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Microsatellite Analysis of Urinary Sediment in Detecting Bladder Cancer
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), June 2007
Sponsors and Collaborators: Sidney Kimmel Comprehensive Cancer Center
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00095589
  Purpose

RATIONALE: New diagnostic procedures such as microsatellite analysis of sediment in the urine may improve the ability to detect bladder cancer without invasive procedures.

PURPOSE: Diagnostic trial to study the effectiveness of microsatellite analysis of sediment in the urine in detecting bladder cancer in healthy participants, participants who have genitourinary conditions requiring cystoscopy, and patients who have bladder cancer.


Condition Intervention
Bladder Cancer
Procedure: computed tomography
Procedure: cystoscopy
Procedure: cytology specimen collection procedure
Procedure: gene expression profiling
Procedure: laboratory biomarker analysis
Procedure: loss of heterozygosity analysis
Procedure: microsatellite instability analysis

Genetics Home Reference related topics: bladder cancer
MedlinePlus related topics: Bladder Cancer Cancer
U.S. FDA Resources
Study Type: Interventional
Study Design: Diagnostic, Single Blind
Official Title: Detection of Bladder Cancer by Microsatellite Analysis (MSA) of Urinary Sediment: Multi-Institutional Study

Further study details as provided by National Cancer Institute (NCI):

Estimated Enrollment: 500
Study Start Date: August 2004
Estimated Primary Completion Date: June 2009 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • Compare the sensitivity and specificity of microsatellite analysis (MSA) of urine sediment with cystoscopy and urine cytology for detecting bladder cancer in participants undergoing cystoscopy.

Secondary

  • Determine the temporal performance characteristics of MSA in urine sediment from these participants.
  • Determine which of the 15 individual markers or combination of markers that make up the MSA test are most predictive of the presence of bladder cancer in these participants.

OUTLINE: This is a single-blind, multicenter, cohort study.

Urine and blood specimens are collected from all participants at baseline. Urine specimens are examined using microsatellite analysis, urine cytology, and urinalysis. Patients in groups 2 and 3 also undergo cystoscopy at baseline.

Patients in group 3 undergo cystoscopy, upper tract imaging (e.g., abdominal CT scan), microsatellite analysis, urine cytology, and urinalysis every 3 months for 2 years in the absence of progressive disease.

Microsatellite analysis, which identifies loss of heterozygosity using polymerase chain reaction technique, is conducted for 15 markers: D4S243, D21S1245, FGA, D17S695, D16S476, D9S171, IFN-A, D20S48, D13S802, D17S654, D16S310, THO1, D9S162, D9S747, and MBP.

PROJECTED ACCRUAL: A total of 500 participants (100 each for groups 1 and 2 and 300 for group 3) will be accrued for this study.

  Eligibility

Ages Eligible for Study:   40 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

DISEASE CHARACTERISTICS:

  • Group 1 (healthy volunteers):

    • No prior or concurrent urologic disease or devices
    • No genitourinary (GU) complaints, including urgency or frequency of urination
    • Normal urinalysis and urine cytology
    • Never smoked cigarettes regularly (i.e., ≥ 1 cigarette/day for ≥ 1 year)
    • No suspected exposure to environmental bladder carcinogens for > 1 year, including, but not limited to, the following occupations or exposures:

      • Aluminum industry
      • Aromatic amines
      • Coal gasification
      • Coal tars and pitches
      • Coke plant
      • Dye industry
      • Leather industry
      • Machinist
      • Painter
      • Rubber industry
      • Truck, bus, or taxi drivers
  • Group 2 (participants with condition(s) that lead to false-positive urinary bladder cancer screening studies):

    • GU complaints requiring cystoscopy
    • No current GU malignancy
    • At least 1 of the following conditions:

      • Benign prostatic hypertrophy (International Prostate Symptom Score > 12)
      • Foreign bodies (stones, stents, or catheters)
      • Hematuria (gross or microscopic)
      • GU infection (e.g., prostatitis, urinary tract infection, pyelonephritis, urethritis) within the past 3 months and completed treatment

        • No sign of infection at the time of study participation
  • Group 3 (superficial bladder cancer patients):

    • Histologically confirmed superficial bladder urothelial malignancy

      • Primary or recurrent disease
    • No nontransitional cell carcinoma of the bladder, upper tract tumors, muscle-invasive tumors, or superficial disease for which local therapy is not appropriate

PATIENT CHARACTERISTICS:

