Actively Recruiting

Age: 0Years - 25Years
All Genders
ID05504772

Precision Medicine for Every Child With Cancer

Led by Australian & New Zealand Children's Haematology/Oncology Group · Updated on 2024-07-17

3500

Participants Needed

11

Research Sites

260 weeks

Total Duration

On this page

Sponsors

A

Australian & New Zealand Children's Haematology/Oncology Group

Lead Sponsor

C

Children's Cancer Institute (CCI)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying the use of precision medicine to improve outcomes for children and young adults with cancer in Australia and New Zealand. This research extends the ZERO platform to include all childhood cancer types and risk groups, focusing on how comprehensive molecular profiling and whole genome sequencing can help in diagnosis, risk assessment, and understanding genetic cancer predispositions. The study also builds on previous trials that showed benefits for high-risk patients and aims to evaluate these approaches in non-high-risk cases and rare tumors. Participants will have their tumor and normal tissue undergo detailed genetic testing, including whole genome sequencing, RNA sequencing, DNA methylation analysis, and targeted panel sequencing when needed. For high-risk cancers, additional preclinical drug screening and patient-derived xenograft testing may be performed. The study also explores the use of liquid biopsies to monitor tumor characteristics and treatment response. Various tumor types are included, such as central nervous system tumors, leukemias, lymphomas, sarcomas, and others, with personalized molecular analyses guiding therapy recommendations. During the study, participants and their families will provide consent and tumor samples for genetic testing. Researchers will monitor the usefulness of personalized therapy recommendations and genetic findings over five years. The study involves regular evaluations of clinical outcomes and the impact of precision medicine across different childhood cancer groups. Participants will be followed for at least five years to assess treatment results and the role of molecular tumor boards in guiding care.

CONDITIONS

Brief Title

Precision Medicine for Every Child With Cancer

Who Can Participate

Age: 0Years - 25Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age under 18 years, with possible enrollment of patients aged 19 to 25 years with pediatric cancer after discussion
  • Life expectancy greater than 6 weeks at time of enrollment
  • Signed and dated informed consent for study participation from participant (if 18 or older) or parent/guardian (if under 18)
  • Separate consent for germline genetic testing and return of germline results
Not Eligible

You will not qualify if you...

History of severe allergic reactions to study medication Currently pregnant or breastfeeding Recent participation in another clinical trial within the last 30 days Presence of uncontrolled medical conditions that could affect safety

AI-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)

Diagnostic Evaluation

Duration - Up to several weeks depending on sample processing and analysis

Participants provide tumor and normal samples for comprehensive molecular profiling including whole genome sequencing, RNA sequencing, DNA methylation, targeted panel sequencing, and other genetic analyses to help understand their cancer.

1 to 2 visits depending on sample availability and procedures

Long-term Monitoring

Duration - Up to 5 years

Participants are observed over time to evaluate the utility of precision medicine approaches in diagnosis, risk stratification, and treatment recommendations for different childhood cancer types.

Periodic visits as determined by treating physicians

Trial Site Locations

Total: 11 locations

1

Women's and Children's Hospital

Adelaide, Australia

Actively Recruiting

2

Queensland Children's Hospital

Brisbane, Australia

Actively Recruiting

3

Royal Hobart Hospital

Hobart, Australia

Actively Recruiting

4

Monash Children's Hospital

Melbourne, Australia

Actively Recruiting

5

Royal Children's Hospital

Melbourne, Australia

Actively Recruiting

6

John Hunter Children's Hospital

Newcastle, Australia

Actively Recruiting

7

Perth Children's Hospital

Perth, Australia

Actively Recruiting

8

Sydney Children's Hospital, Randwick

Sydney, Australia

Actively Recruiting

9

The Children's Hospital at Westmead

Sydney, Australia

Actively Recruiting

10

Starship Children's Hospital

Auckland, Grafton, New Zealand, 1023

Actively Recruiting

11

Christchurch Hospital

Christchurch, New Zealand, 8011

Not Yet Recruiting

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Research Team

N

National Study Coordinator

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

13

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