Could chemo before surgery beat cancer better?
NCT ID NCT07492225
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two treatments for a rare type of urinary tract cancer. One group gets chemotherapy before surgery, the other has surgery alone. The goal is to see if chemo helps shrink the tumor and improve long-term outcomes. About 120 adults with high-risk, non-spread cancer are taking part.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2025
- Expected to finish
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Aug 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Histologically confirmed high-risk upper tract urothelial carcinoma (UTUC). 2. Clinically non-metastatic UTUC (N≤1, M0) based on imaging (CT/MRI). 3. Planned for radical nephroureterectomy (RNU). 4. ECOG performance status of 0 or 1. 5. Sufficient renal function (GFR ≥45 mL/min) and able to tolerate chemotherapy with cisplatin. 6. Age ≥18 years. 7. Informed consent signed. Exclusion Criteria: 1. Imaging shows ≥N2 disease or metastatic disease (M1). 2. History of invasive or lymph node-positive UTUC or invasive disease in the contralateral upper tract in the last 2 years. 3. Single kidney or contraindication to cisplatin. 4. Currently participating in other interventional clinical trials. 5. History of non-urothelial malignancies (except treated skin basal cell carcinoma or cervical carcinoma in situ). 6. Pregnant or breastfeeding women. 7. Any other medical condition deemed inappropriate by the treating physician.
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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
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Changhai Hospital
Shanghai, Shanghai Municipality, 200090, China
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