NCT02781428

Brief Summary

This is a prospective multicentre observational study to assess the sensitivity of the UroMark assay to detect bladder cancer in participants with new or recurrent disease. The study will recruit patients with newly detected or recurrent bladder cancer. The reference standard will be histopathological confirmation of tumour stage and (Ta, T1, ≥T2) and grade 1, 2 or 3 diseases with or without CIS, or CIS alone. Patients with a visual diagnosis of bladder cancer following cystoscopy will be approached and asked to consent for this study. Consenting participants will be provided with a urine sample collection kit and asked to provide a urine sample. Samples can be provided at home and posted to the receiving lab using the stamped addressed envelope. The urine sample must be obtained before TURBT and following TURBT, patients with NMIBC who require surveillance cystoscopy will be asked to provide a urine sample at 3 monthly intervals for up to 2 years. The study will be conducted in at least 11 NHS trusts. As DETECT II is an observation study requiring provision of a urine sample, it will be possible for patients in DETECT II to be recruited to other trials.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,643

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Sep 2016

Typical duration for all trials

Geographic Reach
1 country

19 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 11, 2016

Completed
13 days until next milestone

First Posted

Study publicly available on registry

May 24, 2016

Completed
4 months until next milestone

Study Start

First participant enrolled

September 26, 2016

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 19, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 19, 2018

Completed
Last Updated

December 4, 2023

Status Verified

December 1, 2023

Enrollment Period

2.2 years

First QC Date

May 11, 2016

Last Update Submit

December 1, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • The sensitivity of the UroMark assay to detect bladder cancer for grades 1-3, stage Ta -T4

    2 years

Secondary Outcomes (2)

  • The ability of the UroMark assay to detect the recurrence in NMIBC in patients undergoing cystoscopic surveillance for bladder cancer

    2 years

  • A comparison between UroMark and other control assays including molecular tests

    2 years

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

DETECT II will recruit patients attending haematuria clinics, check cystoscopy clinics or at pre-assessment clinic prior to TURBT. All patients who have a visual diagnosis of new or recurrent bladder cancer after flexible cystoscopy can be approached.

You may qualify if:

  • Participants must be over 18 years of age.
  • Visual diagnosis or suspected diagnosis of bladder cancer following cystoscopy.
  • Able to give informed written consent to participate

You may not qualify if:

  • Unwilling to undergo TURBT
  • Unable to give informed consent.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (19)

Tameside General Hospital

Ashton-under-Lyne, United Kingdom

Location

East Lancashire Hospitals NHS Trust

Blackburn, United Kingdom

Location

Royal Bolton Hospital

Bolton, United Kingdom

Location

The Pennine Acute Hospitals NHS Trust

Bury, United Kingdom

Location

University Hospital Coventry

Coventry, United Kingdom

Location

Medway Maritime Hospital

Gillingham, United Kingdom

Location

University College London Hospital

London, W1G 8PH, United Kingdom

Location

Royal Free London NHS Foundation Trust

London, United Kingdom

Location

Macclesfield Hospital

Macclesfield, United Kingdom

Location

Norfolk & Norwich University Hospital

Norwich, United Kingdom

Location

King's Mill Hospital

Nottingham, United Kingdom

Location

East Surrey Hospital

Redhill, United Kingdom

Location

Northern Lincolnshire & Goole NHS Foundation Trust

Scunthorpe, United Kingdom

Location

Western Sussex Hospitals NHS Foundation Trust

Shoreham-by-Sea, United Kingdom

Location

Royal Shrewsbury Hospital

Shrewsbury, United Kingdom

Location

Stepping Hill Hospital

Stockport, United Kingdom

Location

University Hospital of North Tees

Stockton-on-Tees, United Kingdom

Location

Royal Albert Edward Infirmary

Wigan, United Kingdom

Location

New Cross Hospital

Wolverhampton, United Kingdom

Location

Related Publications (3)

  • Tan WS, Teo CH, Chan D, Ang KM, Heinrich M, Feber A, Sarpong R, Williams N, Brew-Graves C, Ng CJ, Kelly J; DETECT II trial collaborators. Exploring patients' experience and perception of being diagnosed with bladder cancer: a mixed-methods approach. BJU Int. 2020 May;125(5):669-678. doi: 10.1111/bju.15008. Epub 2020 Feb 12.

  • Tan WS, Teo CH, Chan D, Heinrich M, Feber A, Sarpong R, Allan J, Williams N, Brew-Graves C, Ng CJ, Kelly JD; DETECT II trial collaborators. Mixed-methods approach to exploring patients' perspectives on the acceptability of a urinary biomarker test in replacing cystoscopy for bladder cancer surveillance. BJU Int. 2019 Sep;124(3):408-417. doi: 10.1111/bju.14690. Epub 2019 Mar 4.

  • Tan WS, Feber A, Dong L, Sarpong R, Rezaee S, Rodney S, Khetrapal P, de Winter P, Ocampo F, Jalil R, Williams NR, Brew-Graves C, Kelly JD. DETECT I & DETECT II: a study protocol for a prospective multicentre observational study to validate the UroMark assay for the detection of bladder cancer from urinary cells. BMC Cancer. 2017 Nov 15;17(1):767. doi: 10.1186/s12885-017-3758-7.

Biospecimen

Retention: SAMPLES WITH DNA

Urine samples

MeSH Terms

Conditions

Urinary Bladder Neoplasms

Condition Hierarchy (Ancestors)

Urologic NeoplasmsUrogenital NeoplasmsNeoplasms by SiteNeoplasmsFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesUrinary Bladder DiseasesUrologic DiseasesMale Urogenital Diseases

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
CROSS SECTIONAL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 11, 2016

First Posted

May 24, 2016

Study Start

September 26, 2016

Primary Completion

December 19, 2018

Study Completion

December 19, 2018

Last Updated

December 4, 2023

Record last verified: 2023-12

Data Sharing

IPD Sharing
Will share

Papers will be prepared for publication in general and urological peer-reviewed journals. The findings will also be presented at national and international conferences. The results of the study will be disseminated regardless of the direction of effect. Authorship will be determined according to an agreed Publication Policy.

Locations