- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03694912
Development and Evaluation of High Risk Group Prediction Model in T1 Stage Renal Cell Cancer Using Molecular Biomarkers
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
- collection of FFPE samples: collection of primary or metastatic site
- micro-dissection: only when the tumor contents are more than 90% are analyzed.
B. Data analysis and model development
Development goals - Analysis of prospective biomarker expression in FFPE, and frozen tissue specimens
- Development of a high-risk prediction model for post-surgical morbidity in T1-stage RCC
Contents and scope
Expression analysis of prospective biomarkers in FFPE and frozen tissue samples of T1-stage clear cell type RCC : PBRM1, SETD2, BAP1, and KDM5C expressed as prognostic biomarkers of renal cell carcinoma in other studies
The newly proposed FOXC2, CLIP4
- Mutational analysis (Transcriptome sequencing with variant calling)
mRNA expression analysis (qRT-PCR) - only when the tumor contents are more than 90% are analyzed.
- Analysis of tumor size and malignancy as a prognostic predictor of RCC
- The expression of primary and metastatic lesions was analyzed by considering intratumor heterogeneity in RCC (Fisher exact test, Wilcoxon exact 2-tailed test)
- Analysis of association with postoperative local recurrence or distant metastasis, cancer-specific survival, and overall survival (Cox proportional hazard regression analysis: Time to recurrence and distant metastasis, overall survival, competing risk method: cancer specific survival)
Development of predictive model for high-risk molecular disease in T1-Stage RCC (survival rate) - elastic net Cox model in glmnet, version 1.7.3
- prediction accuracy was evaluated using Harrel concordance probability (C-index), internal validation was performed using bootstrap
Development of predictive model for preoperative molecular high risk in T1- Stage RCC (for Poor Pathologic Findings)
- multivariate logistic/linear regression model
- prediction accuracy was evaluated using Harrel concordance probability (C-index), internal validation was performed using bootstrap
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Locations
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Seoul, Korea, Republic of, 03722
- Recruiting
- Department of Urology, Urological Science Institute, Yonsei University, Colleage of Medicine
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Contact:
- Won Sik Ham, MD
- Phone Number: 82-2-2228-2313
- Email: uroham@yuhs.ac
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients diagnosed as clear cell renal cell caner T1 stage
- Patients who have undergone partial or radical nephrectomy in Severance Hospital, Sinchon from 2018.11 and 2019.10
- Those who agree to give permission to use their human source information
- Those who agree with this study
Exclusion Criteria:
- Vulnerable Participants
- Those who don't agree with this study
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Aggressive RCC Group
RCC with synchronous metastasis, recurrence, or cancer-specific death
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The investigators perform partial or radical nephrectomy those diagnosed as RCC.
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Non-aggressive RCC Group
RCC without synchronous metastasis, recurrence, or cancer-specific death
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The investigators perform partial or radical nephrectomy those diagnosed as RCC.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Assessment of gene expression of biomarkers using reverse-transcription polymerase chain reaction (qRT-PCR) according to groups
Time Frame: 1 week after the procedure
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Assessment of gene expression of biomarkers using reverse-transcription polymerase chain reaction (qRT-PCR) according to groups
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1 week after the procedure
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
association of tumor size
Time Frame: 1 week after the procedure
|
association of tumor size (Fuhrman grade 1-2: low, 3-4: high)
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1 week after the procedure
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association of tumor malignancy
Time Frame: 1 week after the procedure
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association of tumor malignancy (Fuhrman grade 1-2: low, 3-4: high)
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1 week after the procedure
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Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Park JS, Jang WS, Kim J, Lee SH, Rha KH, Ham WS. Association between visceral adiposity and DDX11 as a predictor of aggressiveness of small clear-cell renal-cell carcinoma: a prospective clinical trial. Cancer Metab. 2021 Apr 6;9(1):15. doi: 10.1186/s40170-021-00251-y.
- Park JS, Pierorazio PM, Lee JH, Lee HJ, Lim YS, Jang WS, Kim J, Lee SH, Rha KH, Cho NH, Ham WS. Gene Expression Analysis of Aggressive Clinical T1 Stage Clear Cell Renal Cell Carcinoma for Identifying Potential Diagnostic and Prognostic Biomarkers. Cancers (Basel). 2020 Jan 16;12(1):222. doi: 10.3390/cancers12010222.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 4-2018-0753
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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