Prospective Observational Trial of Image-guided Ablative STereotactic bOdy Radiation Therapy for Primary kidNey Cancer: the STONE Trial

NCT ID: NCT07299357

Last Updated: 2025-12-23

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

Total Enrollment

53 participants

Study Classification

OBSERVATIONAL

Study Start Date

2026-01-31

Study Completion Date

2033-12-31

Brief Summary

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The study objective is to evaluate the use of Stereotactic Body Radiotherapy (high dose of radiation in a few fractions) to cure primary renal cancer in those patients that are not indicated to surgery (high risk of complications, refusal of the patient). This therapy is already used in clinical setting for many tumors with good tolerance as it is not invasive, does not require anesthesia and hospitalization making it suitable for elderly people and frail patients. However there are not enough information regarding the use of ablative doses for the cure of renal cancer and for this reason this study aims to support the use of Stereotactic Body Radiotherapy as a standard of care for inoperable primary renal tumor. This is an observational study, so it collects data from clinical pratice only and does not request study specific procedures.

Detailed Description

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Conditions

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Renal Cancer

Keywords

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renal cancer stereotactic body radiotherapy radiotherapy cancer treatment renal cancer treatment surgery

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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Stereotactic body radiotherapy (SBRT)

high dose radiation in few fractions

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years
* ECOG performance status 0 - 2
* Histologically confirmed diagnosis of primary RCC
* cT1 stage tumor with single lesion with maximum diameter of 7 cm
* Medically inoperable or at high risk of complication from surgery, or declined surgery
* Absence of metastatic disease
* Written informed consent

Exclusion Criteria

* Estimated glomerular filtration rate (eGFR) \< 30 mls/min
* Previous radiotherapy on the same site
* Previous systemic therapy for RCC
* Tumor diameter larger than 7 cm
* Presence of metastatic disease
* Life expectancy \< 3 months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Istituto Clinico Humanitas

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Humanitas PIO X

Milan, Milan, Italy

Site Status NOT_YET_RECRUITING

Irccs Humanitas Research Hospital

Rozzano, Milan, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Ciro Franzese, MD, radiation oncologist

Role: CONTACT

Phone: +39 0282247454

Email: [email protected]

Laura Bonavita, Master's degree

Role: CONTACT

Phone: +390282247026

Email: [email protected]

Facility Contacts

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Marco Badalamenti, MD, Radiation Oncologist

Role: primary

Ciro Franzese, MD, Radiation Oncologist

Role: primary

Laura Bonavita, Master's degree

Role: backup

References

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Siva S, Bressel M, Sidhom M, Sridharan S, Vanneste BGL, Davey R, Montgomery R, Ruben J, Foroudi F, Higgs B, Lin C, Raman A, Hardcastle N, Hofman MS, De Abreu Lourenco R, Shaw M, Mancuso P, Moon D, Wong LM, Lawrentschuk N, Wood S, Brook NR, Kron T, Martin J, Pryor D; FASTRACK II Investigator Group. Stereotactic ablative body radiotherapy for primary kidney cancer (TROG 15.03 FASTRACK II): a non-randomised phase 2 trial. Lancet Oncol. 2024 Mar;25(3):308-316. doi: 10.1016/S1470-2045(24)00020-2.

Reference Type BACKGROUND
PMID: 38423047 (View on PubMed)

Siva S, Ali M, Correa RJM, Muacevic A, Ponsky L, Ellis RJ, Lo SS, Onishi H, Swaminath A, McLaughlin M, Morgan SC, Cury FL, Teh BS, Mahadevan A, Kaplan ID, Chu W, Grubb W, Hannan R, Staehler M, Warner A, Louie AV. 5-year outcomes after stereotactic ablative body radiotherapy for primary renal cell carcinoma: an individual patient data meta-analysis from IROCK (the International Radiosurgery Consortium of the Kidney). Lancet Oncol. 2022 Dec;23(12):1508-1516. doi: 10.1016/S1470-2045(22)00656-8. Epub 2022 Nov 16.

Reference Type BACKGROUND
PMID: 36400098 (View on PubMed)

AIOM-AIRTUM. I numeri del cancro in Italia. Rapporto 2020. Disponibile sul sito: https://www.aiom.it/i-numeri-del-cancro-in-italia

Reference Type BACKGROUND

Other Identifiers

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STONE TRIAL

Identifier Type: -

Identifier Source: org_study_id