Gene Testing to Help in the Diagnosis and Treatment of Childhood Brain Tumors
- Conditions
- Brain TumorsCentral Nervous System Tumors
- Registration Number
- NCT00003096
- Lead Sponsor
- Children's Oncology Group
- Brief Summary
RATIONALE: Analyzing the number and structure of genes found in a child's cancer cells may help doctors improve methods of diagnosing and treating children with brain tumors.
PURPOSE: This clinical trial is studying the number and structure of genes in cancer cells of children with brain tumors.
- Detailed Description
OBJECTIVES:
* Determine the chromosomal gains and losses by DNA ploidy analysis and comparative genomic hybridization in patients with primitive neuroectodermal tumors or medulloblastomas.
* Determine the frequency of specific chromosomal abnormalities, including deletions of chromosomal regions 6, 17, and 22, in these patients.
* Perform a statistical analysis to determine possible associations of chromosomal abnormalities and DNA ploidy with patient age, tumor histology, tumor location, extent of disease, and event-free survival.
OUTLINE: DNA ploidy analysis will be performed to determine the overall level of aneuploidy. The results are compared to the comparative genomic hybridization (CGH) analysis, which is used to demonstrate tumor-specific losses or gains, including amplification, of specific chromosomal regions. Tumors are also screened for specific abnormalities by fluorescent in situ hybridization (FISH), which detects chromosomal rearrangements, including balanced translocations, deletions, amplifications, etc. PCR-based microsatellite polymorphism analysis may also be performed.
Primitive neuroectodermal tumors (PNETs) are screened by FISH with a distal 17p13.3 cosmid and a 17q25 cosmid to identify tumors with a 17p deletion. Atypical teratoid/rhabdoid tumors and PNETs without a 17p deletion are screened by FISH with a series of cosmids from 22q11.2. PNETs are also screened by interphase FISH with cosmids from chromosome 6 to identify tumors with deletions.
Patients do not receive the results of the genetic testing and the results do not influence the type or duration of treatment.
PROJECTED ACCRUAL: This study will accrue 360 specimens.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 88
Not provided
Not provided
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Frequency of specific chromosomal gains, losses and rearrangements in a series of infratentorial and supratentorial PNETS Estimate the frequency of specific chromosomal gains, losses and rearrangements in a series of infratentorial and supratentorial PNETS diagnosed in children
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (61)
Samuel Oschin Comprehensive Cancer Institute at Cedars-Sinai Medical Center
πΊπΈLos Angeles, California, United States
Carole and Ray Neag Comprehensive Cancer Center at the University of Connecticut Health Center
πΊπΈFarmington, Connecticut, United States
Advocate Lutheran General Cancer Care Center
πΊπΈPark Ridge, Illinois, United States
St. Vincent Indianapolis Hospital
πΊπΈIndianapolis, Indiana, United States
CCOP - Nevada Cancer Research Foundation
πΊπΈLas Vegas, Nevada, United States
Cincinnati Children's Hospital Medical Center
πΊπΈCincinnati, Ohio, United States
Rainbow Babies and Children's Hospital
πΊπΈCleveland, Ohio, United States
Cleveland Clinic Taussig Cancer Center
πΊπΈCleveland, Ohio, United States
Tod Children's Hospital
πΊπΈYoungstown, Ohio, United States
Children's Hospital of Philadelphia
πΊπΈPhiladelphia, Pennsylvania, United States
Children's Hospital of Pittsburgh of UPMC
πΊπΈPittsburgh, Pennsylvania, United States
Children's Hospital Central California
πΊπΈMadera, California, United States
Children's Hospital of Orange County
πΊπΈOrange, California, United States
Curtis and Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center
πΊπΈSavannah, Georgia, United States
