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.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 45 Years and up |
| Sex | All |
| Enrollment | 800 (estimated) |
| Sponsor | Nucleix Ltd. Industry-sponsored |
| Locations | 5 sites (Dunfermline, Fife and 4 other locations) |
| Status | Recruiting |
| Started | June 20, 2025 |
| Main results expected | August 2026 |
| Study ends | December 2026 |
| Registry record updated | January 22, 2026 |
| Trial ID | NCT06818136 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
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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
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.