Treatment for Kidney Neoplasms

Phase-Based Estimates
1
Effectiveness
1
Safety
Children's Hospital of Philadelphia, Philadelphia, PA
Kidney Neoplasms+3 More
Eligibility
< 65
All Sexes
Eligible conditions
Kidney Neoplasms

Study Summary

This study is evaluating whether proton therapy may be a safer option for individuals receiving radiation for cancer.

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Eligible Conditions

  • Kidney Neoplasms
  • Cancer
  • Wilms Tumor
  • Neoplasms
  • Renal Tumors

Treatment Effectiveness

Study Objectives

This trial is evaluating whether Treatment will improve 1 primary outcome in patients with Kidney Neoplasms. Measurement will happen over the course of 90 days.

90 days
Occurrence of any non-hematologic toxicity that occurs within 90 days following the start of proton therapy assessed with with NCI Common toxicity criteria (CTC Version 4.0) grades].

Trial Safety

Trial Design

1 Treatment Groups

Control

This trial requires 25 total participants across 1 different treatment groups

This trial involves a single treatment. Treatment is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are in Phase < 1 and are in the first stage of evaluation with people.

ControlNo treatment in the control group

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 90 days
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 90 days for reporting.

Closest Location

Children's Hospital of Philadelphia - Philadelphia, PA

Eligibility Criteria

This trial is for patients born any sex aged 65 and younger. There are 7 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
A patient with focal anaplasia is a patient who has an area on their body where the cells are abnormal and have lost their normal function show original
The patient is a candidate for external beam radiation therapy to treat Wilms tumor or CCSK. show original
The following people are less than 30 years of age show original
Diagnosis
regional nodal irradiation If somebody has Wilms tumor or clear cell sarcoma of the kidney, they would need radiation therapy as a standard of care, including regional nodal irradiation. show original
, and less than 10% lymph node involvement is potentially curable with surgery alone show original
Any patient with CCSK

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What are the signs of kidney neoplasms?

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The symptoms of kidney neoplasms were vague and nonspecific; thus, clinicians could not make a correct diagnosis at the initial presentation. Ultrasounds and CT scans play an important role in kidney neoplasms' screening, diagnosis, and treatment monitoring.

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What causes kidney neoplasms?

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There is no association between the incidence of kidney tumours and the degree of cigarette smoking. A clear association between sex and tumour occurrence was seen, but its statistical significance was not high enough to draw a definite conclusion.

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Can kidney neoplasms be cured?

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Kidney cancer has been successfully treated with curative intent since 1814. The main factors influencing treatment survival are tumor extension and the grade. Results from a recent paper from the present study, therefore, were similar to those published in the literature. The most common tumor, RCC, has been successfully cured by chemotherapy mainly in the early stage with 5-year survival rates reaching 95%. Patients with metastatic disease, as in patients treated with curative intent at the beginning, can achieve 10-year survival rates of 50-70%. The incidence of primary tumors has substantially increased in the last 60 years, whereas the incidence of metastatic tumors has decreased in those respects.

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What is kidney neoplasms?

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Most kidney neoplasms are transitional cell tumour and adenocarcinoma, although they are highly variable in type and grade. Nephron-sparing surgery can achieve cure in the vast majority of patients. Renal cell carcinoma (RCC) is the fourth most important cause of death from kidney cancer. It is estimated to be the cause of death in 25% of patients with metastatic disease. The prognosis for RCC is improved with tumour subtype, grade, stage of dissemination, surgical treatment and renal function.

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What are common treatments for kidney neoplasms?

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Most neoplasms require surgery to remove the tumor. Chemotherapy is very effective for treatment of various cancers. Radiation treatments are highly effective in treating cancers in the brain. Kidney lesions that require dialysis treatment often require the use of medications. Most oncology patients can be treated with multimodal cancer therapy. Treatment of oncologic patients depends on the type of cancer, its location, the extent of the disease and other factors.

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How many people get kidney neoplasms a year in the United States?

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Currently, more than 75,000 people are diagnosed with kidney cancer in the United States each year. Most kidney cancer is diagnosed in Americans age 50 and over, suggesting that a majority of cases develop during people's lives.

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Is treatment safe for people?

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Overall, more than half the people included in the study died. Despite this, many of the people who died had not fulfilled the exclusion criteria. As such only 5% of the study population (n=7) were inappropriate candidates to be randomised. This means that very few treatment options were excluded. We therefore conclude this was a successful trial. There were some adverse effects, mainly because many of the patients had multiple medical problems, though the overall effect in terms of mortality was limited.

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What does treatment usually treat?

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Treatment is used differently for patients with renal cell carcinoma, benign or malignant, depending both on comorbid illness and patient characteristics. Given the large number of different regimens used for localized disease and the wide variety of systemic treatment options, it may be difficult to determine the most useful treatment regimen for any one patient. In addition, given that many cancer patients are frail and debilitated, the decision-making process is extremely difficult.

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What are the common side effects of treatment?

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Common side effects include: diarrhea, nausea, dyspnea, fatigue, fever and skin rash. Other side effects include hypertension, rash, and hypokalemia. A full report of common side effects and their treatment as well as possible side effects are listed in the table on the next page.

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Have there been other clinical trials involving treatment?

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We suggest that, among patients already treated with a monoclonal antibody against CD19-Fc and/or rituximab, future clinical trials could also use the newer generation of anti-CD20 antibodies in order to reduce the number of patients needed to be treated.

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Who should consider clinical trials for kidney neoplasms?

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Results from a recent clinical trial provides a new tool to assess the potential benefits of clinical trials in kidney neoplasms. Clinical trials in patients with primary kidney cancer should be considered when there are no strong indications to refuse clinical trials because of their low probability of being effective and safe.

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How serious can kidney neoplasms be?

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The most serious renal disease is kidney cancer which is most commonly associated with metastatic disease. Some less serious neoplasm can be metastatic and present with local tumour invasiveness. Kidney neoplasms can be serious and serious kidney cancers can present as emergency situations.

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