A Simple Urine Test for Detecting Haemolysis

The URICA Rapid Test Kit is a breakthrough lateral flow device developed with the University of Oxford for fast, non-invasive monitoring.

URICA Lateral Flow Test

What is Haemolysis?

Understanding Red Blood Cell Breakdown

Haemolysis is the process where red blood cells (RBCs) rupture and release their internal contents into the bloodstream. This can occur due to mechanical, chemical, metabolic, infective, or immunological stressors. When this happens inside blood vessels, it is called intravascular haemolysis (IVH).

Why It Matters

IVH is a sentinel marker of disease and can lead to Anaemia, Jaundice, Kidney stress, and complications in conditions like Sickle Cell Disease and Malaria.

Current Limitations

Traditional diagnostics require blood draws, trained personnel, and lab equipment, leading to delayed turnaround times unsuitable for point-of-care monitoring.

Haemolysis Process Diagram

The URICA Test

Non-invasive, Fast, and Validated

“The test looks for a unique biomarker in your urine, CA1, which increases when haemolysis occurs.”

Non-invasive
Small urine sample
Fast
Results in < 15 mins
Portable
Home or Field use
Validated
>90% Sensitivity

How It Works

  • ✅ Collect a small urine sample
  • ✅ Apply it to the test cassette
  • ✅ Wait 10–15 minutes
  • ✅ A visible T-line indicates urinary CA1

Why CA1?

CA1 is highly abundant in RBCs and small enough to pass through the kidney filter. It is not normally present in urine, making it a direct and sensitive indicator of intravascular haemolysis.

Applications

Rapid detection across clinical and community settings

Sickle Cell Disease

Early detection of haemolytic crises and home-based monitoring between clinic visits.

Neonatal Haemolysis

Detects haemolysis in newborns with jaundice (ABO incompatibility, sepsis).

Malaria & Infection

Valuable in low-resource settings; more sensitive than plasma-free haemoglobin.

Drug-Induced (G6PD)

Monitoring for individuals triggered by oxidative drugs or antimalarials.

Haemolytic Anaemia

Helps differentiate between haemolytic and non-haemolytic anaemia in real-time.

Wellness & Performance

Tracks exercise-induced haemolysis for athletes and military training.

The Science Behind URICA

Research from the University of Oxford

CA1 is a direct biomarker of intravascular hemolysis that can be measured routinely in urine using non‑invasive methods under minimal‑laboratory conditions. This urinary CA1 signal has been validated across clinical cohorts using ELISA and western blot and translated into a sensitive lateral‑flow format, demonstrating that CA1 reliably reports ongoing RBC rupture in newborns, inherited anemias, malaria, and other hemolysis‑triggering conditions.

Key Publications

September 2020

Detection of Intravascular Hemolysis in Newborn Infants Using Urinary Carbonic Anhydrase I Immunoreactivity

The Journal of Applied Laboratory Medicine, Vol 5, Issue 5

View on PubMed →
March 2026

Urinary carbonic anhydrase 1 excretion is a marker of hemolysis-triggering conditions suitable for point-of-care testing

Blood Glob Hematol . 2026 Mar;2(1)

View on PubMed →
Clinical Validation

Developed and validated in partnership with Oxford University researchers.