An Investigation of Kidney and Urothelial Tumor Metabolism in Patients Undergoing Surgical Resection and/or Biopsy

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Texas Southwestern Medical Center

About this trial

The purpose of this study is to understand the metabolism of cancers involving the kidney, including renal cell carcinomas and urothelial cell carcinomas, and how kidney cancers use different types of fuel to support tumor growth. This study uses specially labeled nutrient tracers of compounds normally found circulating in the blood. The nutrients (glucose, fructose, glutamine, acetate, and lactate) are also found in common foods. A nutrient tracer will be given to the participants through an intravenous (IV) catheter during surgery or biopsy, and blood will be collected every 30 minutes during the infusion to monitor safety parameters and the nutrient tracers. The investigators will collect a tissue sample after the completion of surgery. Participants not having an infusion will have their tissue collected after surgery or biopsy.

Participation in this study will not change patient care. All patients will receive standard of care treatment as determined by their doctors.

Eligibility criteria

Qualifiers

Patients must have radiographic evidence of known or probable kidney or urothelial cancer requiring surgical biopsy or excision.

Age ≥ 18 years

Subjects of all races and ethnic origins

The willingness to sign and ability to understand a written informed consent.

Disqualifiers

Uncontrolled or poorly controlled diabetes for patients receiving a 13C infusion

Pregnant or breastfeeding

Not a surgical candidate

Trial design

Treatments tested in this trial

  • 13C-Glucose
  • 13C-Acetate
  • 13C-Lactate
  • 13C-Glutamine
  • 13C-Fructose

Treatment groups

600 Participants
are divided into 5 treatment groups

Sponsors and collaborators

University of Texas Southwestern Medical Center

Lead sponsor

Howard Hughes Medical Institute

Collaborator

National Cancer Institute (NCI)

Collaborator