Reducing invasive tests for patients with blood in urine
Official title: Safely Reduce Cystoscopic Evaluations for Hematuria Patients
Run by Erasmus Medical Center · NCT06026189 · Data updated 2026-11-12
This study is testing a new urine test to see if it can help people with blood in their urine avoid unnecessary invasive procedures while still checking for serious conditions like bladder cancer.
Quick facts
| Study type | Interventional |
|---|---|
| Sex | All |
| Enrollment | 1100 (estimated) |
| Sponsor | Erasmus Medical Center Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (Rotterdam) |
| Status | Recruiting |
| Started | May 31, 2023 |
| Main results expected | May 31, 2026 |
| Study ends | May 31, 2027 |
| Registry record updated | September 6, 2023 |
| Trial ID | NCT06026189 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are male patients aged 40 and older or female patients aged 50 and older with confirmed microscopic hematuria.
✕Probably not a fit
Patients with a history of urothelial bladder or urinary tract cancer or those presenting with visible hematuria will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The SeARCH-trial evaluates the effectiveness of a molecular urine test as a primary diagnostic tool for patients with microscopic hematuria, which can indicate serious conditions like bladder cancer. Currently, most patients undergo invasive procedures such as cystoscopy, despite a low cancer risk of 2-5%. This trial aims to implement a 'urine-first' strategy, where only those with abnormal urine test results will proceed to invasive diagnostics. The study will also assess patient preferences, reported outcomes, and healthcare costs to determine the overall impact on patient quality of life.
Why it matters
Potential benefit: If successful, this approach could significantly reduce unnecessary invasive procedures and improve patient comfort and resource allocation.
How similar studies have gone: Previous studies have shown promising results with similar urine assays, indicating potential for this novel approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Microscopically confirmed microscopic hematuria of voided urine defined as ≥3 erythrocytes per high power field * Male patients ≥40 years * Female patients ≥50 years Exclusion Criteria: * History of urothelial bladder- or urinary tract cancer * Presence of macroscopic (visible) hematuria * Woman who is or may be pregnant
Where it's running
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SeARCH-trial Pijpers
Rotterdam, Netherlands Recruiting
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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.