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Microsatellite Analysis of Urinary Sediment in Detecting Bladder Cancer

Completed
Conditions
Bladder Cancer
Registration Number
NCT00095589
Lead Sponsor
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Brief 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.

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.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
125
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (13)

Lurleen Wallace Comprehensive Cancer at University of Alabama - Birmingham

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Birmingham, Alabama, United States

University of Chicago Cancer Research Center

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Chicago, Illinois, United States

Stanford Cancer Center

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Stanford, California, United States

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

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Baltimore, Maryland, United States

University of Michigan Comprehensive Cancer Center

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Ann Arbor, Michigan, United States

James P. Wilmot Cancer Center at University of Rochester Medical Center

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Rochester, New York, United States

Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis

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Saint Louis, Missouri, United States

Grand Strand Urology, LLP

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Myrtle Beach, South Carolina, United States

University of Texas Health Science Center at San Antonio

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San Antonio, Texas, United States

M. D. Anderson Cancer Center at University of Texas

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Houston, Texas, United States

Dan L. Duncan Cancer Center at Baylor College of Medicine

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Houston, Texas, United States

Memorial Sloan-Kettering Cancer Center

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New York, New York, United States

Edmond Odette Cancer Centre at Sunnybrook

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Toronto, Ontario, Canada

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