MedPath

Genetic Susceptibility Biomarkers in Children With Neuroblastoma (Also Known as Neuroblastoma Epidemiology in North America [NENA])

Completed
Conditions
Neuroblastoma
Interventions
Other: Cytology Specimen Collection Procedure
Other: Laboratory Biomarker Analysis
Other: Questionnaire Administration
Registration Number
NCT01119560
Lead Sponsor
Children's Oncology Group
Brief Summary

This research trial studies the genes biomarkers in children with neuroblastoma. Studying the genes in a child's cancer cells may help doctors improve ways to diagnose and treat children with neuroblastoma.

Detailed Description

PRIMARY OBJECTIVES:

I. Evaluate the independent association of common genetic polymorphisms involved in folate, vitamin A, and related metabolic and transport pathways and the risk of neuroblastoma (NB).

II. Evaluate the joint effects of multiple genes on the risk of NB. III. Evaluate the effects of gene-exposure interactions on the risk of NB. IV. Evaluate genetic effects within NB subgroups defined by age at diagnosis and a Children?s Oncology group classification schema based on age, v-myc avian myelocytomatosis viral oncogene neuroblastoma derived homolog (MYCN) oncogene status, histology, and deoxyribonucleic acid (DNA) ploidy.

V. Recontact mothers of participating NENA case children, conduct brief web-based screen to ascertain whether the pregnancy including the index NENA child was a multiple (twin, triplet, etc), whether the mother knew if the children were monozygotic (MZ) or dizygotic (DZ), and obtain a complete pregnancy history.

VI. Request a saliva sample from the other twin/multiple sibling of the NENA child.

VII. Extract DNA from saliva samples and securely store. VIII. Clean new survey data and merge with main NENA study database.

OUTLINE:

The biologic mother of the patient is asked to complete a Diet History Questionnaire about diet during pregnancy, and information on demographics, lifestyle factors, medication used during pregnancy, history of breast feeding, and family history of cancer or birth defects. Parents are given ORAgene saliva collection kits for self-collection. Saliva bio-specimen samples are collected from both biologic parents and the patient. Tissue samples previously stored in a tissue bank are obtained for deceased patients, if available. DNA is extracted from samples, amplified and analyzed using real-time polymerase chain reaction (PCR) quantitation assay, and genotyped using single nucleotide polymorphisms.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
576
Inclusion Criteria
  • Primary diagnosis of neuroblastoma made at a North American COG institution
  • Diagnosed between 12/24/2007- 7/31/2013
  • Diagnosed at < 6 years of age
  • Biological mother is alive and willing to participate
  • Questionnaire respondents must understand English or Spanish
  • Are only those participating in CCRN who have agreed to be contacted for future studies
Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Ancillary-Correlative (Questionnaire, saliva & tissue sample)Laboratory Biomarker AnalysisThe biologic mother of the patient is asked to complete a Diet History Questionnaire about diet during pregnancy, and information on demographics, lifestyle factors, medication used during pregnancy, history of breast feeding, and family history of cancer or birth defects. Parents are given ORAgene saliva collection kits for self-collection. Saliva bio-specimen samples are collected from both biologic parents and the patient. Tissue samples previously stored in a tissue bank are obtained for deceased patients, if available. DNA is extracted from samples, amplified and analyzed using real-time PCR quantitation assay, and genotyped using single nucleotide polymorphisms.
Ancillary-Correlative (Questionnaire, saliva & tissue sample)Cytology Specimen Collection ProcedureThe biologic mother of the patient is asked to complete a Diet History Questionnaire about diet during pregnancy, and information on demographics, lifestyle factors, medication used during pregnancy, history of breast feeding, and family history of cancer or birth defects. Parents are given ORAgene saliva collection kits for self-collection. Saliva bio-specimen samples are collected from both biologic parents and the patient. Tissue samples previously stored in a tissue bank are obtained for deceased patients, if available. DNA is extracted from samples, amplified and analyzed using real-time PCR quantitation assay, and genotyped using single nucleotide polymorphisms.
Ancillary-Correlative (Questionnaire, saliva & tissue sample)Questionnaire AdministrationThe biologic mother of the patient is asked to complete a Diet History Questionnaire about diet during pregnancy, and information on demographics, lifestyle factors, medication used during pregnancy, history of breast feeding, and family history of cancer or birth defects. Parents are given ORAgene saliva collection kits for self-collection. Saliva bio-specimen samples are collected from both biologic parents and the patient. Tissue samples previously stored in a tissue bank are obtained for deceased patients, if available. DNA is extracted from samples, amplified and analyzed using real-time PCR quantitation assay, and genotyped using single nucleotide polymorphisms.
Primary Outcome Measures
NameTimeMethod
Gene-exposure interactions, with primary interest on folate, vitamin A, and choline intake, on the risk of NBUp to 4 years

