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Light therapy could spare kidneys in rare cancer trial
NCT ID NCT04620239
First seen Jun 27, 2026 · Last updated Jul 31, 2026 · Updated 4 times
Summary
This study tests a drug called TOOKAD (padeliporfin) that is activated by light to destroy low-grade tumors in the kidney or ureter. About 100 adults with this rare cancer will receive the treatment in two phases, with follow-up for up to 4 years. The goal is to see if the therapy can clear all visible tumors and avoid the need for kidney removal.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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89 people
The number who actually took part.
- Started
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Mar 2021
- Expected to finish
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Aug 2028
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.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Male and female patients 18 years or older * Able to understand and provide written informed consent and willing to comply with all tests and procedures associated with the study * New or recurrent low-grade, non-invasive UTUC disease * Biopsy-proven disease . A concurrence of the central pathology reader will be required for eligibility. * Up to 2 biopsy-proven sites of low-grade involvement with the largest tumor (index tumor) between 5 mm and 15 mm in diameter (as measured by endoscopy), both located in the calyces,renal pelvis or in the ureter of the ipsilateral kidney, with an absence of high-grade cells on cytology. (Ureter involvement should be in one anatomical location with no more than 20 mm of contiguous ureteral length) * Karnofsky Performance Status ≥ 50% * Adequate organ function defined at baseline as: * ANC ≥1,000/ μl, * Platelets ≥75,000/ μl, Hb ≥9 g/dl, * INR ≤ 2 * Estimated glomerular giltration rate (eGFR) ≥30 ml/min (using CKD-EPI Method) * Total serum bilirubin \<3 mg/dL, AST/ALT ≤5× upper limit of normal Exclusion Criteria: * Current high-grade or muscle invasive (\>pT1) urothelial carcinoma of the bladder * Carcinoma in situ (CIS) current or previous in the upper urinary tract * History of invasive T2 or higher urothelial cancer in past 2 years * Participation in another clinical study involving an investigational product within 1 month before study entry * BCG or local chemotherapy treatment (including VEGF-targeted therapy) in the upper urinary tract within 2 months prior to inclusion * Systemic chemotherapy treatment (including VEGF-targeted therapy) within 2 months prior to enrollment * Prohibited medication that could not be adjusted or discontinued prior to study treatment • Patients with photosensitive skin diseases or porphyria * Any other medical or psychiatric co-morbidities, including decompensated heart failure, unstable angina or coronary artery disease or severe pulmonary or liver disease or current heavy smoker that, in the opinion of the study investigator, would make the patient a poor candidate for the study * Pregnant or breast-feeding women.Women of childbearing potential (WOCBP) must undergo a negative serum pregnancy test prior to study entry. * Men and women of reproductive potential not willing to observe conventional and effective birth control for the duration of treatment and for 90 days following the last padeliporfin VTP treatment.
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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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Albany Medical College
Albany, New York, 12208, United States
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CHU de Lille - Hopital Claude Huriez
Lille, 59037, France
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Carolina Urologic Research Center
Myrtle Beach, South Carolina, 29572, United States
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Emory University Hospital
Atlanta, Georgia, 30322, United States
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HCL Hopital Edouard Herriot
Lyon, 69437, France
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Hospital Universitario Vall d'Hebron
Barcelona, 08035, Spain
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Hospital Universitario de A Coruña
A Coruña, 15006, Spain
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Keck School of Medicine at USC Medical Center
Los Angeles, California, 90033, United States
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Medical University of South Carolina (MUSC)
Charleston, South Carolina, 29425, United States
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Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
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Sheba Medical Center
Ramat Gan, Israel
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The Johns Hopkins Hospital, The Sidney Kimmel Cancer Center
Baltimore, Maryland, 21287, United States
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The Ohio State University (OSU)
Columbus, Ohio, 43210, United States
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The Pennsylvania State University (Penn State) Milton S. Hershey Medical Center
Hershey, Pennsylvania, 17033, United States
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Universitaetsklinikum Tuebingen
Tübingen, 72076, Germany
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University of California - Irvine Medical Center
Irvine, California, 92868, United States
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University of Texas Southwestern Medical Center
Dallas, Texas, 75390, United States
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University of Washington
Seattle, Washington, 98195, United States