Blue Light Cystoscopy With Cysview® Registry (BLCCR)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Data will be captured on specific patient types undergoing Blue Light Cystoscopy with Cysview for known or suspected non-muscle invasive bladder cancer. Specific clinical questions will be asked.
- What is the incremental detection rate with Blue Light Cystoscopy with Cysview over conventional white light cystoscopy in each of the seven (7) patient populations? Does this translate into lower recurrence/progression rate?
- How do the six (6) tumor variables used in the European Association of Urology (EAU) risk tables (primary/secondary, recurrence rate, size, multifocality, grade, and history of carcinoma in situ (CIS))6 affect this incremental rate?
- How does an abnormal cytology or positive or negative fluorescent in situ hybridization (FISH) affect the likelihood that Blue Light Cystoscopy with Cysview will detect more cancers than white light?
- What are the performance characteristics of Blue Light Cystoscopy with Cysview within eight (8) weeks of Bacillus Calmette-Guérin (BCG) with respect to improved tumor detection and false positive rate compared to conventional white light cystoscopy?
- What is the incremental Blue Light Cystoscopy with Cysview detection rate over random bladder biopsies alone in patients being evaluated for routine three month restaging (group 4) or occult disease (group 5)?
- What are the performance characteristics of Blue Light Cystoscopy with Cysview after repeated Blue Light Cystoscopy with Cysview evaluations with respect to improved tumor detection, false positive rate and safety compared to conventional white light?
- Does an abnormal urinalysis help identify patients with inflammation more likely to have false positive Blue Light Cystoscopy with Cysview results?
- What is the practical learning curve for becoming "proficient" with Blue Light Cystoscopy with Cysview?
- What is the overall false positive rate with Blue Light Cystoscopy with Cysview?
- Can Blue Light Cystoscopy with Cysview make the resection more complete? If yes, is this due to improved margins and/or additional tumors seen under blue light?
- What are the performance characteristics of BLC™ with Cysview® on patients with variant histology?
- How does BLC™ with Cysview® impact detection of tumors in surveillance and patient management decisions?
- How does BLC™ with Cysview® impact management of small tumors during office biopsy/fulguration?
- How can BLC impact patient selection for bladder cancer sparing drugs?
- Does the combination of BLC with urine biomarkers guide appropriate therapy and or change management?
- Does BL have an impact on long term outcomes such as recurrence or progression?
- Can AI models be optimized and validated to accurately predict patient response to intravesical therapy (such as BCG or intravesical chemotherapy) in non-muscle invasive bladder cancer?
- How concordant are the predictions of AI algorithms with treatment decisions documented in real-world clinical registries?
- How do AI-predicted responses correlate with patient outcomes, including recurrence and progression, within predefined clinical subgroups such as 'BCG-naïve' or 'no prior intravesical treatment'?
- What is the potential impact of implementing AI-based predictive models on changes in management (e.g., treatment selection, patient management, and overall care outcomes)?
The Blue Light Cystoscopy with Cysview Registry is a web-based program supported by Global Vision Technologies. Data will be captured longitudinally over five (5) years on patients from each enrolled site. Each center will enter their respective site's patient data electronically.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Chad McKee, PhD
- Phone Number: (919) 780-0417
- Email: chad.mckee@photocure.com
Study Locations
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Alabama
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Birmingham, Alabama, United States, 35294
- Recruiting
- The University of Alabama at Birmingham
-
Contact:
- Charles Peyton, MD
- Email: ccpeyton@uab.edu
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Principal Investigator:
- Charles Peyton, MD
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Arizona
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Phoenix, Arizona, United States, 85054
- Recruiting
- Mayo Clinic
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Contact:
- Mark Tyson, MD, MPH
- Email: tyson.mark@mayo.edu
-
Principal Investigator:
- Mark Tyson, MD, MPH
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California
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Los Angeles, California, United States, 90095
- Recruiting
- University of California Los Angeles
-
Contact:
- Karim Chamie, MD
- Phone Number: 310-794-7700
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Principal Investigator:
- Karim Chamie, MD
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Los Angeles, California, United States, 90033
- Recruiting
- USC/Norris Comprehensive Cancer Center
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Sub-Investigator:
- Anne Schuckman, MD
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Sub-Investigator:
- Mihir Desai, MD
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Sub-Investigator:
- Hooman Djaladat, MD
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Sub-Investigator:
- Gerhard Fuchs, MD
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Sub-Investigator:
- Virinder Bhardwaj, MD
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Principal Investigator:
- Sia Daneshmand, MD
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Contact:
- Ileana Aldana
