Topic: Cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adult diagnosed with renal cancer 20 Hounsfield units.
Exclusion criteria
Exclusion criteria: Current exclusion criteria as of 09/03/2015: Patients the clinician does not feel would be suitable for the trial (e.g., due to concomitant disease) 1. Multiple small renal cancers in one kidney 2. Coagulopathy that cannot be corrected 3. Previous participation in this study 4. Inability to give informed consent; carer/proxy consent will not be allowed in this study Previous exclusion criteria: Patients the clinician does not feel would be suitable for the trial (e.g., due to concomitant disease) 1. Fuhrman grade 3 / 4 2. Multiple small renal cancers in one kidney 3. Coagulopathy that cannot be corrected 4. Previous participation in this study 5. Inability to give informed consent; carer/proxy consent will not be allowed in this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The aim is to establish whether a future definitive trial comparing active surveillance with ablative treatment for small kidney cancer is feasible. This will be assessed quantitatively in terms of recruitment and retention rates and qualitatively in terms of the patients' experiences and understanding of the randomisation process and treatment options. Partition of reasons for loss to follow up, together with clinical data, will allow us to project likely retention at 5 years. | — |
Secondary
| Measure | Time frame |
|---|---|
| All secondary outcomes will be rehearsed during the pilot trial with a view to refining the choice of outcomes for the main trial, based on data yield and quality. Outcome data collection in the pilot feasibility trial will be timed to coincide with routine clinical assessments and will collected from patients at 4,7 months post randomisation (3, 6 months post treatment). The following secondary outcome questionnaires will be completed at baseline (within 14 days before randomisation) and at 3 and 6 months post treatment: 1. A general health questionnaire (SF-36) 2. Cancer specific health status and quality of life (FACT-G) 3. Anxiety and depression (STAI) We have also developed and plan to test health economics data collection tools in the form of a participant costs questionnaire (PCQ). The PCQ has two parts: Part A to be administered at 3 month and 6 month and Part B at 6 month only. | — |
Countries
United Kingdom