Non-muscle-invasive Bladder CancerEVALUATIONNCT05864599
External Validation of Uromonitor as a Biomarker for Optimization of NMIBC Management by the CUETO Group
An observational study of Non-muscle-invasive Bladder Cancer, run by Pharmalink at 1 site in Spain.
Trial summary
Independent validation of Uromonitor as a non-invasive biomarker of recurrence of Non Muscle Invasive Bladder Cancer Read more about this study
- Who is it for?
- Ages 22 years and older
- Conditions the study is for
- Non-muscle-invasive Bladder Cancer
- How many people
- 600 participants
- Where
- 1 siteSpain
- Study dates
- 16 Jun 2023to Jun 2024
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 22 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Patients with a history of non-muscle invasive bladder cancer (any risk group, any intravesical adjuvant treatment received) over the last 3 months to 2 years, initial or recurrent, undergoing regular cystoscopic surveillance.
Who may be able to join
- Main Outcome:
- Age >22.
- Patients with a history of non-muscle invasive bladder cancer (any risk group, any intravesical adjuvant treatment received) over the last 3 months to 2 years, initial or recurrent, undergoing regular cystoscopic surveillance. The criteria for cystoscope FU schedule has been already described in Methods following EAU 2022 Guidelines´ recommendations and related to initial NMIBC risk grouping.
- Patient must be able to provide at least 10 ml of urine.
- Additional 10 ml of urine needs to be collected for cytology.
- Patients must be able to provide informed consent
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- 2.- Subgroup analysis (secondary Objective 1):
- Age >22
- Patients with a history of primary non-muscle invasive bladder cancer with presence of CIS over the last 3 months to 3 years, and previously treated with BCG undergoing regular cystoscopic surveillance.
- Patient must be able to provide at least 10 ml of urine.
- Additional 10 ml of urine needs to be collected for cytology.
- Patients must be able to provide informed consent.
- 3.- Subgroup analysis (secondary Objective 2):
- Age >22
- Patients included in both previous groups, having a positive Uromonitor® test and a negative cystoscopy to be followed by two years as previously described depending on initial NMIBC risk group. The rest of the patients will also be followed 2 years to detect later recurrences/progression figures.
Who cannot join
- Patients who are unable to provide the minimum amount of urine needed to perform one test.
- Patients planning to undergo radical cystectomy or chemotherapy, radiation for UC
- Patients at risk for non-definitive information derived from the cystoscope due to different conditions:
- Not possible to ascertain informative cystoscope due to intolerance to the procedure
- Presence of bladder stone
- Presence of entero-vesical fistulae
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- Presence of vesico-vaginal fistulae
- Non informative cystoscope due to macroscopic haematuria or cloudy urine
- Other conditions avoiding a clear tumour rule-out cystoscope
Trial locations and contacts
1 site in 1 country.
About this study
Independent validation of Uromonitor as a non-invasive biomarker of recurrence of Non Muscle Invasive Bladder Cancer
Read the detailed description
This study is intended as an independent validation series for previous studies performed in several European centers with less statistical power. We expect to validate the results from a previous study, reaching the sensitivity and specificity data obtained at generation and first external validation papers. The overall goal of this study is to perform a bigger external multicenter validation study to evaluate the sensitivity, specificity, NPV and PPV of Uromonitor for the detection of bladder cancer recurrence in an independent series of patients.
The specific objectives of this study protocol are the following:
Main endpoint:
- To evaluate the clinical sensitivity, specificity, NPV and PPV of Uromonitor in the detection of bladder cancer recurrence in patients previously diagnosed (over the last 3 months to 2 years) of NMIBC, treated or not, by testing a total of 600 patients (EVALUATION-CUETO Study)
- Conditions
- Non-muscle-invasive Bladder Cancer
- Medical subject headings
- Non-Muscle Invasive Bladder Neoplasms
What is being measured
The primary outcome is the main question the study is designed to answer.
Sensitivity, specificity, NPV and PPV of Uromonitor
To evaluate the clinical sensitivity, specificity, NPV and PPV of Uromonitor in the detection of bladder cancer recurrence in patients previously diagnosed (over the last 3 months to 2 years) of NMIBC, treated or not
Measured: 2 years after diagnosis
Secondary outcomes (2)
Statistics in CIS, treated or not
To evaluate the clinical sensitivity and specificity of Uromonitor in the detection of bladder cancer recurrence in patients previously diagnosed (over the last 3 months to 3 years) of NMIBC with carcinoma in situ (CIS) associated and treated with BCG
Measured: 2 years after diagnosis
Early diagnostics
To check if Uromonitor can provide some early diagnostics of NIMBC by following for two years a group of false positive patients of both previous groups (Uromonitor Positive / Cystoscopy Negative)
Measured: 4 years after diagnosis
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 May 2023
- Study start16 Jun 2023
- Primary completionMay 2024 (estimated)
- Study completionJun 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Non-muscle-invasive Bladder CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Prospective
- Enrolment
- 600 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Pharmalink
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- José Rubio-Briones, MD PhD, Principal investigator, Hospital 9 d'Octubre
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05864599
- Sponsor's protocol ID
- PIEM-AEU-2023-0001
- Acronym
- EVALUATION
- Status last verified
- Apr 2024
- First submitted
- 9 May 2023
- Last updated
- 3 Apr 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Rubio-Briones J, Guerrero Ramos F, Mercade Sanchez A, Bezana Abadia I, Martin Rodriguez R, Alcaraz A, Miqueleiz Legaz M, Lozano F, Arrabal Martin M, Luis Cardo A, Gonzalo Rodriguez V, Cano Velasco J, Serrano Liesa M, Ferreiro Pareja C, Espilez Ortiz R, Gonzalez-Valcarcel de Torres I, Sanchez Zalabardo D, Guijarro A, Mengual L, Borque-Fernando A, Esteban Escano LM, Palou Redorta J, Witjes F, Martinez Pineiro L. Digital Uromonitor(R) outperforms quantitative polymerase chain reaction Uromonitor and cytology for non-muscle-invasive bladder cancer surveillance: results from the 'External Validation of Uromonitor as a Biomarker for Optimization of NMIBC Management by the Club Urologico Espanol de Tratamiento Oncologico Group' (EVALUATION-CUETO) study. BJU Int. 2026 Jul;138(1):75-84. doi: 10.1111/bju.70230. Epub 2026 Apr 6.
