Gene Testing to Help in the Diagnosis and Treatment of Childhood Brain Tumors

This study is currently recruiting patients.

Sponsored by

National Cancer Institute (NCI)

Children's Cancer Group

bulletPurpose

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: Clinical trial to study the number and structure of genes in cancer cells of children who have brain tumors.

Condition

untreated childhood supratentorial primitive neuroectodermal and pineal tumors

untreated childhood medulloblastoma

Study Type: Genetic

Official Title: Molecular Biology of Pediatric Brain Tumors

Further Study Details: OBJECTIVES: I. Determine the chromosomal gains and lossed by DNA ploidy analysis and comparative genomic hybridization in patients with primitive neuroectodermal tumors or medulloblastomas. II. Determine the frequency of specific chromosomal abnormalities, including deletions of chromosomal regions 6, 17, and 22, in these patients. III. 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.  PROTOCOL 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.  

bulletEligibility

Ages Eligible for Study:  up to   20 Years Criteria

PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- Histologically confirmed primary CNS malignancy consistent with primitive neuroectodermal tumor, medulloblastoma, or atypical teratoid/rhabdoid tumor Must be entered on CCG-9921, CCG-9931, CCG-A9961, CCG-99703 or other front-line studies developed from CCG-90024 or CCG-90025 Retrospective specimens also obtained from CCG-921, CCG-923, CCG-9892, CCG-9921, and CCG-9931 --Prior/Concurrent Therapy-- No prior radiotherapy --Patient Characteristics-- Age: Under 21 Performance status: See Disease Characteristics Life expectancy: See Disease Characteristics Hematopoietic: See Disease Characteristics Hepatic: See Disease Characteristics Renal: See Disease Characteristics

bulletLocation and Contact Information

Western Australia, Australia

Princess Margaret Hospital for Children, Perth,   Western Australia,   6001,    Australia; Recruiting

David Baker       011-618-9340-8234   

British Columbia, Canada

British Columbia Children's Hospital, Vancouver,   British Columbia,   V6H 3V4,    Canada; Recruiting

Paul C.J. Rogers       604-875-2322   

Nova Scotia, Canada

IWK Grace Health Centre, Halifax,    Nova Scotia,   B3J 3G9,   Canada; Recruiting

Dorothy R. Barnard       902-428-8291   

California

Children's Hospital Los Angeles, Los Angeles,   California,   90027-0700,   United States; Recruiting

Paul S. Gaynon       323-669-2163   

California

Children's Hospital of Orange County, Orange,   California,   92668,   United States; Recruiting

Wei-Ping Violet Shen       714-532-8628   

California

Jonsson Comprehensive Cancer Center, UCLA, Los Angeles,   California,   90095-1781,   United States; Recruiting

Stephen A. Feig       310-825-6708   

California

Long Beach Memorial Medical Center, Long Beach,   California,   90806,   United States; Recruiting

Jerry Z. Finklestein       310-492-1062   

California

UCSF Cancer Center and Cancer Research Institute, San Francisco,   California,   94115-0128,    United States; Recruiting

Katherine K. Matthay       415-476-0603   

Colorado

Children's Hospital of Denver, Denver,    Colorado,   80218,   United States; Recruiting

Lorrie F. Odom       303-861-6750   

District of Columbia

Children's National Medical Center, Washington,   District of Columbia,   20010-2970,    United States; Recruiting

Gregory H. Reaman       202-884-2147   

Illinois

University of Chicago Cancer Research Center, Chicago,   Illinois,   60637,   United States; Recruiting

James B. Nachman       773-702-6808   

Indiana

Indiana University Cancer Center, Indianapolis,   Indiana,   46202-5265,   United States; Recruiting

Philip Paul Breitfeld       317-274-8982   

Iowa

University of Iowa Hospitals and Clinics, Iowa City,   Iowa,   52242,   United States; Recruiting

Raymond Tannous       319-356-1905   

Michigan

CCOP - Kalamazoo, Kalamazoo,    Michigan,   49007-3731,   United States; Recruiting

Raymond S. Lord, III       616-373-7488   

Michigan

University of Michigan Comprehensive Cancer Center, Ann Arbor,   Michigan,   48109-0752,   United States; Recruiting

