Clinical trial Recruiting at 1 site Observational Ages 18 and up

Urinary Cell-Free DNA Test for Urothelial Cancer Origin

Official title: Multimodal Liquid Biopsy for the Diagnosis and Origin Identification of Urothelial Carcinoma: A Prospective, Multicenter, Observational Study

Run by Ruijin Hospital · NCT07888374 · Data updated 2026-11-12

This study tests a urine-based cell-free DNA test to help diagnose urothelial cancer and identify whether it started in the bladder or upper urinary tract in adults.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment477 (estimated)
SponsorRuijin Hospital
Academic / other
Drugs / interventionschemotherapy, immunotherapy
Locations1 site (Shanghai)
StatusRecruiting
StartedApril 5, 2026
Main results expectedJune 1, 2027
Study endsJune 30, 2027
Registry record updatedOctober 22, 2026
Trial IDNCT07888374 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+) who have hematuria and are undergoing evaluation for urothelial carcinoma, including those with histologically confirmed bladder or upper tract urothelial cancer and no prior anti-tumor treatment.

Probably not a fit

Patients with non-urothelial cancers or those who do not shed detectable tumor DNA in urine may not benefit from the test.

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, multicenter, observational study enrolling about 477 adults: 159 with upper tract urothelial cancer, 159 with bladder cancer, and 159 without cancer. Participants provide a midstream urine sample that is processed at a central lab to extract cell-free DNA, with usual medical care continuing as usual. No experimental drugs or devices are given to participants. The goal is to see whether urine DNA patterns can distinguish cancer presence and origin non-invasively. The study will correlate urine test results with standard clinical and pathological data.

Why it matters

Potential benefit: If successful, the urine test could offer a non-invasive method to help diagnose urothelial cancer and pinpoint its origin, potentially reducing reliance on invasive procedures.

How similar studies have gone: Previous studies in other cancers suggest urine or blood DNA tests can reflect tumor presence, but this specific approach for urothelial cancer origin is being investigated.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Age ≥18 years at the time of enrollment. Participants must have hematuria and be undergoing evaluation for urothelial carcinoma.

Cases: Histopathologically confirmed primary urothelial carcinoma of the bladder, renal pelvis, or ureter, with no prior anti-tumor treatment, including transurethral surgery, radical surgery, systemic or local chemotherapy, radiotherapy, or immunotherapy.

Controls: No tumor or suspected space-occupying lesion confirmed by systematic examination, including urinary ultrasound or computed tomography.

Complete clinical and pathological data available, including tumor location, stage, and grade for cases.

Willingness to provide urine samples. Written informed consent obtained.

Exclusion Criteria:

History of malignant tumors at other sites. Blood transfusion within 7 days before urine sampling. History of organ transplantation or allogeneic hematopoietic stem cell transplantation.

Any severe systemic disease, acute infection, or other condition that, in the investigator's judgment, may affect sample quality or study participation.

Where it's running

  • Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
    Shanghai, China
    Recruiting

Study contacts

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.