Monitoring small kidney tumors without immediate treatment
Official title: Sorveglianza Attiva Dei Tumori Renali T1a Uguali o Inferiori a 2 cm
Run by IRCCS San Raffaele · NCT03804320 · Data updated 2026-11-12
This study is testing whether closely monitoring small kidney tumors in people over 50 can be a safe alternative to immediate surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 50 Years and up |
| Sex | All |
| Enrollment | 180 (estimated) |
| Sponsor | IRCCS San Raffaele Academic / other |
| Locations | 1 site (Milan) |
| Status | Recruiting |
| Started | April 29, 2015 |
| Main results expected | December 11, 2023 |
| Study ends | December 11, 2028 |
| Registry record updated | February 11, 2020 |
| Trial ID | NCT03804320 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are asymptomatic individuals over 50 years old with a single solid renal mass less than 2 cm.
✕Probably not a fit
Patients with a history of renal neoplasia, metastatic disease, or significant comorbidities 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 focuses on the active surveillance of small renal masses (SRMs) in asymptomatic patients over 50 years old. Participants diagnosed with a single solid renal mass of 2 cm or less will be monitored over a five-year period, with evaluations at regular intervals to assess tumor progression. The study aims to determine the safety and efficacy of this non-invasive approach compared to immediate surgical intervention. Follow-up will continue for up to ten years to track long-term outcomes.
Why it matters
Potential benefit: If successful, this approach could reduce unnecessary surgeries and associated complications for patients with small kidney tumors.
How similar studies have gone: Previous studies on active surveillance for small renal masses have shown promising results, indicating that this approach may be viable for select patients.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. ability to read, understand and interpret an informed consent; 2. voluntary subscription of the active surveillance protocol through written informed consent; 3) age over 50 years; 4\) diagnosis of monolateral, monofocal, and first-rate solid renal mass less than 2 cm; 5) absence of symptoms due to renal tumor pathology. Exclusion Criteria: 1. patients with a history of previous renal neoplasia; 2. monorenal patients; 3. patients with hereditary renal tumors (such as tuberous sclerosis and Von Hippel Lindau syndrome, etc.); 4. patients with metastasis; 5. patients suffering from immunodepressive diseases; 6. patients on concomitant therapy with chemotherapeutic agents or systemic immunosuppressants; 7. patients with life expectancy of less than 1 year.
Where it's running
-
IRCCS San Raffaele
Milan, Italy Recruiting
Study contacts
- Principal investigator: Roberto Bertini — IRCCS San Raffaele
- Study coordinator: Cristina Carenzi
- Email: carenzi.cristina@hsr.it
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.