Raymond J. Hutchinson       313-936-8785   

Minnesota

Mayo Clinic Cancer Center, Rochester,    Minnesota,   55905,   United States; Recruiting

Carola A.S. Arndt       507-284-3903   

Minnesota

University of Minnesota Cancer Center, Minneapolis,   Minnesota,   55455,   United States; Recruiting

Joseph P. Neglia       612-626-2778   

Missouri

Children's Mercy Hospital - Kansas City, Kansas City,   Missouri,   64108,   United States; Recruiting

Maxine L. Hetherington       816-234-3265   

Nebraska

University of Nebraska Medical Center, Omaha,   Nebraska,   68198-3330,   United States; Recruiting

Peter F. Coccia       402-559-7257   

New Jersey

Cancer Institute of New Jersey, New Brunswick,   New Jersey,   08901,   United States; Recruiting

Richard A. Drachtman       732-235-7898   

New York

Herbert Irving Comprehensive Cancer Center, New York,   New York,   10032,   United States; Recruiting

Michael A. Weiner       212-305-5808   

New York

Kaplan Cancer Center, New York,    New York,   10016,   United States; Recruiting

Aaron R. Rausen       212-263-7144   

New York

Memorial Sloan-Kettering Cancer Center, New York,   New York,   10021,   United States; Recruiting

Peter G. Steinherz       212-639-7951   

North Carolina

Lineberger Comprehensive Cancer Center, UNC, Chapel Hill,   North Carolina,   27599-7295,    United States; Recruiting

Stuart Gold       919-966-1178   

North Dakota

CCOP - Merit Care Hospital, Fargo,    North Dakota,   58122,   United States; Recruiting

Ralph Levitt       701-234-7592   

North Dakota

Veterans Affairs Medical Center - Fargo, Fargo,   North Dakota,   58102,   United States; Recruiting

Ralph Levitt       701-234-7592   

Ohio

Children's Hospital Medical Center - Cincinnati, Cincinnati,   Ohio,   45229-3039,   United States; Recruiting

Robert J. Wells       513-636-4266   

Ohio

Children's Hospital of Columbus, Columbus,   Ohio,   43205-2696,   United States; Recruiting

Frederick B. Ruymann       614-722-3564   

Ohio

Ireland Cancer Center, Cleveland,    Ohio,   44106-5065,   United States; Recruiting

Eric Kodish       216-844-3345   

Oregon

Doernbecher Children's Hospital, Portland,   Oregon,   97201-3098,   United States; Recruiting

H. Stacy Nicholson       503-494-1543   

Pennsylvania

Children's Hospital of Philadelphia, Philadelphia,   Pennsylvania,   19104,    United States; Recruiting

Beverly J. Lange       215-590-2249   

Pennsylvania

Children's Hospital of Pittsburgh, Pittsburgh,   Pennsylvania,   15213,    United States; Recruiting

Arthur Kim Ritchey       412-692-5949   

Tennessee

Vanderbilt Cancer Center, Nashville,    Tennessee,   37232-6838,   United States; Recruiting

James A. Whitlock       615-936-1762   

Texas

University of Texas - MD Anderson Cancer Center, Houston,   Texas,   77030,   United States; Recruiting

R. Beverly Raney, Jr.       713-792-6624   

Utah

Huntsman Cancer Institute, Salt Lake City,   Utah,   84132,   United States; Recruiting

William L. Carroll       801-588-2680   

Washington

Children's Hospital and Regional Medical Center - Seattle, Seattle,   Washington,   98105,    United States; Recruiting

J. Russell Geyer       206-526-2106   

Washington

Fred Hutchinson Cancer Research Center, Seattle,   Washington,   98109,   United States; Recruiting

Jean E. Sanders       206-667-4348   

Wisconsin

University of Wisconsin Comprehensive Cancer Center, Madison,   Wisconsin,   53792,   United States; Recruiting

Diane Puccetti       608-263-0320   

Study chairs or principal investigators

Jaclyn A. Biegel,  Study Chair

Children's Cancer Group   

bulletMore Information

Study ID Numbers  199/12889;   CCG-B971

NLM Identifier  NCT00003096

Date study started December 1, 1997

Back