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Small Renal Mass clinical trials

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NCT ID: NCT03819569 Active, not recruiting - Kidney Tumor Clinical Trials

GRADE-SRM: Genomic Risk Assessment and Decisional Evaluation for Small Renal Masses

GRADE-SRM
Start date: October 30, 2018
Phase: N/A
Study type: Interventional

Purpose: The purpose of this study is to evaluate the role of renal mass biopsy on decision-making for patients presenting with clinical T1 kidney tumors. This study also incorporates integrated biomarker study to compare the genomic data obtained through biopsy tissue to genomic information from surgical data.

NCT ID: NCT02634385 Withdrawn - Small Renal Mass Clinical Trials

Zero Ischemia Laparoscopic Partial Nephrectomy

ZILPAREMZ
Start date: November 2015
Phase: Phase 2/Phase 3
Study type: Interventional

Laparoscopic partial nephrectomy (LPN) is often reserved for patients with a small peripheral tumour, in the hands of an experienced surgeon since it demands a high degree of endoscopic skill. Renal vessel clamp for vascular control is a required step during standard LPN. However, this creates a time limiting step for the surgeon and induces renal injury via warm ischemia and reperfusion injury. This novel approach can substantially reduce renal injury during LPN via superselective embolization of level II renal arteries pre-operatively. This technique facilitates the performance of a clamp-less, zero-ischemia LPN, significantly simplifying the procedure by remove time thresholds within which to perform tumor excision. The preliminary results are promising; however, there is a need for further corroboration of their results, in addition to a randomized controlled trial comparing this modified, zero ischemia technique with standard LPN.