Stratified on the exposure variable and the strength of associations between strata by using a chi-square based test of heterogeneity.

Gene-environment interactionsUp to 4 years

Stratified on the exposure variable and comparing the strength of associations between strata by using a chi-square-based test of heterogeneity.

Genetic polymorphisms involved in folate, vitamin A, and related metabolic and transport pathways with the risk of neuroblastoma (NB)Up to 4 years

The distributions of the estimated dietary and vitamin intake will be assessed and categories defined using quantiles and confirmation by nonparametric splines. Evaluated under a recessive or log-additive transmission model.

Genetic effects within NB subgroups defined by age at diagnosis and a Children?s Oncology group classification schema based on age, MYCN oncogene status, histology, and deoxyribonucleic acid (DNA) ploidyUp to 4 years

Because the log-linear models involve calculating a likelihood, the Bayesian information criterion, a likelihood-based model selection criterion will be used.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (153)

Children's Healthcare of Atlanta - Egleston

🇺🇸

Atlanta, Georgia, United States

Cedars Sinai Medical Center

🇺🇸

Los Angeles, California, United States

University of Illinois

🇺🇸

Chicago, Illinois, United States

University of Chicago Comprehensive Cancer Center

🇺🇸

Chicago, Illinois, United States

Children's National Medical Center

🇺🇸

Washington, District of Columbia, United States

University of Mississippi Medical Center

🇺🇸

Jackson, Mississippi, United States

NYU Winthrop Hospital

🇺🇸

Mineola, New York, United States

East Carolina University

🇺🇸

Greenville, North Carolina, United States

Janeway Child Health Centre

🇨🇦

Saint John's, Newfoundland and Labrador, Canada

Allan Blair Cancer Centre

🇨🇦

Regina, Saskatchewan, Canada

Miller Children's and Women's Hospital Long Beach

🇺🇸

Long Beach, California, United States

Loma Linda University Medical Center

🇺🇸

Loma Linda, California, United States

Lurie Children's Hospital-Chicago

🇺🇸

Chicago, Illinois, United States

Saint Jude Midwest Affiliate

🇺🇸

Peoria, Illinois, United States

Connecticut Children's Medical Center

🇺🇸

Hartford, Connecticut, United States

Saint Mary's Hospital

🇺🇸

West Palm Beach, Florida, United States

MedStar Georgetown University Hospital

🇺🇸

Washington, District of Columbia, United States

Santa Barbara Cottage Hospital

🇺🇸

Santa Barbara, California, United States

USA Health Strada Patient Care Center

🇺🇸

Mobile, Alabama, United States

Nemours Children's Clinic-Jacksonville

🇺🇸

Jacksonville, Florida, United States

Johns Hopkins All Children's Hospital

🇺🇸

Saint Petersburg, Florida, United States

Sinai Hospital of Baltimore

🇺🇸

Baltimore, Maryland, United States

University of Florida Health Science Center - Gainesville

🇺🇸

Gainesville, Florida, United States

Michigan State University Clinical Center

🇺🇸

East Lansing, Michigan, United States

Advocate Lutheran General Hospital

🇺🇸

Park Ridge, Illinois, United States

Loyola University Medical Center

🇺🇸

Maywood, Illinois, United States

Southern Illinois University School of Medicine

🇺🇸

Springfield, Illinois, United States

