · Data updated 2026-11-12
This study tests if giving older patients a medication called dexmedetomidine during cancer surgery can help them recover better and live longer.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 60 Years and up |
| Sex | All |
| Enrollment | 4532 (estimated) |
| Sponsor | Peking University First Hospital Academic / other |
| Locations | 40 sites (Hefei, Anhui and 39 other locations) |
| Status | Recruiting |
| Started | September 12, 2023 |
| Main results expected | September 2027 |
| Study ends | October 2030 |
| Registry record updated | October 30, 2026 |
| Trial ID | NCT06030804 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are patients aged 60 years or older scheduled for radical cancer surgery requiring general anesthesia.
✕Probably not a fit
Patients with severe bradycardia, certain types of cancer surgeries, or significant hepatic or renal dysfunction may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial investigates the effects of perioperative dexmedetomidine on long-term survival outcomes in older patients undergoing cancer surgery. It aims to determine whether administering dexmedetomidine during the surgical process can enhance recovery and reduce complications, thereby improving overall survival rates. The study will involve a multicenter randomized design, comparing outcomes between patients receiving dexmedetomidine and those receiving a placebo. The focus is on older patients, who are at higher risk for complications and poorer long-term survival after surgery.
Why it matters
Potential benefit: If successful, this approach could significantly improve long-term survival rates for elderly cancer patients undergoing surgery.
How similar studies have gone: Previous studies have shown that perioperative dexmedetomidine can reduce complications and improve outcomes, suggesting potential success for this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion criteria: 1. Aged 60 years or older. 2. Scheduled to undergo radical surgery for cancer under general anesthesia, with an expected surgical duration of 2 hours or longer. 3. Required patient-controlled intravenous analgesia after surgery. Exclusion criteria: 1. Inability to communicate preoperatively due to visual, auditory, verbal. or other reasons. 2. Surgery for breast cancer or intracranial tumor. 3. Preoperative severe sinus bradycardia (\<50 beats per minute), sick sinus syndrome,or second-degree or above atrioventricular block without pacemaker. 4. Severe hepatic dysfunction (Child-Pugh class C). 5. Severe renal dysfunction (requirement of renal replacement therapy before surgery). 6. Enrolled in other clinical studies.
Where it's running
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The First Affiliated Hospital of China University of Science and Technology
Hefei, Anhui, China Recruiting -
The First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital)
Hefei, Anhui, China Recruiting -
Peking University First Hospital
Beijing, Beijing Municipality, China Recruiting -
Tsinghua University Yuquan Hospital
Beijing, Beijing Municipality, China Recruiting -
Cancer Hospital Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, China Recruiting -
The First Affiliated Hospital of Army Medical University (Southwest Hospital)
Chongqing, Chongqing Municipality, China Recruiting
Show 34 more locations
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Fujian Provincial Hospital
Fuzhou, Fujian, China Recruiting -
The First Affiliated Hospital of Fujian Medical University
Fuzhou, Fujian, China Recruiting -
Jinjiang City Hospital (Shanghai Sixth People's Hospital, Fujian Hospital)
Jinjiang, Fujian, China Recruiting -
Guangdong General Hospital
Guangzhou, Guangdong, China Recruiting -
Peking University Shenzhen Hospital
Shenzhen, Guangdong, China Recruiting -
The First Affiliated Hospital of Shenzhen University
Shenzhen, Guangdong, China Recruiting -
The Second Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, China Recruiting -
Affiliated Cancer Hospital of Guangxi Medical University
Nanning, Guangxi, China Recruiting -
The Fourth Hospital of Hebei Medical University
Shijiazhuang, Hebei, China Recruiting -
The Second Affiliated Hospital of Harbin Medical University
Harbin, Heilongjiang, China Recruiting -
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, China Recruiting -
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, China Recruiting -
Henan Provincial People's Hospital
Zhengzhou, Henan, China Recruiting -
Xiangya Hospital Central South university
Changsha, Hunan, China Recruiting -
Nanjing General Hospital of Nanjing Military Region
Nanjing, Jiangsu, China Recruiting -
Affiliated Drum Tower Hospital, Medical School of Nanjing University
Nanjing, Jiangsu, China Recruiting -
The Second Affiliated Hospital of Suzhou University
Suzhou, Jiangsu, China Recruiting -
Bethune First Hospital Of Jilin University
Changchun, Jilin, China Recruiting -
People's Hospital of Ningxia Hui Autonomous Region
Yinchuan, Ningxia, China Recruiting -
Xijing Hospital, Fourth Military Medical University
Xi'an, Shaanxi, China Recruiting -
Shandong Provincial Hospital Heze Hospital
Heze, Shandong, China Recruiting -
Shanghai Fourth People's Hospital Affiliated to Tongji University School of Medicine
Shanghai, Shanghai Municipality, China Recruiting -
Shanxi Cancer Hospital
Taiyuan, Shanxi, China Recruiting -
Shanxi Provincial People's Hospital
Taiyuan, Shanxi, China Recruiting -
Shanxi Bethune Hospital
Taiyuan, Shanxi, China Recruiting -
Shanxi Bethune Hospital
Taiyuan, Shanxi, China Recruiting -
First Affiliated Hospital of Xinjiang Medical University
Ürümqi, Xinjiang, China Recruiting -
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, China Recruiting -
Fujian Medical University Union Hospital
Fuzhou, Fujian, China Not yet recruiting -
Zhejiang Cancer Hospital
Zhejiang, Hangzhou, China Not yet recruiting -
Tangshan Workers' Hospital
Tangshan, Hebei, China Not yet recruiting -
The First Affiliated Hospital of University of South China
Hengyang, Hunan, China Not yet recruiting -
General hospital of eastern theater command
Nanjing, Nanjing, China Not yet recruiting -
General Hospital of Ningxia Medical University
Yinchuan, Ningxia, China Not yet recruiting
Study contacts
- Principal investigator: Dong-Xin Wang, MD,PhD — Peking University First Hospital
- Study coordinator: Dong-Xin Wang, MD,PhD
- Email: wangdongxin@hotmail.com
- Phone: 8610 83572784
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Managing body temperature during cancer surgery to reduce delirium and improve survival
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-
Dexmedetomidine to See if Delirium Drops After Hip Fracture Surgery
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-
Esmolol vs Dexmedetomidine for opioid-sparing in laparoscopic gynecologic surgery
This study tests whether low-dose esmolol or dexmedetomidine, given during surgery, reduces opioid use and improves pain control after laparoscopic hysterectomy compared with placebo.
-
Dexmedetomidine with taVNS to see if PTSD after trauma surgery can be reduced
This study tests whether giving dexmedetomidine together with transcutaneous vagus nerve stimulation after emergency trauma surgery can lower the chances of developing PTSD.
-
Dexmedetomidine vs magnesium as intraperitoneal add-ons to bupivacaine for laparoscopic gallbladder removal
This study tests whether adding dexmedetomidine or magnesium sulfate to bupivacaine injected inside the abdomen provides better pain relief after laparoscopic cholecystectomy for adults without serious health issues.
-
Dexmedetomidine vs magnesium with lidocaine for eye block during DCR surgery
This trial tests whether adding dexmedetomidine or magnesium sulfate to lidocaine for a preemptive peribulbar block can better manage blood pressure and heart rate in adults undergoing DCR surgery under general anesthesia.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.