Glycosaminoglycan Scores as Early Detection Biomarkers in Bladder Urothelial Carcinoma
Study Details
Study Description
Brief Summary
Early detection of bladder cancer (BCa) is considered an effective strategy to curb mortality from the disease. However, current urinary biomarkers have insufficient specificity to warrant BCa screening. Urine free glycosaminoglycan profiles (or GAGomes) are promising noninvasive biomarkers of cancer metabolism. In this study, samples are obtained from patients with BCa and controls to compare the glycosaminoglycan profiles between groups.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Bladder cancer
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Diagnostic Test: Free glycosaminoglycan profiling
Free glycosaminoglycan profiling (GAGome) analysis was performed at a single blinded central laboratory using commercial kits wherein the concentration (in µg/mL) of 17 chondroitin sulfate (CS), heparan sulfate (HS), hyaluronic acid (HA) disaccharides were detected and quantified using a UHPLC-MS/MS system.
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No evidence of disease
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Diagnostic Test: Free glycosaminoglycan profiling
Free glycosaminoglycan profiling (GAGome) analysis was performed at a single blinded central laboratory using commercial kits wherein the concentration (in µg/mL) of 17 chondroitin sulfate (CS), heparan sulfate (HS), hyaluronic acid (HA) disaccharides were detected and quantified using a UHPLC-MS/MS system.
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Outcome Measures
Primary Outcome Measures
- Area-under-the-receiving operating characteristic (ROC)-curve (AUC) for the classification of BCa versus NED [Before primary surgery for BCa; at a post-surgical follow-up visit for controls up to 5 years from primary surgery]
Eligibility Criteria
Criteria
Cases (Bladder cancer [BCa])
Inclusion Criteria:
- Primary BCa diagnosis at cystoscopy, planned for TURB
Exclusion Criteria:
- No histopathological diagnosis of BCaTa-T4 N0-2 MX-0 after TURB
Controls (No evidence of disease [NED])
Inclusion Criteria:
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In follow-up with cystoscopy after treatment Ta-T3 N0-2 M0 BCa or upper tract urothelial cancer no evidence of disease at cystoscopy for at least 6 months prior to inclusion
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No history of cancer except urothelial
Exclusion Criteria:
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Positive cytology at inclusion visit
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Intravesical instillation therapy during 6 months prior to inclusion visit
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Department of Urology, Institute of Clinical Science, Sahlgrenska Academy, University of Gothenburg | Gothenburg | Sweden |
Sponsors and Collaborators
- Jens Nielsen
- Göteborg University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- GAG-BCa-001