Age

  • Over 40

Performance status

  • Not specified

Life expectancy

  • Not specified

Hematopoietic

  • Not specified

Hepatic

  • Not specified

Renal

  • See Disease Characteristics

Other

  • No prior cancer except nonmelanoma dermatologic malignancy

    • Prior bladder cancer allowed for group 3 patients

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • No prior chemotherapy

    • Prior intravesical therapy for bladder cancer allowed for group 3 patients

Endocrine therapy

  • Not specified

Radiotherapy

  • No prior radiotherapy

Surgery

  • Not specified
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00095589

Locations
United States, Alabama
Lurleen Wallace Comprehensive Cancer at University of Alabama - Birmingham Recruiting
Birmingham, Alabama, United States, 35294
Contact: Clinical Trials Office - Lurleen Wallace Comprehensive Cancer     205-934-0309        
United States, California
Stanford Cancer Center Recruiting
Stanford, California, United States, 94305-5824
Contact: Clinical Trials Office - Stanford Cancer Center     650-498-7061     cctoffice@stanford.edu    
United States, Illinois
University of Chicago Cancer Research Center Recruiting
Chicago, Illinois, United States, 60637-1470
Contact: Clinical Trials Office - University of Chicago Cancer Research     773-834-7424        
United States, Maryland
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Recruiting
Baltimore, Maryland, United States, 21231-2410
Contact: Clinical Trials Office - Sidney Kimmel Comprehensive Cancer Ce     410-955-8804     jhcccro@jhmi.edu    
United States, Michigan
University of Michigan Comprehensive Cancer Center Recruiting
Ann Arbor, Michigan, United States, 48109-0942
Contact: Clinical Trials Office - University of Michigan Comprehensive     800-865-1125        
United States, Missouri
Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis Recruiting
Saint Louis, Missouri, United States, 63110
Contact: Adam S. Kibel, MD     314-362-8295     kibela@wustl.edu    
United States, New York
James P. Wilmot Cancer Center at University of Rochester Medical Center Recruiting
Rochester, New York, United States, 14642
Contact: Edward M. Messing, MD, FACS     585-275-3345     edward_messing@urmc.rochester.edu    
Memorial Sloan-Kettering Cancer Center Recruiting
New York, New York, United States, 10021
Contact: Guido Dalbagni, MD     646-422-4394     dalbagng@mskcc.org    
United States, South Carolina
Grand Strand Urology, LLP Recruiting
Myrtle Beach, South Carolina, United States, 29572
Contact: Clinical Trials Office - Grand Strand Urology, LLP     843-839-1679        
United States, Texas
Dan L. Duncan Cancer Center at Baylor College of Medicine Recruiting
Houston, Texas, United States, 77030
Contact: Clinical Trials Office - Dan L. Duncan Cancer Center at Baylor     713-798-1297        
M. D. Anderson Cancer Center at University of Texas Recruiting
Houston, Texas, United States, 77030-4009
Contact: Clinical Trials Office - M. D. Anderson Cancer Center at the U     713-792-3245        
University of Texas Health Science Center at San Antonio Recruiting
San Antonio, Texas, United States, 78229-3900
Contact: Joseph W. Basler, MD, PhD     210-567-5643     basler@uthscsa.edu    
Canada, Ontario
Edmond Odette Cancer Centre at Sunnybrook Recruiting
Toronto, Ontario, Canada, M4N 3M5
Contact: Laurence H. Klotz, MD     416-480-5000        
Sponsors and Collaborators
Sidney Kimmel Comprehensive Cancer Center
Investigators
Principal Investigator: Mark P. Schoenberg, MD Sidney Kimmel Comprehensive Cancer Center
  More Information

Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site

Study ID Numbers: CDR0000401496, JHOC-03123005, JHOC-J0382
Study First Received: November 5, 2004
Last Updated: July 23, 2008
ClinicalTrials.gov Identifier: NCT00095589  
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
bladder cancer
stage 0 bladder cancer
stage I bladder cancer
transitional cell carcinoma of the bladder

Study placed in the following topic categories:
Cystocele
Urologic Diseases
Urinary Bladder Diseases
Urinary Bladder Neoplasms
Urogenital Neoplasms
Urologic Neoplasms
Carcinoma, Transitional Cell
Transitional cell carcinoma
Urinary tract neoplasm
Bladder neoplasm
Carcinoma

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site

ClinicalTrials.gov processed this record on January 16, 2009