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Not yet recruitingNCT07736924Updated Jul 30, 2026

2D:4D Digit Ratio and Urinary Stone Disease

An observational study in Urinary Stone, sponsored by Emrah Kızılay. Not yet recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-30.

Sponsored by Emrah Kızılay · Observational

Study type
Observational
Model
Case-only
Time perspective
Cross-sectional
Enrollment
300
Ages
18 Years and older
Sex
All
01

Study summary

This prospective observational case-control study will investigate whether the 2D:4D digit ratio is associated with urinary stone disease. Adults undergoing non-contrast computed tomography at Malatya Training and Research Hospital will be classified as cases if kidney and/or ureteral stones are detected and as controls if no urinary stones are detected and there is no previous history of stone disease or stone surgery. The lengths of the second and fourth fingers of both hands will be measured using a digital caliper by two independent observers who are blinded to the participant group. The study will also examine whether the 2D:4D ratio is associated with recurrent stone disease, stone burden, and bilateral or multiple stones.

02

Conditions studied

  • Urinary Stone

Keywords

  • 2D:4D Digit Ratio
  • Urolithiasis
  • Kidney Stones
  • Urinary Stones
  • Prenatal Androgen Exposure
03

In context

Urinary Calculi

94 studies on the registry are indexed under Urinary Calculi; 20 are open to participants now.

This study's planned enrollment of 300 is above the median of 200 across 31 observational studies indexed under Urinary Calculi.

Browse Urinary Calculi studies →

Lead sponsor

This is the only study on the registry with Emrah Kızılay as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

The study population will consist of consecutive adults undergoing non-contrast computed tomography at Malatya Training and Research Hospital during the study period. Participants with kidney and/or ureteral stones will constitute the case group. Participants without urinary stones on computed tomography and without a previous history of urinary stone disease or stone surgery will constitute the control group.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18 years or older
  • Provision of written
  • Undergoing non-contrast computed tomography at Malatya Training and Research Hospital during the study period
  • For cases: presence of at least one kidney and/or ureteral stone on non-contrast computed tomography
  • For controls: absence of stones in the kidneys, ureters, and bladder on non-contrast computed tomography
  • For controls: no previous physician-diagnosed urinary stone disease or history of stone-related surgery
  • Feasibility of bilateral second- and fourth-digit length measurements

Exclusion criteria

Exclusion Criteria:

  • Congenital deformity of the hands or fingers
  • History of hand or finger trauma, fracture, surgery, or amputation that may affect digit length measurement
  • Severe hand deformity, contracture, or advanced joint disease preventing reliable measurement
  • Incomplete, inadequate, or technically unreliable 2D:4D measurements
  • Missing essential clinical, demographic, or imaging data
  • Pregnancy
  • Presence of bladder stones
  • Urinary diversion, major urinary tract reconstruction, or a significant structural urinary tract anomaly
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Case-only
Time perspective
Cross-sectional
Enrollment
300 participants (estimated)
Patient registry
No

Groups and cohorts

  • Urinary Stone Disease Group

    Adults with kidney and/or ureteral stones detected on non-contrast computed tomography.

  • Stone-Free Control Group

    Adults with no urinary stones detected in the kidneys, ureters, or bladder on non-contrast computed tomography and with no previous physician-diagnosed urinary stone disease or history of stone surgery.

06

What researchers measure

Primary outcomes

  1. Mean Bilateral 2D:4D Digit Ratio by Urinary Stone Disease Status

    The lengths of the second and fourth digits of both hands will be measured using a digital caliper by two independent observers blinded to group status. Right and left 2D:4D ratios will be calculated by dividing the length of the second digit by the length of the fourth digit. The mean bilateral 2D:4D ratio will be calculated as the average of the right and left ratios and compared between participants with computed tomography-confirmed kidney and/or ureteral stones and stone-free controls.

    Time frame: At enrollment, during the single study assessment

Secondary outcomes

  1. Mean Bilateral 2D:4D Digit Ratio by Recurrent Stone Disease Status

    Among participants with computed tomography-confirmed kidney and/or ureteral stones, recurrent stone disease will be defined as at least one previous physician-diagnosed urinary stone episode, spontaneous stone passage, or stone-related surgical intervention before the current stone episode. The mean bilateral 2D:4D ratio will be compared between participants with recurrent stone disease and those experiencing their first documented stone episode.

    Time frame: At enrollment, during the single study assessment

  2. Association Between Mean Bilateral 2D:4D Digit Ratio and Total Stone Burden

    Among participants with computed tomography-confirmed kidney and/or ureteral stones, total stone burden will be calculated as the sum of the maximum diameters of all detected stones in millimeters on non-contrast computed tomography. The association between mean bilateral 2D:4D ratio and total stone burden will be evaluated.

    Time frame: At enrollment, during the single study assessment

  3. Mean Bilateral 2D:4D Digit Ratio by Bilateral and/or Multiple Stone Presentation

    Among participants with computed tomography-confirmed kidney and/or ureteral stones, bilateral stone disease will be defined as the presence of stones on both sides of the urinary tract, and multiple stone disease will be defined as the presence of two or more distinct stones. The mean bilateral 2D:4D ratio will be compared between participants with bilateral and/or multiple stones and those with a solitary unilateral stone.

    Time frame: At enrollment, during the single study assessment

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Undecided — The decision to share de-identified individual participant data has not yet been finalized. Any future data sharing will depend on ethics committee approval, participant consent, applicable data protection requirements, and the establishment of an appropriate controlled-access process.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Aug 2026; primary completion for Jan 2027, 5 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 26, 2026
First posted
Jul 30, 2026
StartEst.
Aug 1, 2026
Primary completionEst.
Jan 31, 2027
CompletionEst.
Jan 31, 2027
Last update
Jul 30, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07736924
Lead sponsor
Emrah Kızılay
Responsible party
Emrah Kızılay (Urology Specialist, Malatya Governor Research Hospital) — Sponsor-investigator
First posted
Jul 30, 2026
Start date
Aug 1, 2026 (estimated)
Primary completion
Jan 31, 2027 (estimated)
Completion
Jan 31, 2027 (estimated)
Last update
Jul 30, 2026

Study contacts

Emrah KIZILAY, MD
Contact
emrahkizilay@hotmail.com
+905363887322
Emrah KIZILAY
principal investigator · Malatya Training and Research Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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