Ask to take part

Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Miss Anna Haire
+44 (0)7464492509
Anna.haire@kcl.ac.uk


Dr Richard Bryan
+44 1214147870
r.t.bryan@bham.ac.uk


Study Location:

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Be Part of Research - Trial Details - A study to assess how well a new urine test can identify bladder cancer in patients with blood in their pee

A study to assess how well a new urine test can identify bladder cancer in patients with blood in their pee

Medical Conditions

Bladder cancer


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Seeing blood in the urine (visible haematuria), or having blood detected in a urine sample by your GP (non-visible haematuria), is common. However, haematuria is also a symptom that is associated with bladder cancer and so needs to be investigated further by referral to hospital. About 10% of patients referred to haematuria clinic will be diagnosed with bladder cancer – but for most patients, no reason is identified, or patients are diagnosed with benign conditions such as urine infections or kidney stones.
As part of the investigations that take place in hospital, patients undergo flexible cystoscopy (flexi)- a narrow flexible camera is passed through the water pipe into the bladder to see any abnormalities that might be in the bladder. However, flexi is an invasive procedure which can be uncomfortable and is not perfect - a flexi inspection of the bladder will miss bladder cancer in around 1 in 7 to 1 in 10 patients. When we look at results from the UK and worldwide for all patients referred to haematuria clinics, we see that over 80% of patients do not have any abnormalities diagnosed. Therefore, many patients undergo flexi when they may not need to. However, at present, it is impossible to know who these patients are before the investigations are carried out.
Researchers have been working to identify new ways to diagnose bladder cancer instead of flexi. Urine tests are showing the most promise for this as when a patient has bladder cancer, some of the cancer cells are shed from the lining of the bladder into the urine and the abnormalities in these cells can be detected.
Study aims:
With funding from Cancer Research UK, researchers at the University of Birmingham have developed a urine test which may be as good as flexi. In this study, we would like to find out how accurate this new urine test is. If we can show that the test is as good as (or even better than) flexi when used in haematuria clinic, then it could be used in the future to identify which patients may have bladder cancer and need to have a flexi, and which patients are very unlikely to have bladder cancer and do not need a flexi.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

01 Oct 2023 01 Oct 2025

Participants who agree to take part in the study will sign an informed consent and will be asked to answer a short survey about themselves. They will be given a urine sample collection kit and asked to complete a urine sample at home, which they will post to the research lab in the packaging provided. Participants will be contacted by the research team one and two years after the initial visit.


Patients who have experienced blood in their urine, and other symptoms suspicious for bladder cancer, and have been referred by the GP to hospital for further investigations.

You can take part if:



You may not be able to take part if:


1. Previous diagnosis of bladder or upper tract urothelial cancer (UTUC) within the last 5 years2. Previous entry into the study3. Limited understanding of English (due to the lack of resource available to have translators in HCs to facilitate informed consent or provide the at-home urine sample collection kits with translated instructions)


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Sheffield Teaching Hospitals NHS Foundation Trust
    Northern General Hospital Herries Road
    Sheffield
    S5 7AU
  • University Hospitals Coventry and Warwickshire NHS Trust
    Walsgrave General Hospital Clifford Bridge Road
    Coventry
    CV2 2DX
  • University Hospitals of North Midlands NHS Trust
    Newcastle Road
    Stoke-on-trent
    ST4 6QG
  • University Hospitals Birmingham NHS Foundation Trust
    Queen Elizabeth Hospital Mindelsohn Way Edgbaston
    Birmingham
    B15 2GW
  • Guy's and St Thomas' NHS Foundation Trust
    St Thomas' Hospital Westminster Bridge Road
    London
    SE1 7EH
  • The Royal Wolverhampton NHS Trust
    New Cross Hospital Wolverhampton Road Heath Town
    Wolverhampton
    WV10 0QP
  • Worthing Hospital
    Lyndhurst Road
    Worthing
    BN11 2DH
  • St Richard's Hospital
    Spitalfield Lane
    Chichester
    PO19 6SE
  • Medway NHS Foundation Trust
    Windmill Rd
    Gillingham
    ME7 5NY
  • Princess Royal Hospital
    Lewes Road
    Haywards Heath
    RH16 4EX
  • Ashford & St Peters Hospital
    Guildford Road
    Chertsey
    KT16 0PZ
  • Northern Care Alliance, Salford
    Salford Royal Hospital Mayo Building Stott Ln
    Salford
    M6 8HD
  • Northern Care Alliance, Oldham
    Royal Oldham Hospital Rochdale Rd
    Oldham
    OL1 2JH
  • Calderdale and Huddersfield NHS Foundation Trust
    Huddersfield Royal Infirmary Acre St Lindley
    Huddersfield
    HD3 3EA
  • East Lancashire Hospitals NHS Trust
    Casterton Avenue
    Burnley
    BB10 2PQ
  • Royal Devon University Healthcare NHS Foundation Trust
    Church Lane
    Exeter
    EX2 5DW
  • Surrey and Sussex Healthcare NHS Trust
    Canada Ave
    Redhill
    RH1 5RH

The purpose of this study is to evaluate how well the new test can detect bladder cancer in patients who experience blood in the urine, to see if it could be used in the future as a tool to help decide which patients should have a flexi and which patients do not need a flexi. This study could help to change the haematuria clinic pathway and reduce the number of patients having a flexi who don’t really need one. Although there is no direct benefit to patients in taking part, we hope that the information obtained from this study may result in changes to the way patients with suspected bladder cancer are diagnosed in the future.
There are no risks to your health in taking part in the study. The only disadvantage would be giving up your time to collect the urine sample at home 7-10 days after having a flexi.


The study is sponsored by University of Birmingham and funded by Cancer Research UK.




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Read full details for Trial ID: ISRCTN40822587

Or CPMS 57525

Last updated 30 December 2024

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