Clinical trial Recruiting at 1 site Interventional Ages 18 to 99

Comparing treatments for small kidney tumors

Official title: Resection or Ablative Treatment of Small Renal Tumors, a Multicenter Randomized Clinical Trial

Run by Karolinska University Hospital · NCT06278506 · Data updated 2026-11-12

This study is testing whether a new way to destroy small kidney tumors works better and is safer than traditional surgery for people with localized kidney cancer.

Quick facts

Study typeInterventional
Ages18 Years to 99 Years
SexAll
Enrollment300 (estimated)
SponsorKarolinska University Hospital
Academic / other
Locations1 site (Stockholm)
StatusRecruiting
StartedJanuary 31, 2024
Main results expectedDecember 2027
Study endsDecember 2037
Registry record updatedFebruary 26, 2024
Trial IDNCT06278506 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 to 99 with a primary kidney tumor measuring 3 cm or less and no signs of metastasis.

Probably not a fit

Patients with radiological signs of metastasis, synchronous kidney tumors, or high-grade tumors may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to compare the effectiveness and safety of ablative treatments versus surgical resection for small kidney tumors. It will evaluate complications, tumor recurrence, kidney function, quality of life, and health economic factors in patients with localized kidney cancer. Participants will be randomly assigned to receive either treatment, and their outcomes will be monitored to determine which approach is more beneficial. The study addresses a gap in existing research by directly comparing these two treatment modalities.

Why it matters

Potential benefit: If successful, this study could lead to improved treatment options for patients with small kidney tumors, potentially reducing complications and enhancing quality of life.

How similar studies have gone: While there have been studies on ablative treatments, this randomized controlled comparison specifically for T1a tumors is novel and has not been extensively tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 18 - 99 years
* Patient suitable based on clinical status for both ablative treatment and surgery
* Primary kidney tumor
* Tumor size ≤ 3 cm
* Clinical stage of the tumor T1a (no macroscopic vascular or extrarenal invasion)
* Tumor location suitable for both ablative treatment and resection
* Absence of radiological signs of metastasis
* Biopsy with malignant pathological analysis (PAD)
* ISUP grade I-III"

Exclusion Criteria:

* Radiological signs of metastasis
* Synchronous kidney tumors
* ISUP grade IV or sarcomatoid growth in the biopsy
* Other metastasized cancer in the last 5 years
* Patient unable to make an informed decision to participate in the study

Where it's running

  • Karolinska University Hospital
    Stockholm, Sweden
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.