Perfusion CT Monitoring to Predict Treatment Efficacy in Renal Cell Carcinoma

January 31, 2022 updated by: Stanford University

Developing Non-Invasive Early Therapeutic Monitoring to Predict Treatment Efficacy in Renal Cell Carcinoma

This pilot clinical trial studies perfusion computed tomography (CT) in predicting response to treatment in patients with advanced kidney cancer. Comparing results of diagnostic procedures done before, during, and after targeted therapy may help doctors predict a patient's response to treatment and help plan the best treatment.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Actual)

19

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • California
      • Stanford, California, United States, 94305
        • Stanford University Cancer Institute

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Subjects with metastatic renal cell carcinoma prescribed a systemic targeted therapy medication

Description

Inclusion Criteria:

  • Suspected or biopsy-proven renal cell carcinoma
  • Treatment planned with sunitinib, pazopanib, sorafenib, bevacizumab, axitinib, nivolumab alone or in combination with an investigational agent
  • Ability to understand and willingness to sign a written informed consent document

Exclusion Criteria:

  • Serum creatinine greater than or equal to 1.7 mg/dL
  • Severe allergy to contrast agent
  • Any contraindication for undergoing a CT scan
  • Pregnancy or unwillingness to use preventative measures if a woman of child-bearing potential

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Characterization of the relationship between Change in blood flow measured through perfusion CT techniques and Change in tumor size measured through non-investigational CT
Time Frame: 12 weeks (+/- 5 days) after start of standard systemic targeted therapy medication
12 weeks (+/- 5 days) after start of standard systemic targeted therapy medication

Secondary Outcome Measures

Outcome Measure
Time Frame
Characterization of the relationship between change in perfusion CT measurements (eg. Mean transit time) and change in tumor size measured by non-investigational CT
Time Frame: 12 weeks (+/- 5 days) after start of standard systemic targeted therapy medication
12 weeks (+/- 5 days) after start of standard systemic targeted therapy medication
Relationship between change in blood flow and tumor response measured on ordinal scale
Time Frame: 12 weeks (+/- 5 days) after start of standard systemic targeted therapy medication
12 weeks (+/- 5 days) after start of standard systemic targeted therapy medication
Relationship between change in blood flow at Day 8 and change in tumor size measured on continuous scale at Week 12 and tumor response measured on ordinal scale at Week 12
Time Frame: 12 weeks (+/- 5 days) after start of standard systemic targeted therapy medication
12 weeks (+/- 5 days) after start of standard systemic targeted therapy medication
Relationship between change in blood flow at Day 8 and at Week 12 and progression-free survival
Time Frame: 12 weeks after start of standard systemic targeted therapy medication
12 weeks after start of standard systemic targeted therapy medication
Relationship between change in blood flow at Day 8 and at Week 12 and time to nadir of tumor size
Time Frame: 12 weeks after start of standard systemic targeted therapy medication
12 weeks after start of standard systemic targeted therapy medication

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Stanford University

Collaborators

Siemens Healthcare QT

Investigators

  • Principal Investigator: Aya Kamaya, Stanford University Hospitals and Clinics

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

August 1, 2014

Primary Completion (Actual)

July 16, 2018

Study Completion (Actual)

December 17, 2021

Study Registration Dates

First Submitted

August 19, 2013

First Submitted That Met QC Criteria

August 19, 2013

First Posted (Estimate)

August 21, 2013

Study Record Updates

Last Update Posted (Actual)

February 2, 2022

Last Update Submitted That Met QC Criteria

January 31, 2022

Last Verified

January 1, 2022

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • RENAL0026
  • NCI-2013-01626 (Registry Identifier: CTRP (Clinical Trial Reporting Program))

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

Yes

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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