Registry for monitoring small kidney tumors
Official title: The Delayed Intervention and Surveillance for Small Renal Masses (DISSRM) Registry
Run by Abramson Cancer Center at Penn Medicine · NCT02346435 · Data updated 2026-11-12
This study is trying to see if watching small kidney tumors closely without immediate treatment is a safe and effective option for patients.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 100 Years |
| Sex | All |
| Enrollment | 600 (estimated) |
| Sponsor | Abramson Cancer Center at Penn Medicine Academic / other |
| Locations | 1 site (Baltimore, Maryland) |
| Status | Recruiting |
| Started | January 2009 |
| Main results expected | January 2028 |
| Study ends | January 2028 |
| Registry record updated | March 5, 2026 |
| Trial ID | NCT02346435 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older with a solid, enhancing renal mass found incidentally that measures 4cm or less.
✕Probably not a fit
Patients with a suspicion of metastases or those diagnosed with another malignancy within the last two years 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 registry collects data on patients with small renal masses (≤4cm) to compare the safety and efficacy of active surveillance versus immediate intervention. Patients are enrolled and followed prospectively, with those on active surveillance undergoing regular imaging, blood tests, and quality of life assessments. The goal is to determine if active surveillance is a viable option for managing small kidney tumors without immediate treatment.
Why it matters
Potential benefit: If successful, this approach could provide a safer management option for patients with small renal masses, potentially avoiding unnecessary surgeries.
How similar studies have gone: Previous retrospective studies have indicated that active surveillance for small renal masses is safe, suggesting potential success for this prospective approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Must have a solid, enhancing renal mass ≤4cm at its greatest dimension found on incidental scanning in the last 6 months. * Age ≥ 18 and able to read, understand and sign informed consent. * Must be willing to adhere to the treatment algorithm and time constraints therein. Exclusion Criteria: * Cannot have suspicion of metastases to the kidney if any other malignancy diagnosed within two years of study entry.
Where it's running
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Johns Hopkins Hospital
Baltimore, Maryland, United States Recruiting
Study contacts
- Principal investigator: Mohamad E Allaf, MD, MBA — Johns Hopkins University
- Study coordinator: Nirmish Singla
- Email: nsingla2@jhmi.edu
- Phone: 410-502-3692
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Hyperspectral imaging to guide robot-assisted kidney tumor removal
Doctors are testing a new imaging method during robotic kidney surgery to see if it helps identify tumor tissue and blood flow in adults with kidney tumors up to 7 cm.
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MRI-based AI to classify and grade renal tumors
This study tests AI methods on MRI data from adults with kidney tumors to see if they can identify tumor type and grade before surgery.
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Neoadjuvant HIF-2α inhibitor with or without PD-1 antibody for resectable clear cell kidney cancer
This trial tests whether casdatifan alone or combined with zimberelimab can shrink tumors in people with resectable clear cell kidney cancer before surgery.
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Comparing back (SARA) versus side (flank) positions for single-port robotic partial kidney tumor removal.
This will see if placing adults on their back using the SARA technique or on their side leads to fewer complications and faster recovery for people having single-port robotic partial nephrectomy for small kidney tumors.
-
Treating the main kidney tumor in metastatic kidney cancer during immunotherapy
This trial will see if adding surgery or radiotherapy to the main kidney tumor helps people with metastatic clear‑cell kidney cancer who are already benefiting from anti‑PD1–based therapy live longer.
-
Comparing systemic treatment alone to systemic treatment with added radiotherapy for kidney cancer with few metastases
This study is testing if adding targeted radiation therapy to regular treatment can help people with kidney cancer that has spread a little to live longer without their cancer getting worse.
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.