Clinical trial Recruiting at 2 sites Observational Ages 18 and up

Using advanced CT scans to monitor treatment in kidney cancer patients

Official title: Dual-energy SPEctral CT to Evaluate Response to New First-line Therapies in Patients With Metastatic Clear Cell REnal Cancer and the Association of Its Parameters With Molecular Alterations

Run by IRCCS Azienda Ospedaliero-Universitaria di Bologna · NCT06863857 · Data updated 2026-11-12

This study tests if advanced CT scans can help track how well treatments are working for people with metastatic kidney cancer who are receiving new combination therapies.

More Renal Cancer trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment50 (estimated)
SponsorIRCCS Azienda Ospedaliero-Universitaria di Bologna
Academic / other
Drugs / interventionsimmunotherapy
Locations2 sites (Bologna, BO and 1 other locations)
StatusRecruiting
StartedSeptember 30, 2024
Main results expectedJune 18, 2027
Study endsAugust 31, 2027
Registry record updatedMarch 7, 2025
Trial IDNCT06863857 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with a confirmed diagnosis of metastatic clear cell renal cancer who have not received prior treatment.

Probably not a fit

Patients with non-clear cell renal cancer or those who have previously undergone treatment for their condition 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 evaluates the effectiveness of dual-energy spectral computed tomography (CT) in monitoring treatment responses in patients with metastatic clear cell renal cancer. It focuses on patients receiving first-line therapies that combine immunotherapy and targeted drugs. By analyzing changes in CT-derived parameters over time, the study aims to correlate these changes with treatment outcomes and molecular alterations in tumor tissue. The goal is to improve the understanding of how tumor characteristics evolve during therapy and their relationship with patient responses.

Why it matters

Potential benefit: If successful, this approach could lead to more personalized treatment strategies for patients with metastatic clear cell renal cancer.

How similar studies have gone: While the use of dual-energy spectral CT is a relatively novel approach in this context, similar imaging techniques have shown promise in other cancer types, suggesting potential for success.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria

* Age ≥ 18 years
* Patients with histological or cytological diagnosis of clear cell RCC
* Patients with metastatic disease documented by imaging or biopsy of the secondary site
* Patients who have not had previous treatment for RCC
* Patients with an indication for first-line medical treatment based on IO+TKI, IO+IO as per clinical practice at the Medical Oncology Unit of the IRCCS University Hospital of Bologna
* Patients who have already had a dual-energy spectral total-body CT with MDC within 4 weeks of treatment initiation
* Availability of a formalin-fixed, paraffin-embedded histological block (FFPE) stored for a period \<15 years, for the execution of molecular analysis for the search for alterations of the genes ATM, BAP1, KDM5C, MET, MTOR, NF2, PBRM1, PIK3CA, PTEN, SETD2, SMARCB1, TP53, TSC1, TSC2, VHL
* Patients who knowingly express consent to participate in the study after signing the consent

Exclusion Criteria

-None

Where it's running

  • Irccs Azienda Ospedaliero Universitario Di Bologna
    Bologna, Bo, Italy
    Recruiting
  • Oncology Unit, IRCCS Azienda Ospedaliero Universitaria Bologna
    Bologna, Italy
    Recruiting

Study contacts

  • Principal investigator: Francesco Massari, MD — IRCCS Azienda Ospedaliero-Universitaria di Bologna
  • Study coordinator: Francesco FM Massari, MD
  • Email: francesco.massari@aosp.bo.it
  • Phone: 0511242204

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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.