Bladder Cancer
Conditions
Brief summary
T1G3 bladder cancer is a heterogeneous disease with a high risk of disease persistence after the first TUR-B, understaging, disease progression, bladder removal, and mortality. Current risk stratification is insufficient and needs improvement. Ct-DNA could identify patients with disease persistence, progression and could monitor and tailor therapy. It might improve patient risk stratification, avoiding under- and overtreatment, reducing morbidity and mortality. Primary objective is to investigate the detectability of ct-DNA in T1G3 urothelial bladder cancer patients and build a biobank through collection of different sample types (urine, plasma) in T1G3 bladder cancer patients which allows future retrospective testing.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* patients \> 18 years of age, able to give informed consent as documented by signature, * patients with a cystoscopically proven bladder cancer, suspicious for T1 stage, who will undergo TUR-B
Exclusion criteria
* Patients with metastases or concomitant upper tract tumor at diagnosis will * Patients with non T1 G3 cancers * Patients with upstaging, either at re-TUR-B or after immediate radical cystectomy * Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc. * Vulnerable persons (e.g. \< 18y of age, unable to consent to the study)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Detectability of ct-DNA in T1G3 urothelial bladder cancer patients | From start of treatment 36 Months | Primary endpoint is the detectability of ct-DNA in T1G3 urothelial bladder cancer patients, whether there are dynamic changes during the different treatment steps (after TUR-BT, after re-TUR-BT, during instillation therapy) and if ct-DNA is predictive / prognostic in T1G3 urothelial bladder cancer patients. |
Countries
Switzerland
Contacts
Universitätsspital Basel