Survivin Urine mRNA Assay Risk of Bladder Cancer Study
Evaluation of the Survivin Urine mRNA Assay to Estimate Risk of Bladder Cancer Found on Cystoscopy
研究概览
地位
条件
详细说明
Bladder cancer is the fourth most common cancer in men and ninth most common cancer in women, accounting for more than 60,000 new cases and ~12,000 deaths in North America in 2004. Cystoscopy and urinary cytology is the standard of care for detection of bladder cancer, but cystoscopy is expensive and invasive, while cytology has low sensitivity. New, noninvasive, diagnostic tools for bladder cancer detection have been developed, but their application in clinical practice has been limited due to low sensitivity and specificity of the assays. Survivin, an anti-apoptotic protein, is capable of regulating both cell proliferation and apoptotic cell death, and is over-expressed in most human cancers but not in normal adult tissues. The purpose of this clinical trial is to evaluate the ability of urinary Survivin mRNA measurement to estimate the risk of bladder cancer at the time of cystoscopy in subjects with no prior history of bladder cancer presenting with microscopic or macroscopic hematuria.
This study is designed to be a prospective, multicenter, double blind, clinical study in subjects >50 years old with no prior history of bladder cancer and confirmed hematuria (microscopic and/or macroscopic) presenting to a urologist.
The primary objective of the study is to estimate the risk of bladder cancer at the time of cystoscopy in subjects >50 years old with no prior history of bladder cancer and confirmed hematuria using urinary Survivin mRNA levels.
The secondary objective of the study is for comparison of a multivariate predictive algorithm using urinary Survivin mRNA levels and subject risk factors, such as age, sex, race, and smoking history, for estimation of the risk of bladder cancer at the time of cystoscopy in subjects >50 years old with no prior history of bladder cancer and confirmed hematuria to the use of urinary Survivin mRNA levels alone.
研究类型
注册
联系人和位置
学习地点
-
-
Pennsylvania
-
Malvern、Pennsylvania、美国、19355
- Fujirebio Diagnostics, Inc
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
研究人群
描述
Inclusion Criteria:
- Able to understand and sign Informed Consent;
- Age >50 years old;
- Males or females;
- Subjects must have confirmed micro-hematuria, defined as any positive urine reagent strip test for blood (i.e. finding of "Trace" or higher amounts of blood) and/or >3 RBC per high power field on microscopic examination, or macro-hematuria, defined as visible blood in the urine sample;
- All subjects must be scheduled to undergo a cystoscopy evaluation;
- All subjects must have upper tract imaging performed within +/- 4 weeks of the cystoscopic evaluation.
Exclusion Criteria:
- Previous history of bladder cancer;
- Previous history of other cancers except for non-melanoma skin cancer;
- Prior pelvic radiation;
- Active urinary or vaginal infection;
- Any evidence of vaginal or rectal bleeding;
- Currently receiving chemotherapies such as cyclophosphamide or methotrexate;
- Unable to provide informed consent or a high risk that the subject may not comply with the protocol requirements.
学习计划
研究是如何设计的?
设计细节
合作者和调查者
调查人员
- 研究主任:William J Allard, PhD、Fujirebio Diagnostics, Inc.
- 首席研究员:Jose G Moreno, MD、Tri County Urologic Associates, PC
研究记录日期
研究主要日期
学习开始
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.