University of Massachusetts Medical School

🇺🇸

Worcester, Massachusetts, United States

Morristown Medical Center

🇺🇸

Morristown, New Jersey, United States

Hackensack University Medical Center

🇺🇸

Hackensack, New Jersey, United States

William Beaumont Hospital-Royal Oak

🇺🇸

Royal Oak, Michigan, United States

Alfred I duPont Hospital for Children

🇺🇸

Wilmington, Delaware, United States

Dartmouth Hitchcock Medical Center

🇺🇸

Lebanon, New Hampshire, United States

Blank Children's Hospital

🇺🇸

Des Moines, Iowa, United States

University of Iowa/Holden Comprehensive Cancer Center

🇺🇸

Iowa City, Iowa, United States

Nemours Children's Clinic - Pensacola

🇺🇸

Pensacola, Florida, United States

Augusta University Medical Center

🇺🇸

Augusta, Georgia, United States

Advocate Children's Hospital-Oak Lawn

🇺🇸

Oak Lawn, Illinois, United States

Dana-Farber Cancer Institute

🇺🇸

Boston, Massachusetts, United States

University of Kentucky/Markey Cancer Center

🇺🇸

Lexington, Kentucky, United States

Providence Sacred Heart Medical Center and Children's Hospital

🇺🇸

Spokane, Washington, United States

Bronson Methodist Hospital

🇺🇸

Kalamazoo, Michigan, United States

Columbia University/Herbert Irving Cancer Center

🇺🇸

New York, New York, United States

Tulane University Health Sciences Center

🇺🇸

New Orleans, Louisiana, United States

Cleveland Clinic Foundation

🇺🇸

Cleveland, Ohio, United States

Covenant Children's Hospital

🇺🇸

Lubbock, Texas, United States

Virginia Commonwealth University/Massey Cancer Center

🇺🇸

Richmond, Virginia, United States

Nationwide Children's Hospital

🇺🇸

Columbus, Ohio, United States

Helen DeVos Children's Hospital at Spectrum Health

🇺🇸

Grand Rapids, Michigan, United States

The Steven and Alexandra Cohen Children's Medical Center of New York

🇺🇸

New Hyde Park, New York, United States

Saint Joseph's Regional Medical Center

🇺🇸

Paterson, New Jersey, United States

University of Missouri - Ellis Fischel

🇺🇸

Columbia, Missouri, United States

Novant Health Presbyterian Medical Center

🇺🇸

Charlotte, North Carolina, United States

Saint Christopher's Hospital for Children

🇺🇸

Philadelphia, Pennsylvania, United States

Children's Hospital of Pittsburgh of UPMC

🇺🇸

Pittsburgh, Pennsylvania, United States

Natalie Warren Bryant Cancer Center at Saint Francis

🇺🇸

Tulsa, Oklahoma, United States

Geisinger Medical Center

🇺🇸

Danville, Pennsylvania, United States

Medical City Dallas Hospital

🇺🇸

Dallas, Texas, United States

Dell Children's Medical Center of Central Texas

🇺🇸

Austin, Texas, United States

Mercy Children's Hospital

🇺🇸

Toledo, Ohio, United States

East Tennessee Childrens Hospital

🇺🇸

Knoxville, Tennessee, United States

Children's Hospital Medical Center of Akron

🇺🇸

Akron, Ohio, United States

Seattle Children's Hospital

🇺🇸

Seattle, Washington, United States

Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center

🇺🇸

Houston, Texas, United States

University of Wisconsin Hospital and Clinics

🇺🇸

Madison, Wisconsin, United States

British Columbia Children's Hospital

🇨🇦

Vancouver, British Columbia, Canada

Driscoll Children's Hospital

🇺🇸

Corpus Christi, Texas, United States

Marshfield Clinic

🇺🇸

Marshfield, Wisconsin, United States

CancerCare Manitoba

🇨🇦

