Can a protein found in urine, called perilipin-1, be used as a marker to diagnose kidney cancer?

ISRCTN ISRCTN12638739
DOI https://doi.org/10.1186/ISRCTN12638739
Secondary identifying numbers ID 1201
Submission date
22/01/2024
Registration date
06/02/2024
Last edited
06/02/2024
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
Kidney cancer (KC) is the third most common type of tumor in the urinary system for both men and women and sadly, it's also one of the top causes of cancer-related deaths. Right now, there's no reliable test to catch KC early. This study aims to change that by looking into whether a substance called Perilipin-1 in your urine could be a good sign that you might have KC, no matter what stage the cancer is at. In simpler terms, this study is trying to find a urine test that could help catch KC earlier than it is right now.

Who can participate?
Patients with KC and healthy controls aged 18 years old and over

What does the study involve?
The present study is an analytical, case-control, prospective study that considers two groups:
Cases: patients who have been diagnosed with KC at any stage who are going to undergo one of the following:
1. Surgical treatment (partial or radical nephrectomy).
2. Systemic treatment for KC with histological confirmation of renal cancer by percutaneous biopsy
Controls: healthy volunteers who undergo a preventive check-up where an image (ultrasound, CT, or MRI) excludes renal masses (benign or malignant).

Urine creatinine and PLIN-1 will be measured in urine samples at baseline (cases and controls) and six months after surgery (only for cases). The urine sample will be obtained from voided urine, except for the baseline sample of patients undergoing nephrectomy, which will be obtained by bladder catheterization on the day of surgery.

What are the possible benefits and risks of participating?
Participants will not receive any experimental therapy, and there will be no cost to participate in the study. Finding a urinary marker that allows population screening will permit early diagnosis of KC, which will imply a better oncological outcome.
No risks provided at the time of registration.

Where is the study run from?
Clinica Alemana (Santiago, Chile)

When is the study starting and how long is it expected to run for?
April 2023 to December 2026

Who is funding the study?
Clinica Alemana (Santiago, Chile)

Who is the main contact?
Dr Hugo Otaola, hotaola@alemana.cl

Contact information

Dr Hugo Otaola Arca
Public, Scientific, Principal Investigator

Las Hualtatas 5099, depto 203, Vitacura
Santiago
7630352
Chile

ORCiD logoORCID ID 0000-0003-4952-2283
Phone +56 941089452
Email hotaola@alemana.cl
Dr Hugo Otaola Arca
Public

Las Hualtatas 5099, depto 203, Vitacura
Santiago
7630352
Chile

Phone +56 941089452
Email hugotaolarca@hotmail.com

Study information

Study designAnalytical case-control prospective study
Primary study designObservational
Secondary study designCase-control study
Study setting(s)Hospital, University/medical school/dental school
Study typeDiagnostic, Screening
Participant information sheet Not available in web format, please use the contact details to request a participant information sheet
Scientific titleEvaluaTion Of urinaRy pErilipin-1 As a Diagnostic biOmarker in patients with kidney canceR
Study acronymTOREADOR
Study hypothesisUrinary Perilipin-1 is a valid diagnostic biomarker of kidney cancer in all its stages.
Ethics approval(s)

Approved 24/04/2023, Comité Etico Científico de la Facultad de Medicina Clínica Alemana de Santiago-Universidad Del Desarrollo (Avda. La Plaza 680, Las Condes, Santiago, 7610658, Chile; None provided; ceccasudd@udd.cl), ref: 2023-25

ConditionScreening in patients with kidney cancer
InterventionThis is an analytical, case-control, prospective study that involves two experimental groups:
a) Cases: patients diagnosed with kidney cancer who are going to undergo nephrectomy (partial or radical). A urine sample (30 mL) will be obtained from a Folley catheter at the beginning of the kidney surgery. Additionally, a voided urine sample (30 mL) will be collected six months after surgery.
b) Controls: healthy volunteers. A voided urine sample (30 mL) will be collected at the inclusion in the study.
Intervention typeOther
Primary outcome measure1. Creatinine (mg/dL) in urine samples measured with the modified JAFFE method, using the CREATININE DMSO kit (Applied Clinical Chemistry. S.A, Amposta, Spain) at baseline (cases and controls) and at six months after surgery (only for cases)
2. Perilipin-1 (PLIN-1) (ng/dL) in urine samples measured with a Sandwich ELISA assay using Human PLIN1/Perilipin Sandwich ELISA kit at baseline (cases and controls) and at six months after surgery (only for cases)
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date01/04/2023
Overall study end date31/12/2026

Eligibility

Participant type(s)Healthy volunteer, Patient
Age groupAdult
Lower age limit18 Years
Upper age limit150 Years
SexBoth
Target number of participants110
Participant inclusion criteriaCases:
1. Patients ≥ 18-yr, male or female
2. Diagnosed with kidney cancer at any stage
3. Who are willing to undergo one of the following:
3.1. Surgical treatment (partial or radical nephrectomy).
3.2. Systemic treatment for kidney cancer with histological confirmation of renal cancer by percutaneous biopsy

Controls:
1. Healthy volunteers, ≥18-yr old, male or female
2. Who undergo a preventive check-up where an image (ultrasound, CT or MRI) excludes renal masses (benign or malignant)
Participant exclusion criteriaCases:
1. Personal history of kidney surgery (for benign or malignant disease).
2. Current or recent treatment (<6 months) with chemotherapy, immunotherapy, or immune checkpoint inhibitors.
3. Clinical diagnosis of kidney cancer without histological confirmation

Controls:
1. Study in progress for possible kidney cancer
2. Personal history of kidney surgery, both for benign and malignant pathology
3. Current or recent treatment (<6 months) with chemotherapy, immunotherapy, or immune checkpoint inhibitors
Recruitment start date18/05/2023
Recruitment end date31/12/2025

Locations

Countries of recruitment

  • Chile

Study participating centre

Clínica Alemana Santiago
Av Vitacura 5951, VItacura, Región metropolitana
Santiago
7650568
Chile

Sponsor information

Clínica Alemana
Hospital/treatment centre

Av Vitacura 5951
Santiago
7650568
Chile

Phone +56 222101111
Email clinicaalemana@alemana.cl
Website https://www.clinicaalemana.cl/
ROR logo "ROR" https://ror.org/028ynny55

Funders

Funder type

Hospital/treatment centre

Clínica Alemana de Santiago
Private sector organisation / Other non-profit organizations
Alternative name(s)
Clínica Alemana
Location
Spain

Results and Publications

Intention to publish date01/06/2027
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryStored in non-publicly available repository
Publication and dissemination planPresentation of results at national and international conferences and publication in high-impact peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study will be stored in a non-publicly available repository (www.redcap.alemana.cl)

Editorial Notes

06/02/2024: The public title was changed from "Can a substance found in urine, called perilipin-1, be used as a marker to diagnose kidney cancer?" to "Can a protein found in urine, called perilipin-1, be used as a marker to diagnose kidney cancer?".
02/02/2024: Study's existence confirmed by the Department of Academic Development and Research and the Scientific Ethics Committee of the Faculty of German Clinic Medicine – Development University.