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CompletedNCT00095589Updated Feb 8, 2019

Microsatellite Analysis of Urinary Sediment in Detecting Bladder Cancer

An observational study in Bladder Cancer, sponsored by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins. Completed at 13 sites in 2 countries. Open to participants aged 40 Years to 120 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-02-08.

Sponsored by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
125
Ages
40 Years to 120 Years
Sex
All
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Study summary

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.

Read the 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.

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Conditions studied

  • Bladder Cancer

Keywords

  • bladder cancer
  • stage 0 bladder cancer
  • stage I bladder cancer
  • transitional cell carcinoma of the bladder
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In context

Urinary Bladder Neoplasms

1,616 studies on the registry are indexed under Urinary Bladder Neoplasms; 421 are open to participants now.

This study's enrollment of 125 is below the median of 180 across 374 observational studies indexed under Urinary Bladder Neoplasms.

Browse Urinary Bladder Neoplasms studies →

Lead sponsor

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins is the lead sponsor of 572 studies on the registry; 73 are open to participants now.

Of its 111 completed or terminated interventional studies of FDA-regulated products, 67 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
40 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility 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
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
125 participants (actual)
Patient registry
No

Interventions

  • Geneticloss of heterozygosity analysis
  • Geneticmicroarray analysis
  • Geneticmicrosatellite instability analysis
  • Othercytology specimen collection procedure
  • Otherlaboratory biomarker analysis
  • Procedurecomputed tomography
  • Procedurecystoscopy
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Study locations

13 sites
  • Lurleen Wallace Comprehensive Cancer at University of Alabama - Birmingham
    Birmingham, Alabama 35294, United States
  • Stanford Cancer Center
    Stanford, California 94305-5824, United States
  • University of Chicago Cancer Research Center
    Chicago, Illinois 60637-1470, United States
  • Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
    Baltimore, Maryland 21231-2410, United States
  • University of Michigan Comprehensive Cancer Center
    Ann Arbor, Michigan 48109-0942, United States
  • Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis
    Saint Louis, Missouri 63110, United States
  • Memorial Sloan-Kettering Cancer Center
    New York, New York 10021, United States
  • James P. Wilmot Cancer Center at University of Rochester Medical Center
    Rochester, New York 14642, United States
  • Grand Strand Urology, LLP
    Myrtle Beach, South Carolina 29572, United States
  • M. D. Anderson Cancer Center at University of Texas
    Houston, Texas 77030-4009, United States
  • Dan L. Duncan Cancer Center at Baylor College of Medicine
    Houston, Texas 77030, United States
  • University of Texas Health Science Center at San Antonio
    San Antonio, Texas 78229-3900, United States
  • Edmond Odette Cancer Centre at Sunnybrook
    Toronto, Ontario M4N 3M5, Canada
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 8, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00095589
Lead sponsor
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Nov 8, 2004
Start date
Aug 2004
Primary completion
Jun 2009
Completion
Jun 2009
Last update
Feb 8, 2019

Study contacts

Mark P. Schoenberg, MD
principal investigator · Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2019. You cannot join it, but the record below documents what was studied.

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