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NCT06394869Recruiting

Study to Assess the Impact of the Urine Test Cxbladder Triage Plus on the Number of Cystoscopies Performed on Patients With Invisible Blood in Their Urine.

Cystoscopic REDuction In BLadder Evaluations for Microhematuria - A Prospective Randomized, Controlled, Clinical Utility Study for Evaluation of Microhematuria (The CREDIBLE Study)

Source: ClinicalTrials.gov · Last updated 2 Jul 2026

Brief summary (registry, in English)

This study includes adult patients who see a urologist because of blood in their urine. The amount is so small it can only be seen with a microscope. This is called microhematuria. There can be many reasons for microhematuria. One of them is bladder cancer. While bladder cancer is one of the biggest worries, it is only found in few of these patients. Most microhematuria patients will have a cystoscopy to look inside the bladder. During a cystoscopy, a small camera is inserted into the bladder. This is done through the urethra, the tube that passes urine from the bladder to the outside. In some patients it can cause pain or anxiety. Not all patients have a cystoscopy. Those that don't, usually return for a urine sample within 6 months. This is done to check if there is still blood in their urine. This study is conducted to find out if the use of "Cxbladder Triage Plus" changes the number of cystoscopies in microhematuria patients. Cxbladder Triage Plus is also called "Triage Plus". It is a lab test that was developed to check how likely urothelial carcinoma is present in the bladder. Urothelial carcinoma is by far the most common type of bladder cancer. For the test, the patient voids some urine into a cup. A laboratory then checks the urine of specific genetic material. Abnormalities can be a sign of urothelial carcinoma. The result indicates if the urine is more like most normal urine or more like that of urothelial carcinoma patients. The study is done to find out how Triage Plus changes the number of cystoscopies. Study participants first void urine into a cup. The urine is used for the Triage Plus test. The patients are then assigned to one of two groups. The assignment is random. This means the nobody can influence the assignment. The chance to be assigned to either group is the same. In the test group, the urologist will receive the Triage Plus result and discuss it with the patient. Together they decide whether to do a cystoscopy. In the control group, the urologist will not receive the Triage Plus result. The patient will also not get the result. The urologist and patient will follow standard of care to decide whether to do a cystoscopy. For test group patients, the study gives a recommendation whether to proceed with cystoscopy. It is based on the patient's Triage Plus result. The urologist and patient do not need to follow the recommendation. If the urologist does not follow it, they will complete a survey. The survey has only one question. It is asking for the reasons of the decision. After making their decision, patients will follow the chosen pathway. Data on the performed procedures are collected. The diagnosis will also be documented. Data will be collected for up to about 9 months. To see how Triage Plus changes the number of cystoscopies, these will be counted in each group and then compared.

Status (registry)
Recruiting
Study type
Interventional
Enrollment
1000 (estimated)
First submitted
21 Apr 2024
Start date
29 Apr 2025
Primary completion date
Oct 2027
Lead sponsor
Pacific Edge Limited
NCT number
NCT06394869

What you commit to

  • Study type: Interventional
  • Planned participants: 1000
  • From 29 Apr 2025 to the primary completion date, Oct 2027
  • 20 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Prior history of bladder malignancy.
  • Prior history of upper tract UC or prostatic urethral UC.
  • Currently receiving systemic chemotherapy or has had systemic chemotherapy within the last 6 weeks.

Other illness

  • History of gross hematuria requiring instrumentation or hospitalization within the last 12 months
  • Cystoscopy contraindicated due to another condition or anatomy.
  • History of pelvic radiation.
  • History of schistosomiasis.
  • History of chronic (\>3 months) indwelling Foley catheter or chronic (\>3 months) bladder stones.

Other

  • Reconstructed or diverted bladder (e.g., bladder augmentation, ileal conduit, Indiana pouch)
  • Indication to recommend cystoscopy other than MH (e.g., bothersome benign prostatic hyperplasia symptoms and desires a procedure, weak stream with concerns for urethral stricture).
  • Known current pregnancy

Who the study is looking for

  • Patient is referred for assessment of recent hematuria, defined as either:
    • Microscopic hematuria (≥3 RBC/HPF or equivalent) on urine microscopy obtained within 180 days prior to enrollment, OR
    • Hematuria detected by dipstick analysis (≥2+ blood or equivalent) at referral and confirmed on the same calendar day and prior to enrollment, with urine microscopy collected on the same day as enrollment
  • Physically able to provide a voided urine sample from a bladder that has not been surgically altered.
  • Able to give informed, written consent.
  • Able and willing to comply with study requirements.
  • Must be 19 or the legal age of consent in the jurisdiction in which the study is taking place to 88 years of age inclusive, at the time of signing the informed consent.
  • Ability to comprehend written and spoken English sufficiently to independently follow all study procedures. Or ability to comprehend Spanish with access to an English-Spanish interpreter for all study related verbal instructions and discussions.

Age in the registry: 18 years to 88 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (20)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Albany MED Health System
Coordinator of this site? Confirm its status
AlbanyUnited StatesRecruiting
Austin Urology Institute
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AustinUnited StatesNot yet recruiting
UT Southwestern Medical Center
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DallasUnited StatesRecruiting
Dayton Physicians Network
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DaytonUnited StatesRecruiting
Advanced Urology Institute - Daytona Beach
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Daytona BeachUnited StatesRecruiting
Urology Associates of Central California
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FresnoUnited StatesRecruiting
Chesapeake Urology Research Associates
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HanoverUnited StatesRecruiting
Penn State Medical Center, Urology Research
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HersheyUnited StatesRecruiting
Urology Centers of Alabama
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HomewoodUnited StatesRecruiting
Southern Urology
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LafayetteUnited StatesTerminated
Urology Group of Southern California
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Los AngelesUnited StatesRecruiting
Comprehensive Urology
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Los AngelesUnited StatesRecruiting
University of Wisconsin - Madison
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MadisonUnited StatesRecruiting
Urologic Specialists of Northwest Indiana
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MerrillvilleUnited StatesRecruiting
Urology Associates of Mobile
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MobileUnited StatesRecruiting
Urology Associates, P.C.
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NashvilleUnited StatesTerminated
Vanderbilt University Medical Center
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NashvilleUnited StatesRecruiting
Integrated Medical Professionals
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New YorkUnited StatesRecruiting
Premier Medical Group of the Hudson Valley, P. C.
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PoughkeepsieUnited StatesRecruiting
Summit Health
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Voorhees TownshipUnited StatesRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.