Irrigation Fluid Absorption and Perioperative cfDNA Changes in TURBT for Bladder Cancer
Official title: A Predictive Model for Recurrence and Progression Risk After TURBT for Bladder Cancer on Intraoperative Irrigation Fluid Absorption Volume and Perioperative cfDNA Levels
Run by Lanzhou University Second Hospital · NCT07589413 · Data updated 2026-11-12
This study tests whether the amount of irrigation fluid absorbed during TURBT is linked to changes in tumor DNA circulating in the blood in patients with bladder cancer.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | Lanzhou University Second Hospital Academic / other |
| Locations | 1 site (Lanzhou, Gansu) |
| Status | Recruiting |
| Started | April 1, 2026 |
| Main results expected | April 1, 2027 |
| Study ends | April 1, 2027 |
| Registry record updated | May 15, 2026 |
| Trial ID | NCT07589413 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 or older with suspected or histologically confirmed urothelial bladder carcinoma scheduled for TURBT and able to provide blood samples and informed consent.
✕Probably not a fit
Patients without detectable tumor-derived cfDNA or with confounding perioperative factors may not see a direct benefit from cfDNA analyses.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective observational cohort study involving adults with suspected or confirmed urothelial bladder cancer undergoing TURBT. Researchers will measure how much irrigation fluid is absorbed during surgery and collect blood before and within 24 hours after TURBT to analyze cell-free DNA and tumor mutations. They will examine whether irrigation fluid absorption correlates with cfDNA dynamics, tumor characteristics, and perioperative factors, and will follow patients for recurrence, progression, and other outcomes. The study is conducted at The Second Hospital of Lanzhou University in China, led by Zhiping Wang, without an interventional treatment component.
Why it matters
Potential benefit: If a link is found, cfDNA monitoring around TURBT could help refine prognostic assessment and postoperative surveillance for bladder cancer.
How similar studies have gone: Previous work has explored cfDNA in bladder cancer, but linking intraoperative irrigation fluid absorption to perioperative cfDNA dynamics is novel and exploratory.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age 18 years or older. 2. Suspected or histologically confirmed urothelial carcinoma of the bladder. 3. Scheduled to undergo TURBT. 4. Availability of sufficient peripheral blood samples for cfDNA extraction and mutation analysis. 5. Availability of complete clinicopathological and perioperative data. 6. Ability to provide informed consent and comply with study follow-up. Exclusion Criteria: 1. Non-urothelial bladder malignancy confirmed by pathology. 2. History of other malignant tumors within the past 5 years, except adequately treated non-melanoma skin cancer or carcinoma in situ of the cervix. 3. Previous radical cystectomy or systemic antitumor therapy before enrollment. 4. Inadequate blood sample quality or insufficient DNA yield for mutation analysis. 5. Pregnancy or breastfeeding. 6. Serious uncontrolled intercurrent illness that may interfere with study participation, follow-up, or compliance, including active infection, symptomatic congestive heart failure, unstable angina, clinically significant arrhythmia, severe psychiatric illness, or other conditions judged by the investigator to make participation unsuitable.
Where it's running
-
The Second Hospital of Lanzhou University
Lanzhou, Gansu, China Recruiting
Study contacts
- Principal investigator: Zhiping Wang — Lanzhou University Second Hospital
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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.