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RecruitingObservational

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

NCT ID: NCT03193515Sponsor: Cedars-Sinai Medical CenterLast updated: 2026-02-04

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.

Outcome measures

Primary

  • Sensitivity and specificity of multiplex ELISA assay will be confirmed by cystoscopy.

    To examine the sensitivity and specificity of the multiplex ELISA assay directed at a BCa-associated diagnostic signature in voided urine samples to reference standard of cystoscopy in a prospective longitudinal cohort of 300 participants with a history of BCa currently on cancer surveillance.

    Time frame: 2 years

Secondary

  • Sensitivity and specificity of multiplex ELISA assay will be compared to VUC and NMP22 BladderCheck.

    Time frame: 2 years

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria Participants must be: * Age 18 years or older * Have a history of non-muscle invasive bladder cancer or muscle invasive bladder cancer treated by bladder sparing techniques (or not yet treated) and diagnosed within 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 risk seen every 3 months for 2 years; low risk seen every 6-12 months for 2 years) 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 \>2.0 mg/dL) - Serum creatinine value can be up to 60 days before consent, otherwise repeat. * 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 locations (3)

Cedars-Sinai Medical Center

Los Angeles, California, 90048

Recruiting
Amy Oppenheim · Contact

University of California San Francisco

San Francisco, California, 94158

Active Not Recruiting

UT Southwestern Medical Center at Dallas

Dallas, Texas, 75390

Active Not Recruiting

References

  • Furuya H, Sakatani T, Tanaka S, Murakami K, Waldron RT, Hogrefe W, Rosser CJ. Bladder cancer risk stratification with the Oncuria 10-plex bead-based urinalysis assay using three different Luminex xMAP instrumentation platforms. J Transl Med. 2024 Jan 2;22(1):8. doi: 10.1186/s12967-023-04811-2.(PubMed)
  • Furuya H, Sakatani T, Tanaka S, Murakami K, Waldron RT, Hogrefe W, Rosser CJ. Bladder cancer risk stratification with the Oncuria 10-plex bead-based urinalysis assay using three different Luminex xMAP instrumentation platforms. Res Sq [Preprint]. 2023 Nov 25:rs.3.rs-3635581. doi: 10.21203/rs.3.rs-3635581/v1.(PubMed)