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Urologic Neoplasms clinical trials

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NCT ID: NCT06427057 Not yet recruiting - Clinical trials for Urinary System Tumor

A Study of Cadonilimab(AK104)Combined With Standard Treatment for Function Preservation in Urinary System Tumors

Start date: July 1, 2024
Phase: Phase 2
Study type: Interventional

This is an open label, dual cohort ,phase II study to explore efficacy and safety of cadonilimab(PD-1/CTLA-4 Bispecific Antibody) combined with standard regimen neoadjuvant treatment in urothelial carcinoma(UC) and renal cell carcinoma(RCC), with evaluating successful preservation rate of bladder/kidney.

NCT ID: NCT06398314 Not yet recruiting - Gynecologic Cancer Clinical Trials

Palliative Radiotherapy in Symptomatic Pelvic Soft Tissue Tumors

PALLSOFT
Start date: September 2024
Phase: N/A
Study type: Interventional

PALLSOFT is a randomized, open-label, non-inferiority phase III, multicenter, national trial that will investigate whether the patient-reported symptomatic effect of palliative radiotherapy delivered in 1-2 fractions is non-inferior to palliative radiotherapy delivered in five fractions in patients with pelvic soft tissue tumors from either gastrointestinal, urological or gynecological cancer. Health-related quality of life, toxicities, survival and prognostic and predictive biomarkers will be assessed as secondary and explorative endpoints.

NCT ID: NCT06353906 Not yet recruiting - Urologic Neoplasms Clinical Trials

Carboplatin/Paclitaxel + Pembrolizumab for Locoregionally Advanced Penile Cancer

PRIAM
Start date: June 14, 2024
Phase: Phase 2
Study type: Interventional

This is a single-armed, single-centre, non-blinded phase II trial to assess efficacy of induction chemo-immunotherapy for resectable node-positive squamous cell carcinoma of the penis

NCT ID: NCT06282354 Not yet recruiting - Surgery Clinical Trials

Telemedicine for Postoperative Follow-up After Oncological Surgeries

Start date: March 1, 2024
Phase:
Study type: Observational [Patient Registry]

The study will be a prospective, randomized, non-inferiority, open-label study, to be carried out at the Cancer Institute of the State of São Paulo for 6 months and will include patients agreeing to voluntary participation upon signing an informed consent form.

NCT ID: NCT06161532 Not yet recruiting - Clinical trials for Renal Medullary Carcinoma

Sacituzumab Govitecan With or Without Atezolizumab Immunotherapy in Rare Genitourinary Tumors (SMART) Such as Small Cell, Adenocarcinoma, and Squamous Cell Bladder/Urinary Tract Cancer, Renal Medullary Carcinoma and Penile Cancer

Start date: June 26, 2024
Phase: Phase 2
Study type: Interventional

Background: Rare tumors of the genitourinary (GU) tract can appear in the kidney, bladder, ureters, and penis. Rare tumors are difficult to study because there are not enough people to conduct large trials for new treatments. Two drugs-sacituzumab govitecan (SG) and atezolizumab-are each approved to treat other cancers. Researchers want to find out if the two drugs used together can help people with GU. Objective: To test SG, either alone or combined with atezolizumab, in people with rare GU tumors. Eligibility: Adults aged 18 years and older with rare GU tumors. These may include small cell carcinoma of the bladder; squamous cell carcinoma of the bladder; primary adenocarcinoma of the bladder; renal medullary carcinoma; or squamous cell carcinoma of the penis. Design: Participants will be screened. They will have a physical exam with blood and urine tests. They will have tests of heart function. They will have imaging scans. They may need a biopsy: A small needle will be used to remove a sample of tissue from the tumor. Both SG and atezolizumab are given through a tube attached to a needle inserted into a vein in the arm. All participants will receive SG on days 1 and 8 of each 21-day treatment cycle. Some participants will also receive atezolizumab on day 1 of each cycle. Blood and urine tests, imaging scans, and other exams will be repeated during study visits. Treatment may continue for up to 5 years. Follow-up visits will continue for 5 more years.

