Using Urine Tumor DNA to De-Intensify Surveillance in Non-Muscle Invasive Bladder Cancer

NCT ID: NCT07187063

Last Updated: 2025-09-22

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

RECRUITING

Clinical Phase

NA

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-01-01

Study Completion Date

2029-01-01

Brief Summary

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The goal of this clinical trial is to use urine tumor DNA (utDNA) as an indicator for non-muscle invasive bladder cancer to identify patients suitable for less frequent cystoscopy surveillance.

Detailed Description

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Conditions

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Non-muscle Invasive Bladder Cancer (NMIBC)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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De-Intensified Arm

Less-frequent cystoscopy surveillance

Group Type EXPERIMENTAL

UroAmp Test (Convergent Genomics, Inc.)

Intervention Type DIAGNOSTIC_TEST

Non-invasive genomic urine test that can reliably detect, monitor, and predict the risk of urothelial cancer or its recurrence, potentially before signs and symptoms develop or become detectable by historical standards of care.

Standard Surveillance Arm

Regular follow-ups and standard care

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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UroAmp Test (Convergent Genomics, Inc.)

Non-invasive genomic urine test that can reliably detect, monitor, and predict the risk of urothelial cancer or its recurrence, potentially before signs and symptoms develop or become detectable by historical standards of care.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* AUA high-risk bladder cancer1
* Received induction BCG or gemcitabine/docetaxel
* Negative initial post-induction therapy assessment (negative cytology and cystoscopy +/- biopsy)

Exclusion Criteria

* High-risk NMIBC within 3 years
* Prior induction intravesical therapy
* Variant histology
* Concurrent upper tract disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lahey Clinic

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Matthew B Clements, MD, MS

Role: PRINCIPAL_INVESTIGATOR

Lahey Hospital & Medical Center

Locations

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Lahey Hospital and Medical Center

Burlington, Massachusetts, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Linda Topjian

Role: CONTACT

7817448420

Colette Osborne

Role: CONTACT

Facility Contacts

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Linda Topjian

Role: primary

7817448711

References

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Clinical Trials in Progress: Bladder Cancer: Monday, April 28, 9-11 am. Journal of Urology. https://doi.org/10.1097/01.JU.0001110440.53375.7d

Reference Type BACKGROUND

Salari K, Sundi D, Lee JJ, Wu S, Wu CL, DiFiore G, Yan QR, Pienkny A, Lee CK, Oberlin D, Barme G, Piser J, Kahn R, Collins E, Phillips KG, Caruso VM, Goudarzi M, Garcia-Ransom M, Lentz PS, Evans-Holm ME, MacBride AR, Fischer DS, Haddadzadeh IJ, Mazzarella BC, Gray JW, Koppie TM, Bicocca VT, Levin TG, Lotan Y, Feldman AS. Development and Multicenter Case-Control Validation of Urinary Comprehensive Genomic Profiling for Urothelial Carcinoma Diagnosis, Surveillance, and Risk-Prediction. Clin Cancer Res. 2023 Sep 15;29(18):3668-3680. doi: 10.1158/1078-0432.CCR-23-0570.

Reference Type BACKGROUND
PMID: 37439796 (View on PubMed)

Bicocca VT, Phillips KG, Fischer DS, Caruso VM, Goudarzi M, Garcia-Ransom M, Lentz PS, MacBride AR, Jensen BW, Mazzarella BC, Koppie T, Korkola JE, Gray JW, Levin TG. Urinary Comprehensive Genomic Profiling Correlates Urothelial Carcinoma Mutations with Clinical Risk and Efficacy of Intervention. J Clin Med. 2022 Sep 30;11(19):5827. doi: 10.3390/jcm11195827.

Reference Type BACKGROUND
PMID: 36233691 (View on PubMed)

Related Links

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https://sites.google.com/view/deintensifyutdna/home?authuser=0

Patient-oriented presentation on the study

Other Identifiers

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20233622

Identifier Type: -

Identifier Source: org_study_id

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