Using MRI with contrast to assess bladder cancer staging
Official title: Virtual Histology of the Bladder Wall for Bladder Cancer Staging; A Novel Intravesical Contrast-Enhanced MRI for Bladder Cancer Staging
Run by University of Pittsburgh · NCT04369560 · Data updated 2026-11-12
This study is testing a new type of MRI with a special contrast solution to see if it can help doctors better understand the stage of bladder cancer in patients before surgery.
Quick facts
| Phase | Early Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 90 Years |
| Sex | All |
| Enrollment | 42 (estimated) |
| Sponsor | University of Pittsburgh Academic / other |
| Locations | 1 site (Pittsburgh, Pennsylvania) |
| Status | Recruiting |
| Started | May 23, 2025 |
| Main results expected | January 30, 2028 |
| Study ends | December 30, 2028 |
| Registry record updated | December 17, 2025 |
| Trial ID | NCT04369560 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 to 90 with confirmed bladder tumors scheduled for surgical intervention.
✕Probably not a fit
Patients with severe hypersensitivity to the contrast agents or those with known metastatic disease may 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
This phase Ib study evaluates the safety and effectiveness of a new MRI protocol enhanced with a contrast solution for staging bladder cancer before surgical procedures. It involves 42 patients, split into two groups: those scheduled for transurethral resection of bladder tumors and those for radical cystectomy due to muscle invasive disease. Participants will undergo MRI scans before and after the administration of a contrast agent to determine tumor presence and depth of invasion. The imaging results will be analyzed by radiologists who are unaware of the patients' pathology results.
Why it matters
Potential benefit: If successful, this approach could improve the accuracy of bladder cancer staging, leading to better treatment decisions and outcomes for patients.
How similar studies have gone: While this specific approach is novel, similar imaging techniques have shown promise in other cancer staging studies.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. 18 to 90 years of age 2. Able to understand and willing to sign a written informed consent document 3. A papillary tumor identified by cystoscopy that has been scheduled for TURBT OR histologically proven MIBC that is clinically localized and amenable to surgical resection with curative intent. 4. Performance status of ECOG 0 or 1 5. Normal renal function as defined as creatinine less than 1.5 x institutional upper limit of normal (ULN) OR creatinine clearance greater than or equal to 50 mL/min/1.73 m2 by Cockcroft-Gault formula for subjects with creatinine levels greater than or equal to 1.5 x ULN. Exclusion Criteria: 1. Severe hypersensitivity reaction to gadobutrol or ferumoxytol. 2. Severe claustrophobia that will prevent completion of the MRI study. 3. Any MRI-non-compatible implanted device, prosthetic or pacemaker. 4. Known or suspected metastatic disease. 5. Women with active pregnancy, lactation or plans to conceive 6. Untreated urinary tract infection 7. Known urethral stricture disease that would prohibit placement of foley catheter. 8. Any other conditions considered as unacceptable risk by the treating physician
Where it's running
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UPMC Hillman Cancer Center - Dept of Urology
Pittsburgh, Pennsylvania, United States Recruiting
Study contacts
- Principal investigator: Jodi K Maranchie, MD — Associate Professor
- Study coordinator: Brieanna Marino, MS
- Email: rowlesbm@upmc.edu
- Phone: (412) 647-8258
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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.