Evidence map›Paper›PMID 36115961›Full record

ArticleClinical epigenetics2022

BladMetrix: a novel urine DNA methylation test with high accuracy for detection of bladder cancer in hematuria patients.

Heidi Dietrichson Pharo, Marine Jeanmougin, Eirill Ager-Wick, Hege Marie Vedeld, Anne Klara Sørbø, Christina Dahl, Louise Katrine Larsen, Hilde Honne, Sara Brandt-Winge, May-Britt Five and 7 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Clinical epigenetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07511517 (National Multicenter Observational Study of Urine-Based BladMetrix Monitoring for Recurrence in Non-Muscle Invasive Bladder Cancer), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.9field-weighted citation impact, top 6% 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.

NCT07511517 active not recruitingnot on this map

National Multicenter Observational Study of Urine-Based BladMetrix Monitoring for Recurrence in Non-Muscle Invasive Bladder Cancer

TypeobservationalSponsorOslo University HospitalRan2019 to 2027Enrolled500ConditionsNon-Muscle Invasive Bladder Neoplasms, Urinary Bladder Neoplasms, Carcinoma, Transitional Cell, BladderArmsBladMetrix urine test
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 20 citations in OpenAlex.

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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

17 authors at 7 institutions in 4 countries.

Heidi Dietrichson Pharo *Department of Molecular Oncology, Institute for Cancer Research, Oslo University Hospital, The Norwegian Radium Hospital, Oslo, Norway.
Marine Jeanmougin *Department of Molecular Oncology, Institute for Cancer Research, Oslo University Hospital, The Norwegian Radium Hospital, Oslo, Norway.
Eirill Ager-WickDepartment of Molecular Oncology, Institute for Cancer Research, Oslo University Hospital, The Norwegian Radium Hospital, Oslo, Norway.
Hege Marie VedeldDepartment of Molecular Oncology, Institute for Cancer Research, Oslo University Hospital, The Norwegian Radium Hospital, Oslo, Norway.
Anne Klara SørbøDepartment of Urology, Oslo University Hospital, Oslo, Norway.
Christina DahlDanish Cancer Society Research Center, 2100, Copenhagen, Denmark.
Louise Katrine LarsenDanish Cancer Society Research Center, 2100, Copenhagen, Denmark.
Hilde HonneDepartment of Molecular Oncology, Institute for Cancer Research, Oslo University Hospital, The Norwegian Radium Hospital, Oslo, Norway.
Sara Brandt-WingeDepartment of Molecular Oncology, Institute for Cancer Research, Oslo University Hospital, The Norwegian Radium Hospital, Oslo, Norway.
May-Britt FiveDepartment of Molecular Oncology, Institute for Cancer Research, Oslo University Hospital, The Norwegian Radium Hospital, Oslo, Norway.
Sara Monteiro-ReisCancer Biology and Epigenetics Group, Research Center (CI-IPOP), Portoguese Oncology Institute of Porto (IPO Porto), Porto, Portugal.
Rui HenriqueCancer Biology and Epigenetics Group, Research Center (CI-IPOP), Portoguese Oncology Institute of Porto (IPO Porto), Porto, Portugal.
Carmen JeronimoCancer Biology and Epigenetics Group, Research Center (CI-IPOP), Portoguese Oncology Institute of Porto (IPO Porto), Porto, Portugal.
Kenneth StevenDepartment of Urology, University of Copenhagen, Herlev Hospital, Herlev, Denmark.
Rolf WahlqvistDepartment of Urology, Oslo University Hospital, Oslo, Norway.
Per GuldbergDanish Cancer Society Research Center, 2100, Copenhagen, Denmark.
Guro Elisabeth LindDepartment of Molecular Oncology, Institute for Cancer Research, Oslo University Hospital, The Norwegian Radium Hospital, Oslo, Norway. guro.elisabeth.lind@rr-research.no.
Oslo University Hospital · NODanish Cancer Society · DKIPO Porto · PTUniversity of Oslo · NOHerlev Hospital · DKInstituto Português de Oncologia Francisco Gentil · PTUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCystoscopy is the gold standard for bladder cancer detection, but is costly, invasive and has imperfect diagnostic accuracy. We aimed to identify novel and accurate DNA methylation biomarkers for non-invasive detection of bladder cancer in urine, with the potential to reduce the number of cystoscopies among hematuria patients.

resultsBiomarker candidates (n = 32) were identified from methylome sequencing of urological cancer cell lines (n = 16) and subjected to targeted methylation analysis in tissue samples (n = 60). The most promising biomarkers (n = 8) were combined into a panel named BladMetrix. The performance of BladMetrix in urine was assessed in a discovery series (n = 112), consisting of bladder cancer patients, patients with other urological cancers and healthy individuals, resulting in 95.7% sensitivity and 94.7% specificity. BladMetrix was furthermore evaluated in an independent prospective and blinded series of urine from patients with gross hematuria (n = 273), achieving 92.1% sensitivity, 93.3% specificity and a negative predictive value of 98.1%, with the potential to reduce the number of cystoscopies by 56.4%.

conclusionsWe here present BladMetrix, a novel DNA methylation urine test for non-invasive detection of bladder cancer, with high accuracy across tumor grades and stages, and the ability to spare a significant number of cystoscopies among patients with gross hematuria.

Indexed as

Urinary Bladder NeoplasmsBiomarkers, TumorDNA MethylationHematuriaHumansProspective StudiesBiomarkers, TumorBiomarkersBladder cancerCystoscopyDetectionDigital PCRDNA methylationHematuriaMethylome sequencingNon-invasive detectionUrine test

Identifiers

PMID36115961
PMCPMC9482155
OpenAlexW4296182845

What OpenQuestion holds

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Registered trials

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.