Nephroureterectomy With and Without Lymph Node Dissection for Upper Tract Urothelial Cell Carcinoma
NCT06262516 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 94
Last updated 2025-09-05
Summary
The goal of this study is to conduct the first randomized-controlled trial to determine the oncologic efficacy of lymph node dissection in participants with upper tract urothelial cell carcinoma. The main questions it aims to answer are:
* To determine oncologic outcomes, specifically 2-year recurrence-free survival
* To determine other oncologic outcomes including treatment-free, cancer-specific and overall survival
* To determine time to recurrence and recurrence patterns
* To determine use of adjuvant therapies
* To determine perioperative complications
Participants will undergo nephroureterectomy with or without lymph node dissection. Researchers will compare these two groups to determine the oncologic efficacy of performing lymph node dissection.
Conditions
Interventions
- PROCEDURE
-
Nephroureterectomy
Participants will undergo standard-of-care nephroureterectomy for UTUC.
- PROCEDURE
-
Lymph Node Dissection
Participants will receive lymph node dissection alongside nephroureterectomy for UTUC.
Sponsors & Collaborators
-
Case Comprehensive Cancer Center
lead OTHER
Principal Investigators
-
Mohamed Eltemamy, MD · Cleveland Clinic, Glickman Urological and Kidney Institute, Case Comprehensive Cancer Center
-
Adam Calaway, MD, MPH · University Hospitals Cleveland Medical Center, Urology Institute, Case Comprehensive Cancer Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 19 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-05-17
- Primary Completion
- 2027-01-01
- Completion
- 2029-01-01
Countries
- United States
Study Locations
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