- Phone Number: 323-865-0702
- Email: Ileana.Aldana@med.usc.edu
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Palo Alto, California, United States, 94304
- Recruiting
- VA Palo Alto Health Care System
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Contact:
- Dorothy Trivedi
- Email: dtrivedi@stanford.edu
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Principal Investigator:
- Joseph Liao, MD
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Sub-Investigator:
- James Crotty, MD
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Sub-Investigator:
- John Leppert, MD
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Sub-Investigator:
- John Lavelle, MD
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San Francisco, California, United States, 94143
- Recruiting
- University of California, San Francisco
-
Contact:
- Sima Porten, MD, MPH
- Phone Number: 415-885-3695
- Email: Sima.Porten@ucsf.edu
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Principal Investigator:
- Sima Porten, MD, MPH
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District of Columbia
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Washington D.C., District of Columbia, United States, 20016
- Recruiting
- Sibley Memorial Hospital
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Principal Investigator:
- Armine Smith, MD
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Contact:
- Armine Smith, MD
- Phone Number: 202-660-5561
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Georgia
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Atlanta, Georgia, United States, 30097
- Recruiting
- Emory University School of Medicine
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Principal Investigator:
- Vikram Narayan, MD
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Sub-Investigator:
- Shreyas Joshi, MD
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Contact:
- Vikram Narayan, MD
- Phone Number: (404) 778-4898
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Illinois
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Chicago, Illinois, United States, 60611
- Recruiting
- Northwestern University
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Contact:
- Clay Arnett
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Principal Investigator:
- Joshua Meeks, MD
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Evanston, Illinois, United States, 60201
- Recruiting
- Northshore University Health System
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Contact:
- Adam Vanderloo
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Principal Investigator:
- Kristian Novakovic, MD
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Indiana
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Indianapolis, Indiana, United States, 46202
- Recruiting
- Indiana University School of Medicine
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Contact:
- Lehman G Jennifer, RN, CCRP
- Email: jgeck@iu.edu
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Principal Investigator:
- Hristos Z Kaimakliotis, MD
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Kansas
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Kansas City, Kansas, United States, 66160
- Recruiting
- University of Kansas Medical Center
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Principal Investigator:
- John Taylor, MD, MS
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Sub-Investigator:
- Jeffrey Holzbeierlein, MD, FACS
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Contact:
- Jane Ledesma
- Phone Number: 913-588-8721
- Email: jledesma2@kumc.edu
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Maryland
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Baltimore, Maryland, United States, 21224
- Recruiting
- Johns Hopkins Medicine
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Contact:
- Morgan De Carli
- Email: Mdecarl2@jhmi.edu
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Principal Investigator:
- Max Kates, MD
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Minnesota
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Minneapolis, Minnesota, United States, 55455
- Recruiting
- University of Minnesota
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Contact:
- Maressa Twedt
- Phone Number: 612-626-6661
- Email: twedt050@umn.edu
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Principal Investigator:
- Hamed Ahmadi, MD
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Sub-Investigator:
- Subodh Regmi, MD
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New York
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New York, New York, United States, 10016
- Recruiting
- NYU Langone's Perlmutter Cancer Center
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Principal Investigator:
- Gary Steinberg, MD
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Contact:
- Gary Steinberg, MD
- Phone Number: 646-825-6300
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Stony Brook, New York, United States, 11794
- Suspended
- Stony Brook Urology
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Ohio
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Columbus, Ohio, United States, 43210
- Recruiting
- Ohio State University
-
Contact:
- Rachel Link, CCRP
- Email: rachel.link@osumc.edu
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Principal Investigator:
- Kamal S Pohar, MD
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Columbus, Ohio, United States, 43210
- Recruiting
- Ohio State University Wexner Medical Center
-
Contact:
- Kamal Pohar, MD
- Email: kamal.pohar@osumc.edu
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Sub-Investigator:
- Megan Merrill, DO
-
