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CompletedNCT03091764Updated Oct 13, 2021

Evaluation of a Patient-Reported Symptom Index for NMIBC

An observational study in Superficial Bladder Cancer, sponsored by University of Sydney. Completed at 19 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-10-13.

Sponsored by University of Sydney · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
498
Ages
18 Years and older
Sex
All
01

Study summary

This project will develop and evaluate a patient-reported symptom index to assess the impact of treatment for non-muscle invasive bladder cancer on patient burden, toxicity, symptoms and side effects. The symptom index will provide a method for assessing treatments from the patient's perspective; help healthcare professionals make better informed treatment decisions, and provide a method to be able to effectively evaluate treatments for non-muscle invasive bladder cancer.

Read the detailed description

The overarching aim of this research is to develop and evaluate a patient-reported Symptom Index (SI) for individuals with NMIBC (the NMIBC-SI) that is acceptable to patients, reliable, valid and responsive, and fit for purpose in clinical trials and clinical practice.

Specific clinical aims:

  • Assess and compare key Patient-Reported Outcomes (PROs) across the full range of contemporary treatments for NMIBC, and over the disease trajectory including acute treatment and 1year survivorship;
  • Compare PROs between patients with low, intermediate, and high risk NMIBC.

In field test 1, 200 participants will complete one questionnaire either in hard copy (pencil and paper) or online, at a time that is convenient for the participant. The questionnaire may take up to 20 minutes to complete.

In field test 2, 250 participants will complete quality of life questionnaires at four different time points; 1) before tumour resection, 2) 1 week after resection, 3) 8 weeks after resection, and 4) 1 year after resection. The questionnaires can be completed in the clinic or at home, either in hard copy (pencil and paper) or online, at a time that is convenient for the participant but still within the relevant time point. The questionnaires may take up to 30 minutes to complete.

02

Conditions studied

  • Superficial Bladder Cancer

Keywords

  • NMIBC
  • non-muscle invasive bladder cancer
  • Patient reported outcome
  • Symptom burden
  • Questionnaire
03

In context

Non-Muscle Invasive Bladder Neoplasms

273 studies on the registry are indexed under Non-Muscle Invasive Bladder Neoplasms; 116 are open to participants now.

This study's enrollment of 498 is above the median of 210 across 47 observational studies indexed under Non-Muscle Invasive Bladder Neoplasms.

Browse Non-Muscle Invasive Bladder Neoplasms studies →

Lead sponsor

University of Sydney is the lead sponsor of 94 studies on the registry; 26 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients (aged ≥18 years) from participating centres diagnosed with NMIBC, able to read and understand English, and give their written informed consent will be included in the study.

Eligibility criteria

Field test 1:

Inclusion Criteria:

  • diagnosed NMIBC
  • Adult (>18yrs)
  • able to read and understand English
  • undergoing active treatment (i.e. one week after tumour resection or intravesical therapy) or completed final treatment for NMIBC within the last week

Exclusion Criteria:

  • unconscious or confused
  • have cognitive impairment
  • unable to speak, read and/or write in English
  • diagnosed with muscle invasive disease
  • unable to provide informed consent

Field test 2:

Inclusion Criteria:

  • newly diagnosed NMIBC
  • Adult (>18yrs)
  • able to read and understand English
  • after imaging or flexible cystoscopy, and before active treatment
  • either before endoscopic resection, or more than 4 weeks since endoscopic resection, but before active/ongoing treatment

Exclusion Criteria:

  • unconscious or confused
  • have cognitive impairment
  • unable to speak, read and/or write in English
  • diagnosed with muscle invasive disease
  • unable to provide informed consent
  • currently undergoing active treatment for any bladder cancer, or finished treatment within last 3 years.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
498 participants (actual)
Target follow-up
1 Year
Patient registry
Yes

Groups and cohorts

  • NMIBC Patient High Risk

    Any of the following: * T1 tumours * CIS (carcinoma in situ) * Multiple and recurring and large (\>3cm) Ta, G1, G2 tumours (all these conditions must be presented) (Patients requiring intravesical Bacillus Calmette-Guérin (BCG) (immunotherapy), which starts with 6 week induction treatment and continues with maintenance for 1 to 3 years)

