Clinical trial Recruiting at 1 site Interventional

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 typeInterventional
SexAll
Enrollment1100 (estimated)
SponsorErasmus Medical Center
Academic / other
Drugs / interventionsradiation
Locations1 site (Rotterdam)
StatusRecruiting
StartedMay 31, 2023
Main results expectedMay 31, 2026
Study endsMay 31, 2027
Registry record updatedSeptember 6, 2023
Trial IDNCT06026189 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

  • SeARCH-trial Pijpers
    Rotterdam, Netherlands
    Recruiting

Similar studies

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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.