Sub-Investigator:
- Ahmad Shabsigh, MD
-
Sub-Investigator:
- David Sharp, MD
-
Principal Investigator:
- Kamal Pohar, MD
-
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South Carolina
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West Columbia, South Carolina, United States, 29169
- Recruiting
- Lexington Medical Center
-
Contact:
- Nicol Brandon
- Phone Number: 2809 704-414-2870
- Email: Nicol.brandon@carolinaurologypartners.com
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Principal Investigator:
- T. Brian Willard, MD
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Sub-Investigator:
- David Lamb, MD
-
Sub-Investigator:
- Scott Sweazy, MD
-
Sub-Investigator:
- Keith Birghtbill, MD
-
Sub-Investigator:
- Michael Stotzer, MD
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Texas
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Dallas, Texas, United States, 75390
- Recruiting
- UT Southwestern
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Principal Investigator:
- Yair Lotan, MD
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Sub-Investigator:
- Aditya Bagrodia, MD
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Contact:
- Yair Lotan, MD
- Phone Number: 214-645-8787
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Houston, Texas, United States, 77030
- Recruiting
- Michael E. DeBakey VA Medical Center
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Contact:
- Ashley Jones, BS, CCRP
- Phone Number: 26694 713-791-1414
- Email: Ashley.Jones2@bcm.edu
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Principal Investigator:
- Jennifer Taylor, MD, MPH
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Sub-Investigator:
- Jeffrey Jones, MD
-
Sub-Investigator:
- Sidney Worsham, MD
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Washington
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Seattle, Washington, United States, 98195
- Recruiting
- University of Washington Medicine
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Principal Investigator:
- John Gore, MD
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Contact:
- John Gore, MD
- Phone Number: (206) 598-4294
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West Virginia
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Charleston, West Virginia, United States, 25301
- Terminated
- Charleston Area Medical Center
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Adult >18 years old
- Suspected or known non-muscle invasive bladder cancer on the basis of a prior cystoscopy
Exclusion Criteria:
- Porphyria
- Gross hematuria
- Known hypersensitivity to hexaminolevulinate or aminolevulinate derivatives
Study Plan
How is the study designed?
Design Details
- Observational Models: Case-Only
- Time Perspectives: Prospective
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Blue Light Cystoscopy with Cysview®
Bladder cancer patients who have undergone Blue light cystoscopy with Hexaminolevulinate hydrochloride (Cysview®) 100mg in 50 milliliters (mL) reconstituted solution instilled intravesically into bladder prior to cystoscopy in operating room (OR).
Retention time: 1-3 hours.
The Karl Storz D-Light C Photodynamic Diagnostic (PDD) system is used for the cystoscopy procedure at the OR examination.
|
Instillation in bladder
Other Names:
Cystoscopy procedure
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Rate of detection of bladder malignancies
Time Frame: 5 years
|
Rate of detection of bladder malignancies with Blue Light Cystoscopy with Cysview versus white light cystoscopy alone.
|
5 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
False-positive detection rates
Time Frame: 5 years
|
Rates of false-positive lesion biopsies based on pathological findings
|
5 years
|
|
Higher-Quality resection rates with Blue Light Cystoscopy with Cysview versus white light cystoscopy alone
Time Frame: 5 years
|
Rate of additional margin detection with Blue Light Cystoscopy with Cysview versus white light cystoscopy alone
|
5 years
|
|
Proportion of patients with adverse events considered causally related to Cysview in repeat administration.
Time Frame: 5 years
|
Adverse events reporting
|
5 years
|
|
Recurrence Rates
Time Frame: 5 years
|
Recurrence rates NMIBC in patients whose lesions were detected with Blue Light Cystoscopy with Cysview
|
5 years
|
|
Cystectomy Rate
Time Frame: 5 years
|
Proportion of patients who have a cystectomy performed
|
5 years
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Siamak Daneshmand, MD, University of Southern California
Publications and helpful links
General Publications
- Bazargani ST, Shah SH, Djaladat H, et al. Blue Light Cystoscopy For Diagnosis of Urothelial Bladder Cancer: Results: From A Prospective Registry. Poster presented at: The Annual meeting of Society of Urologic Oncology; December 2015; Washington, D.C.
- Chappidi MR, Yang H, Meng MV, Bivalacqua TJ, Daneshmand S, Holzbeierlein JM, Kaimakliotis HZ, Konety B, Liao JC, Pohar K, Steinberg GD, Taylor JM, Tyson MD, Willard B, Lotan Y, Porten SP, Kates M. Utility of Blue Light Cystoscopy for Post-bacillus Calmette-Guerin Bladder Cancer Recurrence Detection: Implications for Clinical Trial Recruitment and Study Comparisons. J Urol. 2022 Mar;207(3):534-540. doi: 10.1097/JU.0000000000002308. Epub 2021 Oct 25.
- Ahmadi H, Ladi-Seyedian SS, Konety B, Pohar K, Holzbeierlein JM, Kates M, Willard B, Taylor JM, Liao JC, Kaimakliotis HZ, Porten SP, Steinberg GD, Tyson MD, Lotan Y, Daneshmand S; Blue Light Cystoscopy with Cysview Registry Group. Role of blue-light cystoscopy in detecting invasive bladder tumours: data from a multi-institutional registry. BJU Int. 2022 Jul;130(1):62-67. doi: 10.1111/bju.15614. Epub 2021 Oct 26.
