Comparison of OpeN VErsus RoboTic Partial Nephrectomy

NCT ID: NCT04011891

Last Updated: 2023-07-27

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

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-01

Study Completion Date

2023-07-24

Brief Summary

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A prospective randomized controlled feasibility trial for patients undergoing partial nephrectomy for T1 renal masses at Princess Margaret. Participants will be randomized receive either open or robotic partial nephrectomy.

Detailed Description

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This is an interventional, unblinded RCT where a total of 30 patients who have consented to undergo partial nephrectomy for a T1 renal mass under the care of a uro-oncologist at Princess Margaret Cancer Centre will be randomized 1:1 to one of two arms:

Arm A: Robotic Partial Nephrectomy Arm B: Open Partial Nephrectomy

Patients will complete all pre-admission testing as per standard of care, regardless of arm allocation. Creatinine and eGFR are measured routinely pre-operatively and these values will be used as a baseline for all patients. In addition to standard pre-admission testing, participants will complete the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) offered either on paper at the visit or online via an emailed link.

Following either open or robotic partial nephrectomy, participants will be followed as per standard of care. Generally, this includes follow-up at 4-6 weeks, 6 months, 12 months and then either every 6 months thereafter or yearly, depending on pathology. All clinical outcome measures for this study are routinely reported post-operatively and in the follow-up period for partial nephrectomy patients. Quality of life will be assessed at the 4-7 week and 6 month follow-up visits using the EORTC QLQ-C30 offered either on paper at the visit or online via an emailed link. Participants will also be asked to complete a Surgical Recovery/Flank Bulge questionnaire regarding their incision healing and recovery from surgery at the 6-month follow-up visit.

The primary objective of this study is to assess the feasibility of a full RCT comparing perioperative outcomes in patients undergoing robotic vs. open partial nephrectomy at the investigator's institution.

The secondary objective of the study is to compare pilot outcome measures addressing oncologic, functional, and health economics outcomes to assess whether a full RCT is worthwhile and feasible.

Conditions

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Renal Masses

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Robotic Partial Nephrectomy

Partial nephrectomy performed using the DaVinci robotic surgical system.

Group Type ACTIVE_COMPARATOR

Robotic Partial Nephrectomy

Intervention Type PROCEDURE

Robotic partial nephrectomy using da Vinci robot.

Open Partial Nephrectomy

Partial nephrectomy performed using the open approach.

Group Type ACTIVE_COMPARATOR

Open Partial Nephrectomy

Intervention Type PROCEDURE

Standard open partial nephrectomy

Interventions

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Robotic Partial Nephrectomy

Robotic partial nephrectomy using da Vinci robot.

Intervention Type PROCEDURE

Open Partial Nephrectomy

Standard open partial nephrectomy

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Radiologically characterized T1 renal mass
* Elected for partial nephrectomy surgery
* Under the care of a uro-oncologist at Princess Margaret Cancer Centre
* Willing to comply with follow-up protocol
* Capable of providing informed consent

Exclusion Criteria

* Radiologically characterized tumours ≥ T1
* Unfit for general anesthetic
* Unsuitable for robotic surgery (determined by treating physician)
* Unwilling to comply with standardized follow-up protocol
* Evidence of metastatic disease
* Solitary kidney
* Previous surgery on affected kidney
* Multiple tumours
* Known genetic syndromes predisposing to multiple renal tumours (e.g., VHL, TS, BHD)
* Pregnancy
* Inability to read, understand, and complete the questionnaires written in English
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Health Network, Toronto

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Princess Margaret Cancer Centre

Toronto, Ontario, Canada

Site Status

Countries

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Canada

Other Identifiers

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18-5885

Identifier Type: -

Identifier Source: org_study_id

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