Winnipeg, Manitoba, Canada

Saskatoon Cancer Centre

🇨🇦

Saskatoon, Saskatchewan, Canada

Riley Hospital for Children

🇺🇸

Indianapolis, Indiana, United States

Saint Vincent Hospital and Health Care Center

🇺🇸

Indianapolis, Indiana, United States

Rady Children's Hospital - San Diego

🇺🇸

San Diego, California, United States

Cincinnati Children's Hospital Medical Center

🇺🇸

Cincinnati, Ohio, United States

Children's Hospitals and Clinics of Minnesota - Minneapolis

🇺🇸

Minneapolis, Minnesota, United States

University of Minnesota/Masonic Cancer Center

🇺🇸

Minneapolis, Minnesota, United States

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

Children's Hospital of Alabama

🇺🇸

Birmingham, Alabama, United States

Phoenix Childrens Hospital

🇺🇸

Phoenix, Arizona, United States

UCSF Medical Center-Parnassus

🇺🇸

San Francisco, California, United States

Wayne State University/Karmanos Cancer Institute

🇺🇸

Detroit, Michigan, United States

Ascension Saint John Hospital

🇺🇸

Detroit, Michigan, United States

University of Oklahoma Health Sciences Center

🇺🇸

Oklahoma City, Oklahoma, United States

Vanderbilt University/Ingram Cancer Center

🇺🇸

Nashville, Tennessee, United States

Primary Children's Hospital

🇺🇸

Salt Lake City, Utah, United States

Oregon Health and Science University

🇺🇸

Portland, Oregon, United States

Rocky Mountain Hospital for Children-Presbyterian Saint Luke's Medical Center

🇺🇸

Denver, Colorado, United States

Legacy Emanuel Children's Hospital

🇺🇸

Portland, Oregon, United States

Children's Hospital Colorado

🇺🇸

Aurora, Colorado, United States

Saint Joseph's Hospital/Children's Hospital-Tampa

🇺🇸

Tampa, Florida, United States

Mayo Clinic

🇺🇸

Rochester, Minnesota, United States

Children's Hospital and Medical Center of Omaha

🇺🇸

Omaha, Nebraska, United States

University of Nebraska Medical Center

🇺🇸

Omaha, Nebraska, United States

Children's Hospital of Wisconsin

🇺🇸

Milwaukee, Wisconsin, United States

University of Arkansas for Medical Sciences

🇺🇸

Little Rock, Arkansas, United States

Kaiser Permanente Downey Medical Center

🇺🇸

Downey, California, United States

Children's Hospital Los Angeles

🇺🇸

Los Angeles, California, United States

Children's Hospital and Research Center at Oakland

🇺🇸

Oakland, California, United States

Lucile Packard Children's Hospital Stanford University

🇺🇸

Palo Alto, California, United States

Kaiser Permanente-Oakland

🇺🇸

Oakland, California, United States

Memorial Regional Hospital/Joe DiMaggio Children's Hospital

🇺🇸

Hollywood, Florida, United States

Memorial Health University Medical Center

🇺🇸

Savannah, Georgia, United States

Saint Luke's Mountain States Tumor Institute

🇺🇸

Boise, Idaho, United States

Johns Hopkins University/Sidney Kimmel Cancer Center

🇺🇸

Baltimore, Maryland, United States

Memorial Sloan Kettering Cancer Center

🇺🇸

New York, New York, United States

Rainbow Babies and Childrens Hospital

🇺🇸

Cleveland, Ohio, United States

The Toledo Hospital/Toledo Children's Hospital

🇺🇸

Toledo, Ohio, United States

Children's Hospital of Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

BI-LO Charities Children's Cancer Center

🇺🇸

Greenville, South Carolina, United States

Sanford USD Medical Center - Sioux Falls

🇺🇸