PubMed 41941336
Study at a glance
From the registry record, last updated by the sponsor on 3 Apr 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- External Validation of Uromonitor as a Biomarker for Optimization of NMIBC Management by the CUETO Group
- ClinicalTrials.gov ID
- NCT05864599
- Acronym / sponsor ID
- EVALUATION / PIEM-AEU-2023-0001
- Conditions
- Non-muscle-invasive Bladder Cancer
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 600 participants (estimated)
- Lead sponsor
- PharmalinkIndustry (pharma, biotech, devices)
- Study start
- 16 Jun 2023 (actual)
- Primary completion
- May 2024 (estimated)
- Study completion
- Jun 2024 (estimated)
- First posted
- 18 May 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Independent validation of Uromonitor as a non-invasive biomarker of recurrence of Non Muscle Invasive Bladder Cancer
Detailed description
This study is intended as an independent validation series for previous studies performed in several European centers with less statistical power. We expect to validate the results from a previous study, reaching the sensitivity and specificity data obtained at generation and first external validation papers. The overall goal of this study is to perform a bigger external multicenter validation study to evaluate the sensitivity, specificity, NPV and PPV of Uromonitor for the detection of bladder cancer recurrence in an independent series of patients.
The specific objectives of this study protocol are the following:
Main endpoint:
- To evaluate the clinical sensitivity, specificity, NPV and PPV of Uromonitor in the detection of bladder cancer recurrence in patients previously diagnosed (over the last 3 months to 2 years) of NMIBC, treated or not, by testing a total of 600 patients (EVALUATION-CUETO Study)
Study design
- Observational model
- Other
- Time perspective
- Prospective
Who may qualify
- Ages
- 22 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients with a history of non-muscle invasive bladder cancer (any risk group, any intravesical adjuvant treatment received) over the last 3 months to 2 years, initial or recurrent, undergoing regular cystoscopic surveillance.
Key inclusion criteria (15 listed)
- Age >22.
- Patients with a history of non-muscle invasive bladder cancer (any risk group, any intravesical adjuvant treatment received) over the last 3 months to 2 years, initial or recurrent, undergoing regular cystoscopic surveillance. The criteria for cystoscope FU schedule has been already described in Methods following EAU 2022 Guidelines´ recommendations and related to initial NMIBC risk grouping.
- Patient must be able to provide at least 10 ml of urine.
- Additional 10 ml of urine needs to be collected for cytology.
- Patients must be able to provide informed consent
Key exclusion criteria (9 listed)
- Patients who are unable to provide the minimum amount of urine needed to perform one test.
- Not possible to ascertain informative cystoscope due to intolerance to the procedure
- Presence of bladder stone
- Presence of entero-vesical fistulae
- Presence of vesico-vaginal fistulae
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Sensitivity, specificity, NPV and PPV of Uromonitor
Time frame: 2 years after diagnosis
To evaluate the clinical sensitivity, specificity, NPV and PPV of Uromonitor in the detection of bladder cancer recurrence in patients previously diagnosed (over the last 3 months to 2 years) of NMIBC, treated or not
2 secondary outcomes
Statistics in CIS, treated or not
Time frame: 2 years after diagnosis
Early diagnostics
Time frame: 4 years after diagnosis
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Apr 2024.
- Derived from this study: PubMed 41941336Rubio-Briones J, Guerrero Ramos F, Mercade Sanchez A, Bezana Abadia I, Martin Rodriguez R, Alcaraz A, Miqueleiz Legaz M, Lozano F, Arrabal Martin M, Luis Cardo A, Gonzalo Rodriguez V, Cano Velasco J, Serrano Liesa M, Ferreiro Pareja C, Espilez Ortiz R, Gonzalez-Valcarcel de Torres I, Sanchez Zalabardo D, Guijarro A, Mengual L, Borque-Fernando A, Esteban Escano LM, Palou Redorta J, Witjes F, Martinez Pineiro L. Digital Uromonitor(R) outperforms quantitative polymerase chain reaction Uromonitor and cytology for non-muscle-invasive bladder cancer surveillance: results from the 'External Validation of Uromonitor as a Biomarker for Optimization of NMIBC Management by the Club Urologico Espanol de Tratamiento Oncologico Group' (EVALUATION-CUETO) study. BJU Int. 2026 Jul;138(1):75-84. doi: 10.1111/bju.70230. Epub 2026 Apr 6.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
José Rubio-Briones, MD PhD principal investigator
Hospital 9 d'Octubre
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Non-muscle-invasive Bladder Cancer, run by Pharmalink at 1 site in Spain.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 15 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 3 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Sensitivity, specificity, NPV and PPV of Uromonitor (time frame: 2 years after diagnosis). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05864599, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Apr 2024.