UroVysion® Bladder Cancer Kit Adoption

The growing adoption of UroVysion

When a patient presents with hematuria, has other known risk factors for bladder cancer, or has been diagnosed with and previously treated for bladder cancer, the urologist may choose to order the UroVysion test. According to market research conducted by Abbott Molecular in 2008, 70% of 7,687 urologists participating in the research study were ordering UroVysion.

 

(Note: UroVysion is intended as an aid for use in conjunction with and not in lieu of current standard diagnostic procedures. If UroVysion results are negative but standard clinical or diagnostic tests, such as cytology or cystoscopy, are positive, the standard procedures take precedence over UroVysion. Although the UroVysion Kit was designed to detect genetic changes associated with most bladder cancers, there will be some bladder cancers whose genetic changes cannot be detected by the UroVysion test.)

 

By aiding in the early detection of bladder cancer, UroVysion may help to avert more extensive therapies that may become necessary should the disease become more advanced or aggressive.

 

Bladder Cancer Types


The National Cancer Institute notes that there are three types of bladder cancer that begin in cells in the lining of the bladder:

 

  • Transitional Cell Carcinoma (TCC) – The most common form of bladder cancer, very low-grade and rarely progressive.
  • Squamous Cell Carcinoma (SCC) – Nearly all of these cells are invasive.
  • Adenocarcinomas – Nearly all of these cells are invasive.

 

The FDA-approved labeling for UroVysion states that 90% are classified as TCC, while the other 10% are classified as SCC or adenocarcinomas. Recent data from the American Cancer Society states that 97% of cases are classified as TCC; 2% are classified as SCC; and 1% are classified as adenocarcinomas. 

Patients should talk with their urologists about the timing and potential benefits of ordering UroVysion to aid in the early detection of bladder cancer.

 

Intended Use: The UroVysion Bladder Cancer Kit (UroVysion Kit) is designed to detect aneuploidy for chromosomes 3, 7, 17, and loss of the 9p21 locus via fluorescence in situ hybridization (FISH) in urine specimens from persons with hematuria suspected of having bladder cancer. Results from the UroVysion Kit are intended for use in conjunction with and not in lieu of current standard diagnostic procedures, as an aid for initial diagnosis of bladder carcinoma in patients with hematuria and subsequent monitoring for tumor recurrence in patients previously diagnosed with bladder cancer.

 

Warnings and Limitations

  1. The UroVysion Kit has been optimized for identifying and quantitating chromosomes 3, 7, and 17, and locus 9p21 in human urine specimens.
  2. The performance of the UroVysion Kit was validated using the procedures provided in the package insert only. Modifications to these procedures may alter the performance of the assay.
  3. The clinical interpretation of any test results should be evaluated within the context of the patient’s medical history and other diagnostic laboratory test results.
  4. UroVysion assay results may not be informative if the specimen quality and/or specimen slide preparation is inadequate, e.g., the presence of excessive granulocytes or massive bacteruria.
  5. Technologists performing the UroVysion signal enumeration must be capable of visually distinguishing between the red and green signals.
  6. Positive UroVysion results in the absence of other signs or symptoms of bladder cancer recurrence may be evidence of other urinary tract related cancers, e.g., ureter, urethra, renal, and/or prostate in males, and further patient follow-up is justified. In a study conducted on patients with hematuria, 3 patients whose initial bladder cystoscopy was negative, were subsequently diagnosed with renal cancer within 6 months of this initial study visit. All 3 of these cases were positive by UroVysion.
  7. If UroVysion results are negative but standard clinical or diagnostic tests (e.g., cytology, cystoscopy) are positive, the standard procedures take precedence over the UroVysion test. Although the UroVysion Kit was designed to detect genetic changes associated with most bladder cancers, there will be some bladder cancers whose genetic changes cannot be detected by the UroVysion test.
  8. Ta stage solitary tumors smaller than 5mm could not be detected by UroVysion FISH. UroVysion FISH results are dependent on the amount of tumor cells that are deposited on the slide.

 

Caution:  United States Federal law restricts this device to sale and distribution to, or on the order of, a physician or a clinical laboratory; use is restricted to, by, or on the order of a physician.

 

Complete UroVysion Package Insert
Important Safety Information for UroVysion


FOR IN VITRO DIAGNOSTIC USE