Investigation of Lymph Node Biology in Kidney Cancer

NCT ID: NCT07038733

Last Updated: 2025-12-17

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

RECRUITING

Clinical Phase

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-31

Study Completion Date

2027-12-31

Brief Summary

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The purpose of this pilot study is to investigate the phenotype, anti-tumor effector functions, and TCR repertoire of T cells isolated from patient tumor draining lymph nodes (TDLNs) to understand T cell priming and trafficking patterns in Renal Cell Carcinoma (RCC). Data and biospecimen collected will be used for current and future research projects involving the study of kidney cancer biology and related medical conditions. We will use this valuable resource to ask clinically relevant translational questions that pertain to biomarker discovery/validation, identification of novel therapeutic targets, and to better understand the genetic and biological basis of the various kidney cancers.

Detailed Description

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This is a protocol to collect and analyze tissue specimens from patients with kidney cancers. Patients with confirmed or suspected renal cell carcinoma (RCC) evaluated at the YCC Genitourinary Oncology Clinic or participating Smilow Cancer Hospital Care Centers (SCHCC) will be invited to participate in the study.

Participants will consent to the acquisition and analysis of prospective tissue specimens collected at relevant treatment time points (e.g., pre-treatment, response, primary or acquired resistance, and/or at the occurrence of toxicity), based on their cancer treatment course, whether routine care or as part of another clinical trial. Prospective tissue collection include fresh tissue collection at the time of procedures that are conducted at YNHH as part of standard of care (SOC) or clinical trial protocols (procedures billed to either insurance or trial sponsor). Tissue in excess of what is required for diagnostic/clinical uses will be used for research. If an adult participant consents, draining and regional lymph nodes may be obtained for research purposes.

In addition, 20 mL of blood may be collected at time of surgery for correlative biomarker studies and the extraction of germline DNA.

Eligible patients will be identified and consented by their treating clinician (PI or sub- investigators) and/or designated research staff.

Conditions

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Renal Cell Carcinoma (RCC)

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Specimen collection

This single arm study will assess adult patients with either a known or suspected kidney cancer referred to Yale Genitourinary Oncology providers in the Yale Urology, Medical Oncology, Radiation Oncology, or Nephrology Departments. Specimens collected will include peripheral blood sample for immune analysis, tumor sample for analysis, adjacent non-malignant kidney for analysis, draining lymph nodes for analysis and finally, regional non-draining lymph nodes for analysis.

Group Type EXPERIMENTAL

Peripheral Blood Sample for Immune Analysis

Intervention Type PROCEDURE

A peripheral blood sample will be collected at the time of surgery.

Tumor Sample for Analysis

Intervention Type PROCEDURE

Extra tumor which is left over following clinical diagnoses will be collected.

Adjacent non-malignant kidney for analysis

Intervention Type PROCEDURE

Extra normal tissue which is left over following clinical diagnoses will be collected.

Draining lymph node(s) for analysis

Intervention Type PROCEDURE

Draining lymph nodes which have been identified by the surgeon visually, potentially using a tracer (injection of up to 5mg of ICG into the peritumor kidney) will be collected.

Regional non-draining lymph node(s) for analysis

Intervention Type PROCEDURE

Regional lymph nodes which have been deemed as non-draining by the surgeon will be collected.

Interventions

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Peripheral Blood Sample for Immune Analysis

A peripheral blood sample will be collected at the time of surgery.

Intervention Type PROCEDURE

Tumor Sample for Analysis

Extra tumor which is left over following clinical diagnoses will be collected.

Intervention Type PROCEDURE

Adjacent non-malignant kidney for analysis

Extra normal tissue which is left over following clinical diagnoses will be collected.

Intervention Type PROCEDURE

Draining lymph node(s) for analysis

Draining lymph nodes which have been identified by the surgeon visually, potentially using a tracer (injection of up to 5mg of ICG into the peritumor kidney) will be collected.

Intervention Type PROCEDURE

Regional non-draining lymph node(s) for analysis

Regional lymph nodes which have been deemed as non-draining by the surgeon will be collected.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

Candidates for inclusion include adult patients with either a known or suspected kidney cancer referred to Yale Genitourinary Oncology providers in the Yale Urology, Medical Oncology and Radiation Oncology or Nephrology Departments. These individuals will be receiving clinical evaluation/medical treatment/surgery/procedures at Yale New Haven Hospital or the Smilow Cancer Hospital.

Participant eligibility will be determined by study investigators and will be offered protocol details. Interested participants will be invited to participate by study investigators. Consent will be obtained by study investigators or other authorized study personnel. Any potential adult participants with known or suspected kidney cancers with a renal mass who are patients of non-study physicians will be invited to participate by study personal only with the approval of their treating physician.

Exclusion Criteria

* Participants under the age of 18. Children will not be enrolled on the study.
* Participants known to be pregnant or actively breastfeeding.
* Iodine allergy hypersensitivity.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Yale University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David Braun, MD

Role: PRINCIPAL_INVESTIGATOR

Yale University

Locations

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Yale University

New Haven, Connecticut, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Stephanie Ladd

Role: CONTACT

954-895-0576

Facility Contacts

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Jialing Zhang

Role: primary

Other Identifiers

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2000039529

Identifier Type: -

Identifier Source: org_study_id