Urine-based Molecular Testing vs Cystoscopy for Surveillance of Nonmuscle Invasive Bladder Cancer (NMIBC)

NCT ID: NCT06126796

Last Updated: 2026-01-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

107 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-11-16

Study Completion Date

2025-09-08

Brief Summary

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The purpose of this study is to evaluate patient-reported preference for urine based molecular testing (CxBladder Monitor) compared to cystoscopy for patients on surveillance for Nonmuscle Invasive Bladder Cancer (NMIBC). Urine based molecular testing involves noninvasive testing of a urine sample for biomarkers associated with disease recurrence. Cystoscopy is an examination of the bladder and urethra using a thin tube like instrument that is inserted into the urethra.

Detailed Description

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Conditions

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Non-muscle Invasive Bladder Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Arm A: CxBladder followed by cystoscopy

Arm A will undergo testing with CxBladder 3 months after randomization followed by a cystoscopy 3 months thereafter

CxBladder Monitor

Intervention Type DIAGNOSTIC_TEST

CxBladder Monitor (CxbM) is an FDA-approved genomic biomarker test specifically designed for patients undergoing surveillance for NMIBC. The non-invasive urine test quantifies 5 measured biomarker genes (MDK, HOXA13, CDC2 (CDK1), IGFBP5, CXCR2) and incorporates this information into an algorithm to detect the presence or absence of bladder cancer.

Cystoscopy

Intervention Type DIAGNOSTIC_TEST

Cystoscopy is the most common way surveillance has been performed for NMIBC. Cystoscopy is a procedure that allows your doctor to examine the lining of your bladder and the tube that carries urine out of your body (urethra). A hollow tube (cystoscope) equipped with a lens is inserted into your urethra and slowly advanced into your bladder.

Arm B: cystoscopy followed by CxBladder

Arm B will undergo cystoscopy 3 months after randomization followed by testing with CxBladder 3 months thereafter.

CxBladder Monitor

Intervention Type DIAGNOSTIC_TEST

CxBladder Monitor (CxbM) is an FDA-approved genomic biomarker test specifically designed for patients undergoing surveillance for NMIBC. The non-invasive urine test quantifies 5 measured biomarker genes (MDK, HOXA13, CDC2 (CDK1), IGFBP5, CXCR2) and incorporates this information into an algorithm to detect the presence or absence of bladder cancer.

Cystoscopy

Intervention Type DIAGNOSTIC_TEST

Cystoscopy is the most common way surveillance has been performed for NMIBC. Cystoscopy is a procedure that allows your doctor to examine the lining of your bladder and the tube that carries urine out of your body (urethra). A hollow tube (cystoscope) equipped with a lens is inserted into your urethra and slowly advanced into your bladder.

Interventions

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CxBladder Monitor

CxBladder Monitor (CxbM) is an FDA-approved genomic biomarker test specifically designed for patients undergoing surveillance for NMIBC. The non-invasive urine test quantifies 5 measured biomarker genes (MDK, HOXA13, CDC2 (CDK1), IGFBP5, CXCR2) and incorporates this information into an algorithm to detect the presence or absence of bladder cancer.

Intervention Type DIAGNOSTIC_TEST

Cystoscopy

Cystoscopy is the most common way surveillance has been performed for NMIBC. Cystoscopy is a procedure that allows your doctor to examine the lining of your bladder and the tube that carries urine out of your body (urethra). A hollow tube (cystoscope) equipped with a lens is inserted into your urethra and slowly advanced into your bladder.

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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CxBladder CxbM

Eligibility Criteria

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Inclusion Criteria

* Male or female with a history of histologically confirmed nonmuscle invasive bladder cancer (NMIBC) who have at least 6 months of disease-free survival from last recurrence.
* Able to provide urine for testing and comply with study protocol.
* Have an email address and be willing to complete surveys online.

Exclusion Criteria

* History of non-urothelial bladder cancer (primary squamous, adenocarcinoma, and small cell carcinoma)
* Patients with predominant (\>50%) variant histology
* Patients with a history of upper tract and/or urethral cancer
* Women who are pregnant
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Mark D. Tyson II, M.D., M.P.H.

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mark D. Tyson, M.D., M.P.H.

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Mayo Clinic in Arizona

Scottsdale, Arizona, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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23-008567

Identifier Type: OTHER

Identifier Source: secondary_id

NCI-2023-09278

Identifier Type: REGISTRY

Identifier Source: secondary_id

MDT-CxB-01

Identifier Type: -

Identifier Source: org_study_id

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