  • NMIBC Patient Intermediate Risk

    All cases between High and Low Risk (Patients requiring intravesical therapy which lasts between 6 weeks to 3 years)

  • NMIBC Patient Low Risk

    Primary, solitary, Ta, LG/G1, \<3cm, no CIS (Patients receiving frequent cystoscopies, possible tumour resections and single instillations of postoperative chemotherapy)

06

What researchers measure

Primary outcomes

  1. NMIBC-SI development and validation

    non-muscle invasive bladder cancer symptom index (questionnaire being developed and evaluated in this study)

    Time frame: Field test 1: once only (cross-sectional). Field test 2: baseline to post-treatment (longitudinal)

Secondary outcomes

  1. QLQC-30

    EORTC cancer quality of life questionnaire

    Time frame: Field test 2: four time-points over 1 year

  2. NMIBC24

    EORTC superficial bladder cancer questionnaire

    Time frame: Field test 2: four time-points over 1 year

  3. NMIBC-SI long term

    non-muscle invasive bladder cancer symptom index (long-term follow-up, and differences between groups)

    Time frame: Field test 2: four time-points over 1 year

07

Study locations

19 sites
  • University of Kansas
    Kansas City, Kansas 66160, United States
  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • Concord Hospital
    Concord, New South Wales 2139, Australia
  • Royal North Shore Hospital
    St Leonards, New South Wales 2065, Australia
  • Riverina Cancer Care Centre
    Wagga Wagga, New South Wales 2650, Australia
  • The Urological Cancer Centre, Westmead Specialist Centre
    Westmead, New South Wales 2145, Australia
  • Westmead Hospital
    Westmead, New South Wales 2145, Australia
  • Mater Misericordiae Limited
    South Brisbane, Queensland 4101, Australia
  • Box Hill Hospital
    Box Hill, Victoria 3128, Australia
  • Austin Health
    Heidelberg, Victoria 3084, Australia
  • Alfred Health
    Melbourne, Victoria 3004, Australia
  • Monash Health
    Moorabbin, Victoria 3189, Australia
  • Royal Melbourne Hospital
    Parkville, Victoria 3052, Australia
  • Fiona Stanley Hospital
    Murdoch, Western Australia 6150, Australia
  • University of British Columbia
    Vancouver, British Columbia, Canada
  • Canterbury Urology Research Trust
    Christchurch, 8013, New Zealand
  • Tauranga Urology Research
    Tauranga, 3140, New Zealand
  • Salford Royal NHS Foundation Trust
    Salford, Manchester M5 5AP, United Kingdom
08

References and documents

Publications

  • Rutherford C, King MT, Smith DP, Costa DS, Tait MA, Patel MI; NMIBC-SI Working Group. Psychometric Evaluation of a Patient-Reported Symptom Index for Nonmuscle Invasive Bladder Cancer: Field Testing Protocol. JMIR Res Protoc. 2017 Nov 8;6(11):e216. doi: 10.2196/resprot.8761. PubMed 29117930 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2016 to primary completion in Jul 2020, 48 months.

Of 27 observational studies under Non-Muscle Invasive Bladder Neoplasms, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 30 and three quarters within 66. This study's 48 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 21, 2017
First posted
Mar 27, 2017
StartActual
Jul 1, 2016
Primary completionActual
Jul 30, 2020
CompletionActual
Aug 30, 2021
Last update
Oct 13, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 13, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03091764
Lead sponsor
University of Sydney
Collaborators
Australian and New Zealand Urogenital and Prostate Cancer Trials Group, Cancer Australia, Cancer Council New South Wales
Responsible party
Sponsor
First posted
Mar 27, 2017
Start date
Jul 1, 2016
Primary completion
Jul 30, 2020
Completion
Aug 30, 2021
Last update
Oct 13, 2021

Study contacts

Manish Patel, MBBS,PhD
principal investigator · University of Sydney

Oversight

Data monitoring committee
No
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 Oct 2021. You cannot join it, but the record below documents what was studied.

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