Status:

COMPLETED

Multiparametric MRI for Diagnosing Small Renal Tumors

Lead Sponsor:

University Hospital, Bordeaux

Conditions:

Renal Cancer

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Renal cell carcinoma represents annually 3-5% of all new cancer diagnoses. To date, the standard of care for small renal masses is partial nephrectomy. However, in the specific setting of small renal ...

Detailed Description

Renal cell carcinoma represents annually 3-5% of all new cancer diagnoses. In France, its incidence is about 10,000 cases/year. It has been increasing for the past thirty years, probably related to in...

Eligibility Criteria

Inclusion

  • Age ≥ 18;
  • Performance Index ≤ 2 (WHO);
  • Non hereditary solid renal tumors;
  • Indication of renal surgery or renal biopsy for suspicion of malignancy of the tumor
  • Size of renal mass between 1,5 and 4 cm;
  • Single Renal mass;
  • Discovered incidentally by US and / or CT-scan;
  • IRMK01 and UroCCR Informed consents signed.
  • Affiliated or beneficiary of French social security
  • All women of childbearing potential must have effective contraception from the time of screening until MRI. Acceptable methods of contraception include combined (estrogen and progestogen containing) hormonal contraception (oral, intravaginal, transdermal), progestogen-only hormonal contraception (oral, injectable, implantable) intrauterine device, intrauterine hormonereleasing system, bilateral tubal occlusion, vasectomized partner and sexual abstinence

Exclusion

  • Patent signs of malignancy (metastasis, lymphadenopathy, thrombus ...);
  • Cystic lesions according to the Bosniak classification;
  • Lesions with macroscopic fat on ultrasound or CT-scan;
  • Multiple or bilateral renal tumors;
  • Histological evidence available initially;
  • History of renal neoplasia whatever the location or family context (Von Hippel Lindau, Bourneville sclerosis);
  • Moderate to terminal renal impairment documented (creatinine clearance \<30 mL / min according MDRD or CKD-EPI);
  • Impossibility to perform MRI :
  • heart pacemakers (especially older types)
  • insulin pumps
  • implanted hearing aidsIRMK01 Version no.3.0 of 28/10/2020 Page 12 of 83
  • neurostimulators
  • intracranial metal clips
  • metallic bodies in the eye
  • Contraindication to gadolinium salt.
  • Patient's refusal of surgery, biopsy if necessary;
  • Minor
  • Person deprived of liberty
  • Person under trusteeship
  • Person under curatorship
  • Person under legal guardianship
  • Pregnant or nursing women.
  • Adults unable to express their consent
  • Females of child-bearing potential without a negative pregnancy test prior to MRI exam
  • Clinical follow-up not possible for psychological, family, social or geographic reasons.

Key Trial Info

Start Date :

November 27 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 14 2023

Estimated Enrollment :

387 Patients enrolled

Trial Details

Trial ID

NCT03470285

Start Date

November 27 2018

End Date

April 14 2023

Last Update

August 2 2024

Active Locations (18)

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Page 1 of 5 (18 locations)

1

CHU Angers

Angers, France, 49933

2

CHU Bordeaux

Bordeaux, France, 33076

3

APHP - Henri Mondor

Créteil, France, 94010

4

CHU de Grenoble

Grenoble, France