Stereotactic Body Radiation Therapy Versus Radiofrequency Ablation for Small Renal Masses

NCT ID: NCT03811665

Last Updated: 2021-12-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-01

Study Completion Date

2022-12-30

Brief Summary

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The execution of this study is pertinent to evaluating SBRT's short- and long-term efficacy and safety in the treatment of SRMs. This study will be the first to compare RFA and SBRT in the treatment of SRMs.

Detailed Description

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Conditions

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Small Renal Masses (SRM)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Stereotactic body radiation therapy (SBRT)

Group Type EXPERIMENTAL

Stereotactive body radiation therapy

Intervention Type RADIATION

The Gross Tumour Volume (GTV) is defined as the visible tumour seen on the planning CT simulation. No clinical target volume (CTV) for microscopic disease is necessary. The internal target volume (ITV) accounts for changes in tumour position due to respiration, and is assessed on 4DCT. The planning target volume (PTV) will be a standard 0.5 cm around the ITV.

Radiofrequency Ablation (RFA)

Group Type ACTIVE_COMPARATOR

Radiofrequency Ablation

Intervention Type PROCEDURE

RFA probe will create an ablation zone of a 1.0 cm diameter beyond the maximum CT-measured tumor diameter. The generator will modulate power up to 150 W in reach average ablative temperature of 105oC. Tumors will be treated for two cycles of 8 minutes duration each upon reaching target temperatures.

Interventions

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Radiofrequency Ablation

RFA probe will create an ablation zone of a 1.0 cm diameter beyond the maximum CT-measured tumor diameter. The generator will modulate power up to 150 W in reach average ablative temperature of 105oC. Tumors will be treated for two cycles of 8 minutes duration each upon reaching target temperatures.

Intervention Type PROCEDURE

Stereotactive body radiation therapy

The Gross Tumour Volume (GTV) is defined as the visible tumour seen on the planning CT simulation. No clinical target volume (CTV) for microscopic disease is necessary. The internal target volume (ITV) accounts for changes in tumour position due to respiration, and is assessed on 4DCT. The planning target volume (PTV) will be a standard 0.5 cm around the ITV.

Intervention Type RADIATION

Other Intervention Names

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RFA SBRT

Eligibility Criteria

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Inclusion Criteria

* Patients ≥18 years of age and capable of providing informed consent
* Patients scheduled for treatment of their SRM using SBRT or RFA
* Patients who received a biopsy of their SRM prior to their scheduled SBRT or RFA treatment
* Patients who are willing to have a biopsy 12 months post-procedure
* Patients with renal tumor(s) ≤ 4.0 cm

Exclusion Criteria

* Patients with large renal tumor(s)\>4.0 cm
* Patients who are unable to have a general anesthetic
* Patients who did not receive a biopsy of their SRM prior to their scheduled SBRT or RFA treatment
* Patients who are unable to comply with post-operative and/or follow-up protocol/phase of study
* Evidence of metastatic disease
* Uncorrectable bleeding diathesis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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St. Joseph's Healthcare Hamilton

OTHER

Sponsor Role lead

Responsible Party

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Anil Kapoor

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Anil Kapoor, MD FRCSC

Role: PRINCIPAL_INVESTIGATOR

St. Joseph's Healthcare Hamilton

Locations

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McMaster Institute of Urology - St. Joseph's Healthcare Hamilton

Hamilton, Ontario, Canada

Site Status

Countries

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Canada

References

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Cassim R, Bansal R, Millan B, Mironov O, Ahir P, Tajzler C, Hoogenes J, Matsumoto ED, Quan K, Kapoor A, Swaminath A. A Randomized Trial of Stereotactic Body Radiation Therapy vs Radiofrequency Ablation for the Treatment of Small Renal Masses: A Feasibility Study (RADSTER). Urology. 2025 Jun;200:118-124. doi: 10.1016/j.urology.2025.02.053. Epub 2025 Mar 7.

Reference Type DERIVED
PMID: 40058468 (View on PubMed)

Other Identifiers

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RADSTER

Identifier Type: -

Identifier Source: org_study_id