ClinicalTrials.gg
CompletedNCT06989346OncO2Updated May 25, 2025

Impact of Perioperative Hyperoxia on Cancer Recurrence and Mortality After Elective Colorectal Cancer Surgery

An observational study in Recurrence, Survival Rate and Mortality, sponsored by Parc de Salut Mar. Completed at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-25.

Primary conditionHyperoxiaRegistry: RecurrenceReclassifiedWhy we changed it
Registry
Recurrence — the first condition term the registry derived for this study.
ClinicalTrials.gg
Hyperoxia
Why
  1. Recurrence describes something many studies share rather than a condition a study is about.
  2. The study's listed conditions name Hyperoxia.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Parc de Salut Mar · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
403
Ages
18 Years and older
Sex
All
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Study summary

The goal of this observational study is to evaluate whether perioperative hyperoxia (FiO₂ > 0.8), compared to conventional oxygen therapy (FiO₂ \< 0.4), is associated with increased cancer recurrence and mortality in patients undergoing curative elective colorectal cancer surgery.

Read the detailed description

In 2016, the World Health Organization (WHO) recommended the use of perioperative hyperoxia (FiO₂ > 0.8) to reduce the risk of postoperative surgical site infections (SSIs). However, the WHO also highlighted potential adverse effects associated with hyperoxia, including increased cancer recurrence and mortality. This study aims to evaluate whether perioperative hyperoxia (FiO₂ > 0.8), compared to conventional oxygen therapy (FiO₂ \< 0.4), is associated with increased cancer recurrence and mortality in patients undergoing curative elective colorectal cancer surgery.

This study is a follow-up of a previously published cohort originally designed to assess whether FiO₂ > 0.8 was associated with a higher incidence of perioperative cardiovascular complications. In this follow-up, oncological recurrence and mortality events were recorded at least three years after the index surgery. The primary outcome was recurrence-free survival over the follow-up period, analyzed using Kaplan-Meier curves and a Cox proportional hazards model. The secondary outcome was the 3-year mortality rate, analyzed using the Chi-square test.

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Conditions studied

  • Recurrence
  • Survival Rate
  • Mortality
  • Colorectal Surgery
  • Hyperoxia

Browse trials for

Keywords

  • Hyperoxia
  • Recurrence-free Survival
  • Colorectal Surgery
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In context

Hyperoxia Reclassified

115 studies on the registry are indexed under Hyperoxia; 13 are open to participants now.

This study's enrollment of 403 is above the median of 104 across 32 observational studies indexed under Hyperoxia.

Browse Hyperoxia studies →

Lead sponsor

Parc de Salut Mar is the lead sponsor of 182 studies on the registry; 25 are open to participants now.

Compared within Hyperoxia, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Recurrence. The counts are of registry records indexed under each term, refreshed daily. How we classify →

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patient diagnosed with colorectal cancer, eligible for a scheduled colorectal surgery with a curative intention

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients over 18 years old;
  • Scheduled for major elective colorectal surgery under general anaesthesia with tracheal intubation.

Exclusion criteria

Exclusion Criteria:

  • Non-oncologic surgery or non-curative oncological surgery
  • Pregnant or breastfeeding women
  • ( \<50% or in need of domiciliary oxygen thera-py)
  • Acute coronary event or stroke during the previous six weeks (before the surgery)
  • Chronic renal failure requiring renal replacement therapy;
  • Predicted length of stay of less than one day;
  • Any patient that has received general anaesthesia during the previous month.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
403 participants (actual)
Patient registry
No

Groups and cohorts

  • Hyperoxia

    Perioperative hyperoxia (FiO₂ \> 0.8)

  • Control

    Conventional perioperative oxygen therapy (FiO₂ \< 0.4)

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What researchers measure

Primary outcomes

  1. Recurrence-free Survival

    Length of time from the end of primary treatment (surgery in this case) until the evidence of cancer recurrence (locoregional or systemic) or death in the last follow-up

    Time frame: Follow-up period (at least 3 years since surgery)

Secondary outcomes

  1. Mortality

    Percentage of global mortality (not exclusively related to the oncologic disease)

    Time frame: 3-year follow-up period

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Study locations

1 site
  • Hospital del Mar
    Barcelona, Catalonia 08003, Spain
08

References and documents

Publications

  • Sadurni M, Castelltort L, Rivera P, Gallart L, Pascual M, Duran X, Grocott MP. Perioperative hyperoxia and myocardial injury after surgery: a randomized controlled trial. Minerva Anestesiol. 2023 Jan-Feb;89(1-2):40-47. doi: 10.23736/S0375-9393.22.16634-4. Epub 2022 Oct 25. PubMed 36282221 ↗
  • Podolyak A, Sessler DI, Reiterer C, Fleischmann E, Akca O, Mascha EJ, Greif R, Kurz A. Perioperative Supplemental Oxygen Does Not Worsen Long-Term Mortality of Colorectal Surgery Patients. Anesth Analg. 2016 Jun;122(6):1907-11. doi: 10.1213/ANE.0000000000001316. PubMed 27195634 ↗
  • Meyhoff CS, Jorgensen LN, Wetterslev J, Siersma VD, Rasmussen LS; PROXI Trial Group. Risk of new or recurrent cancer after a high perioperative inspiratory oxygen fraction during abdominal surgery. Br J Anaesth. 2014 Jul;113 Suppl 1:i74-i81. doi: 10.1093/bja/aeu110. Epub 2014 May 23. PubMed 24860156 ↗

Individual participant data

Plan to share: Undecided — We need to pursue additional conversations with our organization to request to share IPD.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 25, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06989346
Lead sponsor
Parc de Salut Mar
Responsible party
Sponsor
First posted
May 25, 2025
Start date
May 17, 2024
Primary completion
Dec 17, 2024
Completion
Apr 11, 2025
Last update
May 25, 2025

Study contacts

Marc Sadurní, MD
principal investigator · Hospital del Mar
Laura Castelltort, MD
study director · Hospital del Mar

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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