A Novel Multiplex ELISA Assay for Surveilling Patients with History of Bladder Cancer

Last updated: February 18, 2025
Sponsor: Cedars-Sinai Medical Center
Overall Status: Active - Recruiting

Phase

N/A

Condition

Urothelial Carcinoma

Bladder Cancer

Urothelial Cancer

Treatment

N/A

Clinical Study ID

NCT03193515
Rosser-2015-6
R01CA198887
  • Ages > 18
  • All Genders

Study Summary

Voided urinary cytology (VUC) is the most widely used urine-based assay for detecting bladder cancer (BCa); however, it fails to detect approximately 50% of low-grade or early stage BCa when it is most curable. Furthermore, the detection rate of VUC for recurrent BCa is not much better. Because of this severe limitation, all patients who are under surveillance to monitor for recurrent BCa must undergo an invasive examination of the urinary bladder, where a miniature camera is inserted into the bladder and the bladder inspected (cystoscopy). We propose to improve the non-invasive detection of recurrent BCa by further validating a multiplex ELISA assay directed at a BCa-associated diagnostic signature in voided urine samples.

Eligibility Criteria

Inclusion

Inclusion Criteria

Participants must be:

  • Age 18 years or older

  • Have a history of non-muscle invasive bladder cancer or muscle invasive bladdercancer treated by bladder sparing techniques (or not yet treated) and diagnosedwithin the past 24 months on cystoscopic surveillance

  • Participants may be treated with adjuvant intravesical therapy

  • Willing and able to give written informed consent (see Appendix 1)

  • Be willing to adhere to the surveillance regimen (high risk and intermediate riskseen every 3 months for 2 years; low risk seen every 6-12 months for 2 years)

Exclusion

Exclusion Criteria:

Participants must not:

  • Have had radical cystectomy

  • History of previous cancer (excluding bladder, basal and squamous cell skin cancer)within the past 3 years

  • Have a known active urinary tract infection or urinary retention

  • Have active stone disease (renal or bladder) or renal insufficiency (creatinine >2.0mg/dL) - Serum creatinine value can be up to 60 days before consent, otherwiserepeat.

  • Have ureteral stents, nephrostomy tubes or bowel interposition

  • Have recent genitourinary instrumentation (within 10 days prior to signing consent)

  • Be unable or unwilling to complete the surveillance regimen

Study Design

Total Participants: 300
Study Start date:
December 30, 2016
Estimated Completion Date:
February 28, 2026

Connect with a study center

  • Kyoto University Graduate School of Medicine

    Kyoto,
    Japan

    Active - Recruiting

  • Cedars-Sinai Medical Center

    Los Angeles, California 90048
    United States

    Active - Recruiting

  • University of California San Francisco

    San Francisco, California 94158
    United States

    Site Not Available

  • University of Hawaii Cancer Center

    Honolulu, Hawaii 96813
    United States

    Site Not Available

  • UT Southwestern Medical Center at Dallas

    Dallas, Texas 75390
    United States

    Site Not Available

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