Clinical trial Recruiting at 1 site Observational Ages 18 and up

Plasma DNA Methylation to Classify Kidney Masses Before Surgery

Official title: METH-RENAL: A Prospective Clinical Development and Threshold-Setting Study of a Plasma DNA Methylation Classifier for the Preoperative Evaluation of Renal Masses

Run by RenJi Hospital · NCT07874542 · Data updated 2026-11-12

This study tests a blood-based DNA methylation test to help distinguish malignant kidney cancers from benign kidney masses in adults who are planned for kidney surgery.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment240 (estimated)
SponsorRenJi Hospital
Academic / other
Locations1 site (Shanghai, Shanghai Municipality)
StatusRecruiting
StartedSeptember 1, 2026
Main results expectedMarch 31, 2027
Study endsJune 30, 2027
Registry record updatedOctober 15, 2026
Trial IDNCT07874542 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18 years or older with a renal mass identified on imaging who are planned for partial or radical nephrectomy and can provide preoperative blood samples.

Probably not a fit

Patients whose renal mass is RCC or benign but do not show a distinct methylation pattern in the final model may not benefit from the test.

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

What this trial studies

METH-RENAL is a prospective observational study that develops a plasma DNA methylation classifier using blood collected before nephrectomy, with post-surgical pathology as the reference standard. The goal is to lock a 5-6 marker panel, its scoring algorithm, and a positivity cut-off, then validate it in a subsequent multicenter study. About 200-250 adults with a renal mass are enrolled to build and internally validate the classifier, using bootstrap methods for optimism correction. The test will not guide current clinical care and results will not be shared with treating clinicians or participants. Non-RCC lesions may be reported separately, and the study is not an external validation of an existing marker panel.

Why it matters

Potential benefit: If successful, the test could help clinicians differentiate RCC from benign kidney masses using a blood sample before surgery, potentially improving future decision-making for patients.

How similar studies have gone: Previous work in liquid biopsy and methylation markers has shown promise, but this specific classifier is being developed and internally validated rather than externally validated.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:1.Age 18 years or older. 2.A renal mass identified by computed tomography and/or magnetic resonance imaging.

3.Partial nephrectomy or radical nephrectomy planned as part of routine clinical care.

4.Preoperative peripheral blood collection feasible before surgery or other treatment of the index lesion.

5.Final postoperative histopathological diagnosis expected to be available. 6.Written informed consent provided.

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Exclusion Criteria:7.Systemic anticancer therapy, radiotherapy, local ablation, or surgery/pathological sampling of the index renal lesion before study blood collection.

8.Concurrent active malignancy requiring systemic treatment that, in the investigator's judgment, could materially interfere with interpretation of the methylation assay.

9.Severe acute infection or another uncontrolled systemic condition that could compromise biospecimen quality or study procedures.

10.Inadequate preoperative blood specimen or failure of prespecified analytical quality-control requirements.

11.No definitive pathological diagnosis of the index renal lesion. Any condition that, in the investigator's judgment, makes participation inappropriate.

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Where it's running

  • Renji Hospital
    Shanghai, Shanghai Municipality, China
    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.