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NCT06262516Recruiting

Nephroureterectomy With and Without Lymph Node Dissection for Upper Tract Urothelial Cell Carcinoma

Randomized-Controlled Trial Examining Oncologic and Perioperative Outcomes for Nephroureterectomy With and Without Lymph Node Dissection for Upper Tract Urothelial Cell Carcinoma

Source: ClinicalTrials.gov · Last updated 1 Oct 2026

Brief summary (registry, in English)

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.

Status (registry)
Recruiting
Study type
Interventional
Enrollment
94 (estimated)
First submitted
6 Feb 2024
Start date
17 May 2024
Primary completion date
1 Jan 2027
Lead sponsor
Case Comprehensive Cancer Center
NCT number
NCT06262516

What you commit to

  • Study type: Interventional
  • Planned participants: 94
  • From 17 May 2024 to the primary completion date, 1 Jan 2027
  • 4 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Concomitant muscle invasive bladder cancer

Other illness

  • The participant is in a reduced general condition or has a life-threatening disease.
  • The participant has a psychiatric disorder that precludes them from understanding the consent process.

Other

  • Pathologically enlarged lymph nodes suspicious for metastases which would require lymph node dissection regardless of trial (\>cN0)
  • Presence of distant metastases
  • The patient is pregnant

Who the study is looking for

  • Adults \> 18 years
  • Diagnosis of UTUC as determined by upper tract biopsy (either low or high grade)
  • Planned for nephroureterectomy by their urologic surgeon
  • Disease that is ≤cT4, N0M0. Participants must have complete TNM staging prior to surgery. cT disease can be determined by biopsy of the mass (if biopsy was deep enough) or imaging (CT/MRI). cN and cM stage must be determined by preoperative imaging of the chest, abdomen and pelvis.
  • No concomitant muscle-invasive bladder cancer
  • Subjects must have the ability to understand and the willingness to sign a written informed consent document.

Age in the registry: 19 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (4)

Sites in registry order. Save your city in your profile to sort them by distance.

SiteCityCountrySite status
Cleveland Clinic Glickman Urological and Kidney Institute
Coordinator of this site? Confirm its status
ClevelandUnited StatesRecruiting
University Hospitals Cleveland Medical Center, Urology Institute, Case Comprehensive Cancer Center
Coordinator of this site? Confirm its status
ClevelandUnited StatesRecruiting
University of Florida Health Science Center
Coordinator of this site? Confirm its status
GainesvilleUnited StatesRecruiting
Southern Illinois University
Coordinator of this site? Confirm its status
SpringfieldUnited StatesRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.