Actively Recruiting

Age: 0Years - 18Years
All Genders
ID05672043

Perspective Study on Genetic Predispositions and Clinical Prognosis of Children and Adolescents With Malignant Brain Neoplasms in China

Led by Beijing Tiantan Hospital · Updated on 2023-01-05

400

Participants Needed

1

Research Sites

261 weeks

Total Duration

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AI-Summary

What this Trial Is About

Primary malignant central nervous system (CNS) tumors are the second most common cancers in children, with medulloblastomas being the most frequent malignant brain tumor in childhood, mainly located in the cerebellum. This research focuses on studying the genetic and cellular characteristics of pediatric brain tumors, especially medulloblastomas, by analyzing molecular subtypes and their relation to clinical outcomes. The study aims to explore genetic predispositions and their impact on prognosis and treatment options. This observational study includes children and adolescents diagnosed with medulloblastomas and other malignant CNS tumors who are undergoing surgical tumor removal. Blood and tumor tissue samples will be collected during surgery for various advanced genetic tests such as whole genome sequencing, RNA sequencing, single-cell sequencing, and spatial transcriptomics. Samples of medulloblastomas will also be used to grow cells and create animal models to study tumor behavior and test new drug approaches. Participants will be registered after diagnosis and followed up at 3 months, 6 months, 1 year, and annually thereafter through clinic visits and phone calls. Each follow-up will include MRI scans to monitor tumor progression, relapse, or spread, as well as assessments of neurological function and quality of life. Data collected will help researchers understand how genetic features relate to patient survival and disease progression over five years.

CONDITIONS

Brief Title

Genetic and Molecular Risk Profiles of Pediatric Malignant Brain Tumors in China

Who Can Participate

Age: 0Years - 18Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Children and adolescents aged between 0-18 years old diagnosed with medulloblastoma or other malignant central nervous system tumors including glioma, ependymoma, germ cell tumors, tuberous sclerosis, neuronal and neuronoglial tumors, choroid plexus tumors, atypical teratoid/rhabdoid tumors, ependymoblastoma, and medulloepithelioma
  • Patients must be eligible for and scheduled to receive tumor resection surgery
  • Histological examination by institutional neuro-pathological evaluation must confirm diagnosis of brain malignancies
  • Participants and/or guardians must consent to join the study and agree to follow-up visits
  • Patients must have no previous radiotherapy or chemotherapy other than corticosteroids
Not Eligible

You will not qualify if you...

  • Patients with major perioperative complications causing significant and sudden deterioration
  • Patients with major systemic illness (such as serious infection or significant cardiac, pulmonary, hepatic, or other organ dysfunction) that may prevent tolerating standard treatment or affect prognosis
  • Patients with major adverse events or sudden deterioration unrelated to the current study
  • Tumor tissue samples not meeting quality criteria for genetic sequencing and lab investigations
  • Patients who refuse to participate or wish to withdraw from the study

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Surgery and Immediate Post-operative Care

Duration - 1 day

Participants undergo surgical tumor resection during which blood samples and tumor tissue are collected for genetic and molecular analyses.

1 surgical visit (in-person)

Post-operative Follow-up

Duration - Up to 5 years

Participants are followed up to monitor clinical outcomes including neurological status and quality of life, with MRI contrast scans to assess progression, relapse, or metastasis.

Follow-up visits at 3 months, 6 months, 1 year post-surgery, and annually thereafter (in-person and phone)

Trial Site Locations

Total: 1 location

1

Beijing Tiantan Hosiptal

Beijing, Beijing Municipality, China, 100050

Actively Recruiting

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Research Team

T

Tao Jiang, MD

Y

Yahui Zhao, MD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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