NCT06870253

Brief Summary

The goal of this observational study is to learn about the performance of the Bladder CARE™ Assay in patients suspected of having bladder cancer with atypical cytology or equivocal cystoscopy results. The main question it aims to answer is: • Does the Bladder CARE™ Assay detect bladder cancer in patients who have inconclusive cytology or cystoscopy results? Participants will provide one voided urine specimen on the day of, and prior to, the routine, scheduled standard of care initial or repeat cystoscopy procedure. A medical records review will occur at two follow-up timepoints, (6 months and 12 months after the urine specimen collection), to document oncology-urinary-related clinical outcomes.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
80

participants targeted

Target at P50-P75 for all trials

Timeline
10mo left

Started Jun 2025

Geographic Reach
1 country

1 active site

Status
active not recruiting

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

Study Progress53%
Jun 2025Mar 2027

First Submitted

Initial submission to the registry

March 5, 2025

Completed
6 days until next milestone

First Posted

Study publicly available on registry

March 11, 2025

Completed
3 months until next milestone

Study Start

First participant enrolled

June 3, 2025

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2027

Last Updated

January 6, 2026

Status Verified

January 1, 2026

Enrollment Period

1.7 years

First QC Date

March 5, 2025

Last Update Submit

January 2, 2026

Conditions

Keywords

Bladder CARE™Bladder CancerAtypical CytologyEquivocal CystoscopyBladder Cancer DetectionHematuriaNon-Invasive Urine TestUrologicalUrologyMicrohematuriaGross HematuriaUrothelial CarcinomaBladder Cancer BiomarkersUrinary BiomarkerUrologic OncologyInconclusive Cystoscopy ResultsInconclusive Cytology ResultsUrine-Based Bladder Cancer Detection

Outcome Measures

Primary Outcomes (1)

  • Evaluate Bladder CARE™ Assay performance for detecting bladder cancer in patients with atypical cytology or equivocal cystoscopy

    Assess the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV), of the Bladder CARE™ Assay to the gold standard diagnostic methods for detecting bladder cancer in patients with atypical cytology or equivocal cystoscopy results.

    From enrollment to the end of the study at 12 months

Eligibility Criteria

Age18 Years - 99 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Urology practice

You may qualify if:

  • Patients ≥ 18 years of age at time of informed consent.
  • Subject or the subject's legally authorized representative provides written informed consent.
  • Subject is willing to follow all study procedures and available for the duration of the study.
  • Patients with atypical cytology or equivocal cystoscopy results within 3 months before screening.
  • Subject is scheduled for initial or repeat cystoscopy, with or without pathology.
  • Subject is willing to provide one voided urine specimen of at least 80 ml on the same day, but prior to scheduled initial or repeat cystoscopy, with or without pathology.

You may not qualify if:

  • Pregnant or planning to become pregnant at the time of screening.
  • Positive cystoscopy within 3 months of screening indicating presence of bladder cancer.
  • Genitourinary manipulation (flexible or rigid cystoscopy, catheterization, urethral dilation, URS, ureteral stent) within 14 days before urine specimen collection.
  • History of augmentation cystoplasty.
  • History of continent cutaneous diversion or ileal conduit.
  • History of orthotopic bladder substitution or orthotopic neobladder.
  • Concomitant use of an investigational drug which has been administered or may be administered within the 30 days leading up to providing informed consent or may be administered through the time of urine specimen.
  • New or recurrent NMIBC (non-muscle invasive bladder cancer) diagnosis within three months of study enrollment.
  • An active malignancy (bladder or other) diagnosis within 3 months of study enrollment.
  • Patients with a history of NMIBC have undergone intravesical or infusion therapy and completed treatment less than 6 weeks prior to study enrollment.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mayo Clinic

Rochester, Minnesota, 55905, United States

Location

Biospecimen

Retention: SAMPLES WITH DNA

Urine

MeSH Terms

Conditions

Urinary Bladder NeoplasmsHematuriaCarcinoma, Transitional Cell

Condition Hierarchy (Ancestors)

Urologic NeoplasmsUrogenital NeoplasmsNeoplasms by SiteNeoplasmsFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesUrinary Bladder DiseasesUrologic DiseasesMale Urogenital DiseasesUrination DisordersHemorrhagePathologic ProcessesPathological Conditions, Signs and SymptomsCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic Type

Study Officials

  • Jeffrey R. Karnes, M.D.

    Mayo Clinic

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 5, 2025

First Posted

March 11, 2025

Study Start

June 3, 2025

Primary Completion (Estimated)

March 1, 2027

Study Completion (Estimated)

March 1, 2027

Last Updated

January 6, 2026

Record last verified: 2026-01

Data Sharing

IPD Sharing
Will share

This IPD sharing plan entails sharing de-identified individual participant data (IPD) exclusively through the publication of results from this clinical trial in a reputable medical journal. The shared data will include essential de-identified demographic information such as age, gender, race/ethnicity, clinical outcomes and summary results. Additionally, the performance metrics of the Bladder CARE™ Assay will be disclosed, providing insights into its effectiveness and utility in clinical settings. By disseminating this information through a peer-reviewed journal, we aim to contribute to the scientific community's understanding of the Bladder CARE™ Assay and its implications for patient care, while ensuring that the data is contextualized within the scope of our research findings. This approach aligns with our commitment to transparency and the advancement of medical knowledge. Once accepted, the article will be published.

Time Frame
Beginning 1 year after publication with no end date
Access Criteria
Investigators whose proposed use of the data has been approved by an independent review committee and a signed data use agreement

Locations