New MRI scan could predict kidney cancer aggressiveness without a biopsy
NCT ID NCT04258462
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new type of MRI that uses a natural substance (pyruvate) to see how active a kidney tumor is. The goal is to find out if the scan can tell the difference between harmless tumors, slow-growing cancers, and fast-growing cancers without needing a needle biopsy. About 54 adults with kidney tumors will get the scan, and doctors will compare the results with the tumor tissue after surgery or biopsy. If successful, this could help patients and doctors choose the best treatment—like monitoring versus surgery—based on how aggressive the tumor really is.
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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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54 people
The number who actually took part.
- Started
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Jan 2019
- Expected to finish
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Oct 2026
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: 1. Renal tumor measuring 1 cm and greater in diameter. To minimize any potential partial volume effects in this pilot study, the investigators have limited the lower size range of the tumor to 1 cm. The investigators will include all renal tumor measuring 1 cm and greater in diameter in this first study to facilitate obtaining tumors of a range of histology and grade. 2. The participant is being considered by the treating physician to have any of the following management options: partial or radical nephrectomy, ablation, or active surveillance for his/her renal tumor. 3. The participant is able and willing to comply with study procedures and provide signed and dated informed consent. 4. The participant is willing to undergo standard of care abdominal MRI in connection with the study exam. 5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. Exclusion Criteria: 1. Participants who because of age, general medical or psychiatric condition, or physiologic status cannot give valid informed consent. 2. Participants unwilling or unable to undergo magnetic resonance (MR) imaging, including patients with contra-indications to MR imaging, such as cardiac pacemakers or non-compatible intracranial vascular clips. 3. Any metallic implant or device that distorts local magnetic field and compromises the quality of MR imaging of the abdomen. 4. Prior focal therapy (i.e. ablation) for the renal tumor. 5. Poorly controlled hypertension, with blood pressure at study entry \>160/100. The addition of anti-hypertensives to control blood pressure is allowed for eligibility determination. 6. Congestive heart failure or New York Heart Association (NYHA) status \>= 2.
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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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University of California, San Francisco
San Francisco, California, 94143, United States
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Other studies related to the condition(s) this trial covers.
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