Sarcopenia and NMIBC Prognosis Study

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorGeneral Hospital Sveti Duh

About this trial

The goal of this observational study is to evaluate whether body composition abnormalities (sarcopenia, myosteatosis, and obesity) and nutritional status influence the risk of recurrence and progression in adult patients with non-muscle-invasive bladder cancer (NMIBC). The main questions it aims to answer are:

Do sarcopenia, myosteatosis, obesity, or malnutrition increase the likelihood of NMIBC recurrence and progression?

Can clinical, laboratory, and CT-derived body composition parameters serve as predictive biomarkers that improve individualized risk stratification?

Participants will undergo routine clinical and radiologic assessments, including:

* completion of the SARC-F and NRS nutritional screening questionnaires * anthropometric measurements (BMI, waist circumference) * laboratory evaluation including serum albumin and testosterone * CT-based assessment of skeletal muscle index (SMI) and muscle density (SMD) * standard TURBT and structured follow-up with cystoscopy, cytology, imaging, and clinical evaluations to document recurrence and progression.

Eligibility criteria

Qualifiers

Adults aged 18 years or older

Histologically confirmed non-muscle-invasive bladder cancer (NMIBC) (Ta, T1, or CIS)

Scheduled for transurethral resection of bladder tumor (TURBT) as part of standard care

Able to undergo CT imaging required for assessment of skeletal muscle index (SMI) and skeletal muscle density (SMD)

Disqualifiers

Low-risk NMIBC, as defined by clinical guidelines

Muscle-invasive bladder cancer (≥ T2) at diagnosis

Expected survival less than 3 months

Contraindications to CT imaging (e.g., severe renal dysfunction, contrast allergy if contrast required)

Trial design

Treatments tested in this trial

  • Not listed

Trial groups

150 Participants
are grouped into 2 trial groups

Locations

This trial has no locations

Sponsors and collaborators