Evidence map›Paper›PMID 38720532›Full record

Observational studyMolecular oncology2024

Distinct longitudinal patterns of urine tumor DNA in patients undergoing surveillance for bladder cancer.

Hege Marie Vedeld, Heidi Pharo, Anne Klara Sørbø, Sara Brandt-Winge, May-Britt Five, Marine Jeanmougin, Per Guldberg, Rolf Wahlqvist, Guro Elisabeth Lind

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Molecular oncology, 2024. 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Review
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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

9 authors.

Hege Marie VedeldDepartment of Molecular Oncology, Institute for Cancer Research, The Norwegian Radium Hospital, Oslo University Hospital, Norway.
Heidi PharoDepartment of Molecular Oncology, Institute for Cancer Research, The Norwegian Radium Hospital, Oslo University Hospital, Norway.ORCID 0000-0002-7865-7091
Anne Klara SørbøDepartment of Urology, Oslo University Hospital, Norway.
Sara Brandt-WingeDepartment of Molecular Oncology, Institute for Cancer Research, The Norwegian Radium Hospital, Oslo University Hospital, Norway.
May-Britt FiveDepartment of Molecular Oncology, Institute for Cancer Research, The Norwegian Radium Hospital, Oslo University Hospital, Norway.
Marine JeanmouginDepartment of Molecular Oncology, Institute for Cancer Research, The Norwegian Radium Hospital, Oslo University Hospital, Norway.
Per GuldbergDanish Cancer Society Research Center, Copenhagen, Denmark.ORCID 0000-0002-4424-4803
Rolf WahlqvistDepartment of Urology, Oslo University Hospital, Norway.
Guro Elisabeth LindDepartment of Molecular Oncology, Institute for Cancer Research, The Norwegian Radium Hospital, Oslo University Hospital, Norway.ORCID 0000-0003-4643-9345

Funding

Helse Sør-Øst RHF 2019074KLINBEFORSK 2018203Norges Forskningsråd 300741/H10
6 · The paper itself

Abstract

Cystoscopy is the gold standard for surveillance of non-muscle invasive bladder cancer (NMIBC), but the procedure is invasive and has suboptimal accuracy. The aim of this study was to investigate the potential of analyzing urine samples for the presence of urine tumor DNA (utDNA) to replace cystoscopy for surveillance of bladder cancer recurrence. In this longitudinal, prospective, and observational study, 47 patients were followed for recurrence for 2 years, involving analysis of utDNA using the BladMetrix DNA methylation biomarker test at each cystoscopy. In total, utDNA was detected in 21/23 recurrences (91% sensitivity), including 5/5 T1, T2, and carcinoma in situ (CIS) tumors (100%) and 10/12 Ta tumors (83%), with < 1% false-negative test results. Importantly, utDNA analysis showed the potential to reduce the number of cystoscopies by 55%, benefitting 79% of the patients. Eleven of 23 recurrences (48%) were detected earlier with utDNA than with cystoscopy, and distinct patterns of residual utDNA post-surgery indicated minimal residual disease (MRD) or field effect in 6% and 15% of the patients, respectively. In conclusion, utDNA analysis shows high sensitivity to detect tumor recurrence, potential to reduce the number of cystoscopies, and promise to guide patient-specific surveillance regimens.

Indexed as

DNA, NeoplasmNeoplasm Recurrence, LocalUrinary Bladder NeoplasmsAgedAged, 80 and overBiomarkers, TumorCystoscopyDNA MethylationFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesBiomarkers, TumorDNA, NeoplasmbiomarkerBladMetrixDNA methylationfield effectminimal residual diseaserecurrence

Identifiers

PMID38720532
PMCPMC11547231

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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.