Clinical trial Recruiting at 5 sites Observational Ages 45 and up

European validation of Bladder EpiCheck for haematuria

Official title: Evaluation of the Efficacy of Bladder EpiCheck® for the Primary Detection of Urothelial Carcinoma in Subjects Presenting With Haematuria

Run by Nucleix Ltd. · NCT06818136 · Data updated 2026-11-12

This project will see if the Bladder EpiCheck urine methylation test can detect urothelial cancer in people aged 45 and older who have visible or non-visible blood in their urine.

More Urothelial Carcinoma Bladder trials

Quick facts

Study typeObservational
Ages45 Years and up
SexAll
Enrollment800 (estimated)
SponsorNucleix Ltd.
Industry-sponsored
Locations5 sites (Dunfermline, Fife and 4 other locations)
StatusRecruiting
StartedJune 20, 2025
Main results expectedAugust 2026
Study endsDecember 2026
Registry record updatedJanuary 22, 2026
Trial IDNCT06818136 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 45 or older with visible or non-visible haematuria who can provide at least 10 mL of voided urine and are scheduled for standard-of-care cystoscopy within 60 days are the ideal candidates.

Probably not a fit

People with prior urothelial cancer, recent cystoscopy for haematuria, untreated urinary tract infection, recent treatment for prostate or kidney cancer, symptomatic urinary stones, or inability to provide a urine sample are unlikely to benefit from this validation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study enrolls adults aged 45 or older who present with visible or non-visible haematuria and are scheduled for cystoscopy. Participants provide a voided urine sample that is tested with the Bladder EpiCheck methylation assay, and results are compared against cystoscopy findings and pathology when available. Clinical data from the standard haematuria work-up are collected without changing routine care. The aim is to validate the sensitivity and specificity of Bladder EpiCheck for primary detection of urothelial carcinoma across several UK centres.

Why it matters

Potential benefit: If successful, the test could help detect urothelial cancers from urine and reduce the need for invasive cystoscopy in some patients.

How similar studies have gone: Prior studies of Bladder EpiCheck and other urinary methylation assays have shown promising sensitivity and specificity for detecting bladder cancer, but results have varied and further validation in haematuria populations is ongoing.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Participants aged 45 years or older
2. Participants who are willing and able to provide written informed consent and adhere to study procedures
3. Participants presenting with visible and/or non-visible haematuria within 6 months prior to study enrollment
4. Participants scheduled to undergo standard of care cystoscopy for urinary bladder examination within 60 days after study enrollment
5. Participants who are able to produce at least 10 ml of voided urine

Exclusion Criteria:

1. Participants with history of urothelial cancer in the bladder and/or upper urinary tract
2. Participants who had prior cystoscopy for haematuria within the past 2 years
3. Participants previously enrolled in this study
4. Participants treated for prostate cancer within the last 12 months
5. Participants treated for kidney cancer within the last 12 months
6. Participants with untreated urinary tract infection
7. Participants with symptomatic urinary tract stones (e.g. flank pain)
8. Participants on dialysis for end stage renal failure
9. Participants with a long term urinary catheter
10. Pregnancy (self-reported)
11. Participants who, because of medical status, or frailty is not expected to be able to complete the full diagnostic pathway

Where it's running

  • NHS Fife
    Dunfermline, Fife, United Kingdom
    Recruiting
  • Addenbrooke's Hospital
    Cambridge, United Kingdom
    Recruiting
  • NHS Lothian
    Edinburgh, United Kingdom
    Recruiting
  • Guy's and St Thomas
    London, United Kingdom
    Recruiting
  • Frimley
    Surrey Quays, United Kingdom
    Recruiting

Study contacts

  • Principal investigator: Paramananthan Mariappan, MB BS PhD FRCS(Urol) FEBU FRCS — Western General Hospital, Edinburgh
  • Study coordinator: Vered Yayon
  • Email: vered.y@nucleix.com
  • Phone: +972-8-9161616

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.