Prognosis of Patients With Upper Tract Urothelial Carcinoma Receiving Kidney-sparing Therapy
NCT06204406 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 106
Last updated 2024-01-12
Summary
Upper tract urothelial carcinoma (UTUC) is a rare malignant disease which accounts for 5-10% of urothelial carcinoma in the western world and 9%-30% in China. About two thirds of patients have muscle invasive disease at diagnosis. Those patients usually have poor prognosis. The 5 year cancer specific survival is \<50% for pT2/T3 and \<10% for pT4. Radical nephroureterectomy is the standardized treatment for non-metastatic high risk UTUC. However, about half patients may suffer from impaired renal function after nephroureterectomy. On the other hand, kidney sparing surgery can avoid renal function impairment, but the therapy is only recommended for few patients with low-risk disease. The treatment for urothelial carcinoma has changed rapidly in the past few years. Immune checkpoint inhibitors and novel agents such as ADCs have shown promising therapeutic effect and were approved for patients with metastatic UTUC. Meanwhile, a recent study shows that patients with high-risk disease can also receive kidney sparing surgery without compromising cancer specific survival and overall survival. This prospective, observational study aims to evaluate the prognosis of contemporary kidney sparing surgery in patients with UTUC with or without perioperative therapy in the real world.
Conditions
- Upper Tract Urothelial Carcinoma Receiving Kidney-sparing Therapy
Interventions
- OTHER
-
Observational
This is a prospective observational study with observation only and no intervention
Sponsors & Collaborators
-
Shanghai Zhongshan Hospital
collaborator OTHER -
Tianjin Medical University Second Hospital
collaborator OTHER -
Xiangya Hospital of Central South University
collaborator OTHER -
West China Hospital
collaborator OTHER -
Ruijin Hospital
collaborator OTHER -
First Affiliated Hospital Xi'an Jiaotong University
collaborator OTHER -
The First Affiliated Hospital of University of Science and Technology of China
collaborator OTHER -
The Second Hospital of Anhui Medical University
collaborator OTHER -
Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
collaborator OTHER -
RenJi Hospital
lead OTHER
Eligibility
- Min Age
- 18 Years
- Max Age
- 90 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2023-11-23
- Primary Completion
- 2028-07-01
- Completion
- 2028-12-31
Countries
- China
Study Locations
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