Evidence map›Paper›PMID 33823873›Full record

ArticleJournal of translational medicine2021

Diagnostic performance of Oncuria™, a urinalysis test for bladder cancer.

Yosuke Hirasawa, Ian Pagano, Runpu Chen, Yijun Sun, Yunfeng Dai, Amit Gupta, Sergei Tikhonenkov, Steve Goodison, Charles J Rosser, Hideki Furuya

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
7.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Clinical Validation of a Multiplex Urine Biomarker Assay for Surveillance of Recurrent Bladder Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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  5. Advances in the management of localized bladder cancers.Nature reviews. Clinical oncology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Yosuke Hirasawa *Cedars-Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute, Los Angeles, CA, USA.
Ian Pagano *Cancer Prevention and Control Program, University of Hawaii Cancer Center, Honolulu, HI, USA.
Runpu Chen *Department of Microbiology and Immunology, The State University of New York at Buffalo, Buffalo, NY, USA.
Yijun SunDepartment of Microbiology and Immunology, The State University of New York at Buffalo, Buffalo, NY, USA.
Yunfeng DaiDepartment of Epidemiology, University of Florida, Gainesville, FL, USA.
Amit GuptaDivision of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Sergei TikhonenkovTranslational and Clinical Program, University of Hawaii Cancer Center, Honolulu, HI, USA.
Steve GoodisonQuantitative Health Sciences, Mayo Clinic Florida, Jacksonville, FL, USA.
Charles J RosserCedars-Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute, Los Angeles, CA, USA. rosser@nonagen.com.ORCID 0000-0002-6052-4223
Hideki FuruyaCedars-Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute, Los Angeles, CA, USA.
Cedars-Sinai Medical Center · USUniversity at Buffalo, State University of New York · USUniversity of Hawaiʻi at Mānoa · USMayo Clinic in Florida · USUniversity of Florida · US

Funding

VALIDATION OF A MULTIPLEXED ASSAY FOR BLADDER CANCER DIAGNOSISR01CA198887 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI ROSSER, CHARLES J · 2016 to 2025
$6.8M
Translation of a Clinical Molecular Diagnostic Assay for Bladder CancerR01CA206584 · NCI · MAYO CLINIC JACKSONVILLE · PI GOODISON, STEVE · 2017 to 2021
$3.1M
NCI NIH HHS R01 CA198887NCI NIH HHS R01 CA1988887NCI NIH HHS R01 CA206584
6 · The paper itself

Abstract

backgroundDue to insufficient accuracy, urine-based assays currently have a limited role in the management of patients with bladder cancer. The identification of multiplex molecular signatures associated with disease has the potential to address this deficiency and to assist with accurate, non-invasive diagnosis and monitoring.

methodsTo evaluate the performance of Oncuria™, a multiplex immunoassay for bladder detection in voided urine samples. The test was evaluated in a multi-institutional cohort of 362 prospectively collected subjects presenting for bladder cancer evaluation. The parallel measurement of 10 biomarkers (A1AT, APOE, ANG, CA9, IL8, MMP9, MMP10, PAI1, SDC1 and VEGFA) was performed in an independent clinical laboratory. The ability of the test to identify patients harboring bladder cancer was assessed. Bladder cancer status was confirmed by cystoscopy and tissue biopsy. The association of biomarkers and demographic factors was evaluated using linear discriminant analysis (LDA) and predictive models were derived using supervised learning and cross-validation analyses. Diagnostic performance was assessed using ROC curves.

resultsThe combination of the 10 biomarkers provided an AUROC 0.93 [95% CI 0.87-0.98], outperforming any single biomarker. The addition of demographic data (age, sex, and race) into a hybrid signature improved the diagnostic performance AUROC 0.95 [95% CI 0.90-1.00]. The hybrid signature achieved an overall sensitivity of 0.93, specificity of 0.93, PPV of 0.65 and NPV of 0.99 for bladder cancer classification. Sensitivity values of the diagnostic panel for high-grade bladder cancer, low-grade bladder cancer, MIBC and NMIBC were 0.94, 0.89, 0.97 and 0.93, respectively.

conclusionsUrinary levels of a biomarker panel enabled the accurate discrimination of bladder cancer patients and controls. The multiplex Oncuria™ test can achieve the efficient and accurate detection and monitoring of bladder cancer in a non-invasive patient setting.

Indexed as

Urinary Bladder NeoplasmsBiomarkers, TumorHumansROC CurveSensitivity and SpecificityUrinalysisBiomarkers, TumorBiomarkersBladder cancerMultiplexProteinUrinalysis

Identifiers

PMID33823873
PMCPMC8025333
OpenAlexW3135038933

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.