- Alsyouf M, Ladi-Seyedian SS, Konety B, Pohar K, Holzbeierlein JM, Kates M, Willard B, Taylor JM, Liao JC, Kaimakliotis HZ, Porten SP, Steinberg GD, Tyson MD, Lotan Y, Daneshmand S; Blue Light Cystoscopy with Cysview Registry Group. Is a restaging TURBT necessary in high-risk NMIBC if the initial TURBT was performed with blue light? Urol Oncol. 2023 Feb;41(2):109.e9-109.e14. doi: 10.1016/j.urolonc.2022.10.026. Epub 2022 Nov 24.
- Daneshmand S, Bazargani ST, Bivalacqua TJ, Holzbeierlein JM, Willard B, Taylor JM, Liao JC, Pohar K, Tierney J, Konety B; Blue Light Cystoscopy with Cysview Registry Group. Blue light cystoscopy for the diagnosis of bladder cancer: Results from the US prospective multicenter registry. Urol Oncol. 2018 Aug;36(8):361.e1-361.e6. doi: 10.1016/j.urolonc.2018.04.013. Epub 2018 May 30.
- Matulewicz RS, Ravvaz K, Weissert JA, Porten S, Steinberg GD; Blue Light Cystoscopy with Cysview Registry Group. Association of smoking status and recurrence of non-muscle invasive bladder cancer among patients managed with blue light cystoscopy. Urol Oncol. 2021 Dec;39(12):833.e19-833.e26. doi: 10.1016/j.urolonc.2021.04.028. Epub 2021 May 28.
- Ghoreifi A, et al. Upstaging and risk migration with blue light cystoscopy for non-muscle-invasive bladder cancer: Results from a prospective multi-center registry. J Clin Oncol. 2025 Feb;43(5 Suppl):686. https://doi.org/10.1200/JCO.2025.43.5_suppl.686
- Ladi-Seyedian SS, Ghoreifi A, Konety B, Pohar K, Holzbeierlein JM, Taylor J, Kates M, Willard B, Taylor JM, Liao JC, Kaimakliotis HZ, Porten SP, Steinberg GD, Tyson MD, Lotan Y, Daneshmand S, Blue Light Cystoscopy With Cysview Registry Group. Racial Differences in the Detection Rate of Bladder Cancer Using Blue Light Cystoscopy: Insights from a Multicenter Registry. Cancers (Basel). 2024 Mar 24;16(7):1268. doi: 10.3390/cancers16071268.
- Perez-Londono A, et al. Performance of the EORTC and CUETO risk prediction models in contemporary patients undergoing transurethral resection of bladder tumor with blue light cystoscopy. J Urol. 2025;213(5 Suppl):e105.
- Perez-Londono A, et al. Predicting recurrence and progression in contemporary patients with NMIBC undergoing blue light cystoscopy-aided transurethral resection of bladder tumor. J Urol. 2025;213(5 Suppl):e101.
- Ghoreifi A, Daneshmand S. Technical Considerations to Minimize False-Positive Findings in Blue Light Cystoscopy for Nonmuscle-Invasive Bladder Cancer. J Urol. 2025 Jan;213(1):5-7. doi: 10.1097/JU.0000000000004250. Epub 2024 Sep 16. No abstract available.
- Daneshmand S, Patel S, Lotan Y, Pohar K, Trabulsi E, Woods M, Downs T, Huang W, Jones J, O'Donnell M, Bivalacqua T, DeCastro J, Steinberg G, Kamat A, Resnick M, Konety B, Schoenberg M, Jones JS; Flexible Blue Light Study Group Collaborators. Efficacy and Safety of Blue Light Flexible Cystoscopy with Hexaminolevulinate in the Surveillance of Bladder Cancer: A Phase III, Comparative, Multicenter Study. J Urol. 2018 May;199(5):1158-1165. doi: 10.1016/j.juro.2017.11.096. Epub 2017 Dec 2.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Male Urogenital Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Neoplasms by Histologic Type
- Neoplasms, Glandular and Epithelial
- Urologic Neoplasms
- Carcinoma
- Urinary Bladder Diseases
- Non-Muscle Invasive Bladder Neoplasms
- Urinary Bladder Neoplasms
- Therapeutics
- Drug Therapy
- Drug Delivery Systems
- 5-aminolevulinic acid hexyl ester
Other Study ID Numbers
Other Study ID Numbers
- BLCCR-001
Drug and device information, study documents
product manufactured in and exported from the U.S.
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