Sioux Falls, South Dakota, United States

Children's Hospital of Orange County

🇺🇸

Orange, California, United States

Broward Health Medical Center

🇺🇸

Fort Lauderdale, Florida, United States

Cardinal Glennon Children's Medical Center

🇺🇸

Saint Louis, Missouri, United States

Miami Cancer Institute

🇺🇸

Miami, Florida, United States

University of New Mexico Cancer Center

🇺🇸

Albuquerque, New Mexico, United States

Saint Peter's University Hospital

🇺🇸

New Brunswick, New Jersey, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

Albany Medical Center

🇺🇸

Albany, New York, United States

Mission Hospital Inc-Memorial Campus

🇺🇸

Asheville, North Carolina, United States

Roswell Park Cancer Institute

🇺🇸

Buffalo, New York, United States

State University of New York Upstate Medical University

🇺🇸

Syracuse, New York, United States

Carolinas Medical Center/Levine Cancer Institute

🇺🇸

Charlotte, North Carolina, United States

Lehigh Valley Hospital - Muhlenberg

🇺🇸

Bethlehem, Pennsylvania, United States

Cook Children's Medical Center

🇺🇸

Fort Worth, Texas, United States

St. Jude Children's Research Hospital

🇺🇸

Memphis, Tennessee, United States

Penn State Children's Hospital

🇺🇸

Hershey, Pennsylvania, United States

UT Southwestern/Simmons Cancer Center-Dallas

🇺🇸

Dallas, Texas, United States

Texas Tech University Health Sciences Center-Amarillo

🇺🇸

Amarillo, Texas, United States

Scott and White Memorial Hospital

🇺🇸

Temple, Texas, United States

Inova Fairfax Hospital

🇺🇸

Falls Church, Virginia, United States

University of Virginia Cancer Center

🇺🇸

Charlottesville, Virginia, United States

University of Vermont College of Medicine

🇺🇸

Burlington, Vermont, United States

University of Alberta Hospital

🇨🇦

Edmonton, Alberta, Canada

Children's Hospital of The King's Daughters

🇺🇸

Norfolk, Virginia, United States

IWK Health Centre

🇨🇦

Halifax, Nova Scotia, Canada

Alberta Children's Hospital

🇨🇦

Calgary, Alberta, Canada

Mary Bridge Children's Hospital and Health Center

🇺🇸

Tacoma, Washington, United States

Saint Vincent Hospital Cancer Center Green Bay

🇺🇸

Green Bay, Wisconsin, United States

McMaster Children's Hospital at Hamilton Health Sciences

🇨🇦

Hamilton, Ontario, Canada

Kingston Health Sciences Centre

🇨🇦

Kingston, Ontario, Canada

Hospital for Sick Children

🇨🇦

Toronto, Ontario, Canada

University of California Davis Comprehensive Cancer Center

🇺🇸

Sacramento, California, United States

Florida Hospital Orlando

🇺🇸

Orlando, Florida, United States

UF Cancer Center at Orlando Health

🇺🇸

Orlando, Florida, United States

Norton Children's Hospital

🇺🇸

Louisville, Kentucky, United States

C S Mott Children's Hospital

🇺🇸

Ann Arbor, Michigan, United States

Wake Forest University Health Sciences

🇺🇸

Winston-Salem, North Carolina, United States

Yale University

🇺🇸

New Haven, Connecticut, United States

The Childrens Mercy Hospital

🇺🇸

Kansas City, Missouri, United States

Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

UNC Lineberger Comprehensive Cancer Center

🇺🇸

Chapel Hill, North Carolina, United States

University of Rochester

🇺🇸

Rochester, New York, United States

Children's Hospital

🇨🇦

London, Ontario, Canada

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