TRACE is an observational, open-label, single-arm, multi-center registry of subjects who have undergone renal lesion cryoablation per their physician's standard of care. Patients 18 years of age or older who have been determined to be an appropriate candidate for cryoablation will be offered enrollment into the registry. Subjects will be observed for five years from the date of their cryoablation procedure.
The registry is non-interventional; it will neither direct the cryoablation procedures performed nor define the post-surgery follow-up of each subject. A subject's participation in the registry will not influence or direct subject treatment procedures or follow-up care. Physicians will use their discretion and personal standards of care to select subjects, perform the cryoablation procedures and define appropriate follow-up visit schedules for their subjects; it is anticipated that subjects will be seen at least once per year during the five-year follow-up period of TRACE. Subjects may be followed by the physician performing the cryoablation procedure or by their local/personal physician. The enrolling physician will be responsible for providing the follow-up data to the registry and will, as appropriate, work with a subject's local/personal physician to collect the follow-up data.
Study Type
OBSERVATIONAL
Enrollment
246
Cryoablation (freezing) with Galil Medical cryoablation systems and needles under imaging guidance
University of California Irvine
Orange, California, United States
Kaiser Permanente
Denver, Colorado, United States
University of Kentucky
Lexington, Kentucky, United States
University of Nebraska Medical Center
Omaha, Nebraska, United States
Changes in Lesion Size
Changes to lesion size using greatest trans-axial diameter (cm) from baseline through the follow-up intervals.
Time frame: Baseline and months 6, 12, 24, 36, 48 and 60
Renal Function Status
Determined by the estimated Median Glomerular Filtration Rate (eGFR) measure using mL/min
Time frame: Baseline and months 6, 12, 24, 36, 48 and 60
Hospital Stay
Length of time in hospital is the duration of the patient's in-hospital time measured in hours, from intervention to discharge with the average duration of hospitalization being 2 days but could be much longer.
Time frame: Average duration of 2 days or longer
Post-cryoablation Lesion Recurrence With Enhancement
Lesions with imaging that showed contrast enhancement based on investigator assessment.
Time frame: Months 6, 12, 24, 36, 48 and 60
Disease-specific Survival Rates
Disease-specific survival rate is the time in days from cryoprocedure to death due to kidney cancer. Subjects who are alive will be censored at date of their last visit. Subjects who have died from causes other than kidney cancer will be censored at the time of death. Patients are followed up for duration of registry which is 5 years.
Time frame: Month 60
Overall Survival Rates
Death due to any cause
Time frame: Month 60
Quality of Life Assessment
QoL SF12 is a health status survey to monitor outcomes in general and specific populations. Scoring system for the SF12 is norm-based scoring (NBS). This rescaling is done by linear transformation.The scale for each component is provided where the min = worst health and max= best health. Scale range (min-max,range): GH 23.9-63.7,39.8; PF 25.6-57.1,31.5 ; RP 23.6-57.5, 33.9; BP 21.7-57.7,36.1; VT 29.4-68.7, 39.4; SF 21.3-56.9,35.6; RE 14.7-56.3,41.6; HM 18.3-64.2,45.9; PCS 9.9-76,66 MCS 3.2-77.9,74.7
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Columbia University
New York, New York, United States
Medical University of South Carolina
Charleston, South Carolina, United States
Vanderbilt University
Nashville, Tennessee, United States
Time frame: Months 6 and 12
Development of Metastatic Disease.
Time between cryotherapy and first evidence of metastatic disease
Time frame: Month 60
Total Number of Recurrences
Total recurrences based on imaging with enhancement and retreatments (eg: nephrectomy, partial nephrectomy or ablation).
Time frame: Month 60
Procedure Method Outcomes
An assessment of outcomes across laparoscopic-assisted, percutaneous and open cryoablation procedures.
Time frame: During the procedure and immediately after it, an average of 2 hours.
Standard of Care Follow-up Procedures
Characterization of standards of care for cryoablation procedure follow-up across the participating registry centers.
Time frame: These outcomes are measured at each follow-up visit out to 5 years post-cryo procedure