Warm during surgery? new trial tests if temperature control boosts survival in older cancer patients
NCT ID NCT06256354
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether carefully managing body temperature during major cancer surgery can lower the risk of postoperative delirium (sudden confusion) and improve long-term survival in patients aged 65 and older. About 4,000 participants will be randomly assigned to either routine temperature care or active warming. The goal is to see if a simple, low-cost change in the operating room can make a real difference for older adults recovering from cancer surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- targeted temperature management (keeping body temperature stable during surgery)
- What this could lead to
- If it works, this simple approach could reduce confusion after surgery and help older cancer patients live longer.
- What could go wrong
- This is a large trial, but it tests a small change in routine care—benefits may be modest or not statistically significant. The results may not apply to all surgeries or patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 3,992 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2024
- Expected to finish
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Jun 2032
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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65 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age ≥65 years. 2. Planned potentially curative initial cancer surgery with an expected duration of 2 hours or longer under general anesthesia. Exclusion Criteria: 1. Preoperative fever (tympanic temperature ≥38℃). 2. Known or suspected preoperative infection. 3. Previous history of schizophrenia, epilepsy, Parkinson disease, myasthenia gravis, or delirium. 4. Unable to communicate due to severe dementia, language barrier, or coma. 5. Critically ill (Left ventricular ejection fraction \<30%, Child-Pugh grades C, requirement of renal replacement therapy, American Society of Anesthesiologists physical status\>IV, or expected survival \<24 hours). 6. Scheduled surgery for breast cancer, intracranial tumors, or rare cancers. 7. Planned to undergo therapeutic hypothermia. 8. Body mass index \>30 kg/m2 (to facilitate thermal management). 9. Have participated in this study previously. 10. Any other conditions that are considered unsuitable for study participation.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
36 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Aerospace Medical Center
RECRUITINGBeijing, Beijing Municipality, China
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Beijing Chao-Yang Hospital, Capital Medical University
NOT_YET_RECRUITINGBeijing, Beijing Municipality, China
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Beijing Chuiyangliu Hospital
NOT_YET_RECRUITINGBeijing, Beijing Municipality, China
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Beijing Coal Group General Hospital
NOT_YET_RECRUITINGBeijing, Beijing Municipality, China
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Beijing Electric Power Hospital
RECRUITINGBeijing, Beijing Municipality, China
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Chengdu Seventh People's Hospital
RECRUITINGChengdu, Sichuan, 610041, China
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Deyang People's Hospital
RECRUITINGDeyang, Sichuan, China
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Dongzhimen Hospital Beijing University of Chinese Medicine
NOT_YET_RECRUITINGBeijing, Beijing Municipality, 100007, China
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First Affiliated Hospital of Harbin Medical University
RECRUITINGHarbin, Heilongjiang, 163711, China
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Guang'anmen Hospital China Academy of Chinese Medical Sciences
RECRUITINGBeijing, Beijing Municipality, 100055, China
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Henan Provincial People's Hospital
NOT_YET_RECRUITINGZhengzhou, Henan, 463599, China
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Jiangsu Province Hospital
RECRUITINGNanjing, Jiangsu, 210029, China
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Jiangyin People's Hospital
RECRUITINGJiangyin, Jiangsu, 214400, China
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Jingzhou Central Hospital
NOT_YET_RECRUITINGJingzhou, Hubei, China
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Maanshan People's Hospital
RECRUITINGMa’anshan, Anhui, China
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Peking Union Medical College Hospital
RECRUITINGBeijing, Beijing Municipality, 100730, China
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Peking University First Hospital
RECRUITINGBeijing, Beijing Municipality, 100034, China
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Peking University International Hospital
NOT_YET_RECRUITINGBeijing, Beijing Municipality, China
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Peking University Shenzhen Hospital
RECRUITINGShenzhen, Guangdong, 518034, China
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Sichuan Provincial People's Hospital
RECRUITINGChengdu, Sichuan, 610072, China
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The First Affiliated Hospital of Anhui Medical University
RECRUITINGHefei, Anhui, 610042, China
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The First Affiliated Hospital of Chengdu Medical College
RECRUITINGChengdu, Sichuan, 610500, China
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The First Affiliated Hospital of Chongqing Medical University
RECRUITINGChongqing, Chongqing Municipality, China
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The First Affiliated Hospital of Kangda College of Nanjing Medical University ( Lianyungang First People's Hospital)
NOT_YET_RECRUITINGLianyungang, Jiangsu, China
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The First Affiliated Hospital of Shandong First Medical University
NOT_YET_RECRUITINGJinan, Shandong, 250013, China
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The First Affiliated Hospital of Zhengzhou University
RECRUITINGZhengzhou, Henan, 450052, China
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The First Hospital of Tsinghua University
NOT_YET_RECRUITINGBeijing, Beijing Municipality, China
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The Fourth Hospital of Hebei Medical University (Hebei Tumor Hospital)
NOT_YET_RECRUITINGShijiazhuang, Hebei, 050011, China
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The People's Hospital of Chizhou
NOT_YET_RECRUITINGChizhou, Anhui, 247099, China
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The People's Hospital of Liaocheng
RECRUITINGLiaocheng, Shandong, 252000, China
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The People's Hospital of Wuxi
NOT_YET_RECRUITINGWuxi, Jiangsu, 214023, China
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The Second Affiliated Hospital of Anhui Medical University
RECRUITINGHefei, Anhui, 230601, China
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The Second Affiliated Hospital of Soochow University
NOT_YET_RECRUITINGSuzhou, Jiangsu, China
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The Second People's Hospital of Yibin (affiliated with West China Hospital of Sichuan University)
NOT_YET_RECRUITINGChengdu, Sichuan, China
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Xijing Hospital, Fourth Military Medical University
RECRUITINGXi'an, Shaanxi, 710032, China
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Xiyuan Hospital of China Academy of Chinese Medical Sciences
RECRUITINGBeijing, Beijing Municipality, 100091, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can colorectal surgery patients go home in two days?
- Can a personal navigator help young cancer patients through treatment?
- Can a smartwatch predict which cancer patients return to hospital?
- Two-Drug combo aims to stall advanced breast cancer
- Blood thinner flush could boost tumor biopsy success
- Could a frailty score predict which older cancer patients survive intensive care?