About this trial
There is currently no accepted screening strategy for patients at high risk of developing bladder cancer. This study will ask patients to complete a urine test every 6 months for 2 years to help assess if routine screening helps finding bladder cancer at an earlier stage.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 50
Smoking: ≥15 pack-year smoking history
Occupation:≥ 15 years of occupational exposures including: textile worker, painter, dry cleaners
Disqualifiers
Prior history of bladder, kidney, or prostate cancer
Prior evaluation of micro or gross hematuria within the last 2 years
Do not provide informed consent
Trial design
Single group
Treatments tested in this trial
Urinalysis
Diagnostic testUrine analysis (every 6 months for 2 years); Patients with \<3 red blood cells (RBCs) per high-powered field (HPF) will repeat screening at 6-month intervals for an average of 2 years. If RBCs are 3-25 RBSc/HPF- subjects will undergo- \[cystoscopy + Upper tract imaging\] or \[urine marker cancer testing with Cxbladder triage + Upper tract imaging\]. If \>25 RBCs, subjects will get - \[cystoscopy + Upper tract imaging\].
Treatment groups
Trial outcomes
Primary outcomes
Incidence of Bladder cancer (BCa)
Incidence of Bladder cancer is measured by the number of participants who were detected with BCa.
Secondary outcomes
Smoking cessation
Smoking cessation is measured by number of participants who were referred to smoking cessation treatment
Screening interval
Screening interval is assessed by calculating the average screening interval from baseline until the timepoint when RBCs \>3 are detected for each participant
Screening interval
Screening interval is assessed by calculating the average screening interval from baseline until the timepoint when RBCs \>3 are detected for each participant
Number of participants with positive/ negative markers and findings on cystoscopy
Performance of urinalysis and molecular markers is assessed by the count of participants with positive/ negative markers and findings on cystoscopy
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
University of Texas Southwestern Medical Center
Lead sponsor
Wilson Charitable Foundation Trust
Collaborator
Pacific Edge Limited
Collaborator