NCT ID: NCT05920343 Not yet recruiting - Clinical trials for Venous Thromboembolism

VTE Prevention With Rivaroxaban in Genitourinary Cancer Patients Receiving Systemic Therapy

PREVENT-GU
Start date: February 2024
Phase: Phase 2/Phase 3
Study type: Interventional

Patients with genitourinary cancers (ex: bladder, testicular, kidney) are at high risk of developing blood clots if they receive systemic therapy (ex: chemotherapy, immunotherapy). Blood clots cause pain, may require hospitalization and invasive testing, and in some cases cause death. In fact, blood clots are one of the leading causes of death in patients with cancer. Furthermore, patients who develop a blood clot require medication to thin the blood for a prolonged (sometimes indefinite) period of time, and this can disrupt other important cancer treatments. Studies have shown that using low dose blood thinners to prevent blood clots during systemic therapy is effective in some patients with cancer. However very few patients in these studies had genitourinary cancers, therefore physicians in Canada are not sure if recommending blood thinners to patients with genitourinary cancers is useful or safe. Safety is a primary concern because blood thinners may cause bleeding, and patients with genitourinary cancers may have higher risk of bleeding than patients with other types of cancer. The investigators hypothesize that blood thinners are effective and safe for reducing blood clots in patients with genitourinary cancers. The objective of this study is to determine if a large clinical trial testing the effectiveness and safety of low dose blood thinners for preventing blood clots in patients with genitourinary cancers receiving systemic therapy is feasible.

NCT ID: NCT05633589 Not yet recruiting - Clinical trials for Malignant Tumor of Urinary System (Disorder)

A Clinical Study to Evaluate Safety, Tolerance, Pharmacokinetics and Efficacy of Sc610 Injection for Treating Advanced Urinary System Tumors

Start date: December 15, 2022
Phase: Phase 1/Phase 2
Study type: Interventional

This is an phase I/IIa, open-lable, single-arm, single-dose escalation and multiple-dose extention clinical study of cell therapy designed to observe and evaluate the tolerance, the pharmacokinetic characteristics, the safety and the efficacy of Sc610 cell injection in the treatment of advanced tumor of urinary system.

NCT ID: NCT05135832 Not yet recruiting - Kidney Cancer Clinical Trials

Patient Reported Outcomes by Patients With Metastatic Renal Cell Carcinoma

PRORECECA
Start date: December 13, 2021
Phase: N/A
Study type: Interventional

The purpose of PRORECECA is to test whether adding weekly active patient-reported outcomes to the treatment of patients with metastatic renal cell carcinoma can improve patient-reported physical function.

NCT ID: NCT05135520 Not yet recruiting - Urologic Neoplasms Clinical Trials

Transvaginal Versus Transabdominal Extraction of Laparoscopically-excised Kidney Specimen

Start date: November 29, 2021
Phase: N/A
Study type: Interventional

The aim of this study is to evaluate the outcomes of transvaginal natural orifice specimen extraction (NOSE) in patients who are planning multiport laparoscopic surgery for resection of kidney.

NCT ID: NCT05134623 Not yet recruiting - Bladder Neoplasm Clinical Trials

Smurf2 Gene Expression in Urinary Tract Tumors

Start date: December 2021
Phase:
Study type: Observational

Smurf2 and bladder cancer - research proposal summary The Smurf2 gene was recently identified as a tumor suppressor gene. It is an E3 ubiquitin ligase and carries a significant role in major cellular processes such as cell division, genomic stability, DNA repair as well as resistance to anti-tumoral drugs. Recent studies showed that in several common tumors (prostate, breast, osteosarcoma etc.), a significant decrease in the expression or activity of Smurf2 can be noted, making the cells more susceptible to malignant transformation and the tumors more aggressive and highly resistant to various medications. Bladder cancer is no. 4 cancer in men and 6 in women, and a major cause of cancer related death. Common risk factors are smoking and occupational exposure to aniline dyes or aromatic amines. Its' most common presentation is painless hematuria. Once the diagnosis of a bladder tumor is made, endoscopic resection of the tumors is performed. Superficial tumors of low malignancy may be treated by repeated resections, highly malignant tumors require additional therapy and aggressive tumors invading the bladder muscle layer require radical surgery and chemo-radiotherapy. Therefore, all patients are closely monitored by repeated cystoscopies (endoscopic inspection of the bladder), each 3 months, lifelong. In an effort to minimize patients' discomfort, there is a constant search for a reliable biomarker in the urine of patients. A marker with good sensitivity and specificity will predict in a noninvasive fashion early recurrence or absence of bladder tumors, sparing the need for invasive cystoscopy. The presence of a biomarker may be used as prognostic factor or a measure of response to therapy. The aim of this research is to characterize the presence of smurf2 in bladder tumors and determine whether it may be utilized as a reliable biomarker for bladder cancer.