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Cancer Screening & Rule out

Cxbladder® Detect

UC risk stratification in patients presenting with haematuria.

Turnaround Time9 working days
🧪Specimen TypeUrine
🔬MethodRT-qPCR
AccreditationsCLIA certified and ISO 15189 accredited
Cxbladder® Detect

Cxbladder Detect is an established test, optimised for the risk stratification of urothelial cancer (UC) in patients presenting with haematuria.

Detect helps to de-intensify clinical work-up in those with a low probability Detect test result, improving practice workflow and efficiency in urological care, while giving patients the best experience possible.

• Enables reliable risk stratification in patients presenting with haematuria. Safely de-intensifies clinical workup in patients with a low probability Detect test result, while prioritising those who require immediate care.

• Spares patients with a low probability Detect test result the discomfort, anxiety and risks of an invasive procedure.

• A reliable adjunct when other tests are inconclusive. Resolves atypical cytology and equivocal cystoscopy.

CDC2IGFBP5HOXA13MDKCXCR2
Step / TestAccuracyNotes
Sensitivity82%
NPV97%
Specificity94% (when higher 0.23 cut point on test report is used)
Specimen Type: Urine
Preferred Collection:

Urine in Cxbladder container

30–50 mL midstream urine collected into the Cxbladder collection tube (contains preservative). Do not use catheter samples.

Rejection Criteria:
  • First void urine (Only 2nd pass of the day or later is accepted)
  • Grossly bloody urine
  • Acute UTI (Treat UTI first and delay test for 2 weeks)
  • <2 weeks after cystoscopy
  • <6 weeks after BCG

Available through Codex Genetics as the authorised Pacific Edge distributor in Hong Kong.

Shipping Instructions:

Cxbladder specimens must be collected using the dedicated Cxbladder collection kit.

  1. Request a collection kit from your healthcare provider or Codex Genetics.
  2. Collect midstream urine (30–50 mL) into the provided tube with preservative.
  3. Seal securely; store at room temperature.
  4. Deliver to Codex Genetics Laboratory within 5 days of collection. Address: Unit 220, 2/F, Building 16W, HKSTP, Pak Shek Kok, NT, Hong Kong.

Please contact us for pricing.

cxbladder-detect-test-results.jpg

  • The Cxbladder Detect score ranges from 0.00 to 1.00.

  • NORMAL Gene Expression Score (< 0.12): A score of <0.12 has a Negative Predictive Value (NPV) of 97%. Low probability of UC.

  • ELEVATED Gene Expression Score (0.12 ≤ score < 0.23): A score of 0.12 ≤ score < 0.23 has an NPV of 94%. Low probability of UC, however a change in the pattern of gene expression of the biomarkers from what is normal suggests further clinical evaluation

  • HIGH Gene Expression Score (≥ 0.23): A score of ≥ 0.23 has a Positive Predictive Value (PPV) of 68%. High probability of UC.