Santa Barbara Cottage Children's Hospital
πΊπΈSanta Barbara, California, United States
Blank Children's Hospital
πΊπΈDes Moines, Iowa, United States
Swedish-American Regional Cancer Center
πΊπΈRockford, Illinois, United States
Texas Tech University Health Sciences Center School of Medicine - Amarillo
πΊπΈAmarillo, Texas, United States
Southern California Permanente Medical Group
πΊπΈDowney, California, United States
Loma Linda University Cancer Institute at Loma Linda University Medical Center
πΊπΈLoma Linda, California, United States
Jonathan Jaques Children's Cancer Center at Miller Children's Hospital
πΊπΈLong Beach, California, United States
Jonsson Comprehensive Cancer Center at UCLA
πΊπΈLos Angeles, California, United States
AFLAC Cancer Center and Blood Disorders Service of Children's Healthcare of Atlanta - Egleston Campus
πΊπΈAtlanta, Georgia, United States
Holden Comprehensive Cancer Center at University of Iowa
πΊπΈIowa City, Iowa, United States
Penn State Children's Hospital
πΊπΈHershey, Pennsylvania, United States
Deaconess Medical Center
πΊπΈSpokane, Washington, United States
Gundersen Lutheran Center for Cancer and Blood
πΊπΈLa Crosse, Wisconsin, United States
IWK Health Centre
π¨π¦Halifax, Nova Scotia, Canada
Primary Children's Medical Center
πΊπΈSalt Lake City, Utah, United States
Princess Margaret Hospital for Children
π¦πΊPerth, Western Australia, Australia
Children's Hospitals and Clinics of Minnesota - Minneapolis
πΊπΈMinneapolis, Minnesota, United States
Allan Blair Cancer Centre at Pasqua Hospital
π¨π¦Regina, Saskatchewan, Canada
Carol G. Simon Cancer Center at Morristown Memorial Hospital
πΊπΈMorristown, New Jersey, United States
Newark Beth Israel Medical Center
πΊπΈNewark, New Jersey, United States
Monmouth Medical Center
πΊπΈLong Branch, New Jersey, United States
Butterworth Hospital at Spectrum Health
πΊπΈGrand Rapids, Michigan, United States
Children's National Medical Center
πΊπΈWashington, District of Columbia, United States
Phoenix Children's Hospital
πΊπΈPhoenix, Arizona, United States
Alfred I. duPont Hospital for Children
πΊπΈWilmington, Delaware, United States
Masonic Cancer Center at University of Minnesota
πΊπΈMinneapolis, Minnesota, United States
East Tennessee Children's Hospital
πΊπΈKnoxville, Tennessee, United States
CCOP - Kalamazoo
πΊπΈKalamazoo, Michigan, United States
Breslin Cancer Center at Ingham Regional Medical Center
πΊπΈLansing, Michigan, United States
Children's Hospitals and Clinics of Minnesota - St. Paul
πΊπΈSt. Paul, Minnesota, United States
CCOP - MeritCare Hospital
πΊπΈFargo, North Dakota, United States
Simmons Cooper Cancer Institute
πΊπΈSpringfield, Illinois, United States
Lombardi Comprehensive Cancer Center at Georgetown University Medical Center
πΊπΈWashington, District of Columbia, United States
Nationwide Children's Hospital
πΊπΈColumbus, Ohio, United States
Avera Cancer Institute
πΊπΈSioux Falls, South Dakota, United States
Methodist Children's Hospital of South Texas
πΊπΈSan Antonio, Texas, United States
Saskatoon Cancer Centre at the University of Saskatchewan
π¨π¦Saskatoon, Saskatchewan, Canada
Marshfield Clinic - Marshfield Center
πΊπΈMarshfield, Wisconsin, United States
Children's Hospital Center for Cancer and Blood Disorders
πΊπΈAurora, Colorado, United States
Kosair Children's Hospital
πΊπΈLouisville, Kentucky, United States
Children's Mercy Hospital
πΊπΈKansas City, Missouri, United States
Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill
πΊπΈChapel Hill, North Carolina, United States
Dell Children's Medical Center of Central Texas
πΊπΈAustin, Texas, United States
University of Wisconsin Paul P. Carbone Comprehensive Cancer Center
πΊπΈMadison, Wisconsin, United States
Dayton Children's - Dayton
πΊπΈDayton, Ohio, United States
Children's & Women's Hospital of British Columbia
π¨π¦Vancouver, British Columbia, Canada
Overlook Hospital
πΊπΈMorristown, New Jersey, United States