CAIX PET/ CT Guided Radiation Therapy in CcRCC.

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorPeking University First Hospital

About this trial

This is a prospective, single-arm study in adults with recurrent or metastatic clear cell renal cell carcinoma (ccRCC). Participants will receive standard systemic therapy (targeted therapy plus anti-PD-1 immunotherapy) and undergo dual PET/CT imaging (FDG PET/CT and a CAIX-targeted PET/CT) to map disease sites. When feasible, PET/CT-visible lesions will be treated with image-guided stereotactic ablative radiotherapy (SABR). Patients will be followed to evaluate progression-free survival, local control of treated lesions, and treatment-related adverse events (planned enrollment: \~70).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

None

Trial design

Design model

Single group

Treatments tested in this trial

  • PETCT-guided radiation therapy

    Radiation

    PETCT-guided radiation therapy: All patients will undergo both FDG PET/CT and CAIX PET/CT. Radiotherapy will be planned and delivered based on the imaging findings, with the goal of achieving the most comprehensive feasible (all-site) coverage whenever appropriate.

Treatment groups

70 Participants
are divided into 1 treatment group
Group A: mccRCCExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

PFS

time from the start of treatment to progression

Time frame
2 year

Secondary outcomes

1

local control rate

local control rate of all irradiated lesions

Time frame
2 year
2

Duration of current-line systemic therap

Time (months) from the start date of the first radiotherapy course to the date when the current-line systemic therapy regimen must be changed due to disease progression. Oligoprogression managed with radiotherapy without changing systemic therapy will not be counted as an event.

Time frame
From first radiotherapy to change of systemic therapy due to disease progression (up to 3 years).

Other outcomes

Sponsors and contacts

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