Kidney cyst study may spare patients from unnecessary surgery
NCT ID NCT04558593
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study follows 330 adults with complex kidney cysts (Bosniak III or IV) for 5 years to compare cancer survival between those who have surgery and those who are monitored closely. The goal is to see if active surveillance is a safe alternative to surgery, which has risks like complications and even death. Participants must be 18+, have a new diagnosis, be symptom-free, and healthy enough for surgery if needed.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 330 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2021
- Expected to finish
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Sep 2031
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.
Who is studied
Patients incidentally diagnosed with a Bosniak III or IV cysts and who opted to be managed by either surgery or active surveillance
- 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: * 18 years old and older; * diagnosed with a Bosniak III or IV cyst (classification 2019); * size of cystic component ≤7cm; * cyst wall/septum nodule (obtuse margin of protrusion) \<10mm (perpendicular axis) or nodular/solid component ≤2 cm in any axis; * life expectancy \>5 years (by physician's estimate); * new diagnosis ≤ 12 months from accrual date; * currently asymptomatic from the disease; * deemed fit enough for surgery; * willingness and ability to complete questionnaires in either French or English; * able and willing to provide informed consent Exclusion Criteria: * history of a hereditary renal cancer syndrome; * presence of polycystic kidney disease; * any prior history of RCC; * received systemic therapy for another malignancy within the 12 months prior to accrual; * uncontrolled medical illness including infections, hypertension, arrhythmias, heart failure, or myocardial infarction/unstable angina within 6 months that would predispose to immediate surgical therapy; * metastatic disease or evidence of vascular or nodal disease; * unwillingness to undergo monitoring and imaging studies; * any contra-indication(s) to contrast-enhanced imaging (estimated glomerular filtration rate \<30min/mL)
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
18 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CHU Bordeaux (URO-CCR)
RECRUITINGBordeaux, France
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CHU de Québec - Université Laval
RECRUITINGQuébec, Quebec, Canada
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CHUM
RECRUITINGMontreal, Quebec, Canada
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CIUSSS Mauricie-Centre-du-Québec
RECRUITINGTrois-Rivières, Quebec, Canada
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Centre de recherche du Centre hospitalier Universitaire de Sherbrooke
RECRUITINGSherbrooke, Quebec, J1H 5N4, Canada
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Centre intégré de santé et de services sociaux de Chaudière-Appalaches - Hôtel-Dieu de Lévis
RECRUITINGLévis, Quebec, G6V 3Z1, Canada
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Hôpital Maisonneuve-Rosemont (CISSS-EIMtl)
RECRUITINGMontreal, Quebec, Canada
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McGill University Health Centre
RECRUITINGMontreal, Quebec, Canada
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Mens Health Clinic
RECRUITINGWinnipeg, Manitoba, Canada
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Northern Alberta Urology Center
RECRUITINGEdmonton, Alberta, T6G 1Z1, Canada
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Nova Scotia Health Authority
RECRUITINGHalifax, Nova Scotia, Canada
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Princess Margaret Hospital
RECRUITINGToronto, Ontario, Canada
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Prostate Cancer Center
RECRUITINGCalgary, Alberta, T2V 1P9, Canada
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St-Joseph's Hospital
RECRUITINGHamilton, Ontario, Canada
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The Ottawa Hospital
RECRUITINGOttawa, Ontario, Canada
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Thunder Bay Health Sciences Center
RECRUITINGThunder Bay, Ontario, Canada
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Vancouver Prostate Centre
RECRUITINGVancouver, British Columbia, Canada
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Woodstock hospital
RECRUITINGWoodstock, Ontario, Canada
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