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Assessment of Patterns of Expression of VEGF, Matrix Metalloproteinase 2, 9 Activity, E-Cadherin Regulation and CA-9 Activity as Predictors of Aggressive Renal Cell Carcinoma Behavior


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Kidney Cancer

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Trial Information

Assessment of Patterns of Expression of VEGF, Matrix Metalloproteinase 2, 9 Activity, E-Cadherin Regulation and CA-9 Activity as Predictors of Aggressive Renal Cell Carcinoma Behavior


OBJECTIVES:

- To identify consistent patterns of VEGF expression, E-cadherin regulation, matrix
metalloproteinase 2 and 9 activity, and carbonic anhydrase 9 activity as predictive
factors in the development of aggressive tumor behavior in tumor tissue samples from
patients with localized clear cell renal cell carcinoma.

OUTLINE: Previously collected tumor tissue samples are examined by immunohistochemistry for
levels of expression of five different factors related to aggressive tumor behavior (i.e.,
VEGF expression, E-cadherin regulation, matrix metalloproteinase 2 and 9 activity, and
carbonic anhydrase 9 activity). Samples are compared to positive tissue controls (i.e.,
VEGF- tonsil; E- cadherin-normal breast or endometrium; MMP2- placenta) and a negative
control (i.e., isotype matched normal serum) to identify consistent patterns of
expression/activity of these factors. Levels of expression are quantified as 5-level scores
(0 to 4 scale) and differences between any two areas of a tumor are analyzed.

Inclusion Criteria


DISEASE CHARACTERISTICS:

- Tumor tissue samples from patients who recently underwent nephrectomy or partial
nephrectomy for clear cell renal cell carcinoma

- Harvested from the superior, inferior, left lateral, right lateral, and central
portions of resected or discarded tumor measuring 4 cm or less

- Localized disease (pT1a, N0-Nx, M0)

PATIENT CHARACTERISTICS:

- Not specified

PRIOR CONCURRENT THERAPY:

- See Disease Characteristics

Type of Study:

Observational

Study Design:

Observational Model: Case Control, Time Perspective: Prospective

Outcome Measure:

Relative patterns of expression/activity of five different growth factors/enzymes inherently related to the development of metastatic renal cell carcinoma behavior

Safety Issue:

No

Principal Investigator

David A. Levy, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Ireland Cancer Center at University Hospitals Case Medical Center, Case Comprehensive Cancer Center

Authority:

United States: Federal Government

Study ID:

CASE1808

NCT ID:

NCT00908739

Start Date:

May 2008

Completion Date:

Related Keywords:

  • Kidney Cancer
  • stage I renal cell cancer
  • stage III renal cell cancer
  • recurrent renal cell cancer
  • clear cell renal cell carcinoma
  • childhood renal cell carcinoma
  • Carcinoma, Renal Cell
  • Kidney Neoplasms

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