Can a targeted drug combo boost tumor clearance in rare kidney tract cancer?

NCT ID NCT07741448

First seen Aug 03, 2026 · Last updated Aug 04, 2026 · Updated 1 time

Summary

This trial is investigating whether giving a combination of gemcitabine and trastuzumab rezetecan before surgery can improve outcomes for people with HER2-positive upper tract urothelial carcinoma, a rare cancer of the kidney's drainage system. Participants will receive four cycles of the drug combination before their planned surgery, and those without a complete response may receive two additional cycles after surgery. The main goal is to see how often the tumor completely disappears after this pre-surgical treatment, while also monitoring side effects and long-term outcomes like recurrence and survival.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
gemcitabine combined with trastuzumab rezetecan
What this could lead to
If successful, this combination could become a new pre-surgery treatment option for HER2-positive upper tract urothelial carcinoma, potentially improving the chance of eliminating the tumor before surgery and reducing recurrence.
What could go wrong
This is a phase II trial with a modest number of participants, so results may not be definitive. The treatment may cause side effects, and the combination's effectiveness compared to standard care is not yet established.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technolog

    RECRUITING

    Wuhan, Hubei, 430030, China

  • Huanggang Central Hospital

    RECRUITING

    Huanggang, Hubei, 438000, China

  • Hubei Cancer Hospital

    RECRUITING

    Wuhan, Hubei, 430079, China

  • Jingzhou Central Hospital

    RECRUITING

    Jingzhou, Hubei, 434020, China

  • Renmin Hospital of Wuhan University

    RECRUITING

    Wuhan, Hubei, 430060, China

  • Taihe Hospital

    RECRUITING

    Shiyan, Hubei, 442000, China

  • The Central Hospital of Wuhan

    RECRUITING

    Wuhan, Hubei, 430014, China

  • Xiangyang Central Hospital

    RECRUITING

    Xiangyang, Hubei, 441021, China

  • Yichang Central People's Hospital

    RECRUITING

    Yichang, Hubei, 443003, China

  • Zhongnan Hospital of Wuhan University

    RECRUITING

    Wuhan, Hubei, 430071, China

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