Liquid Biopsies in Pediatric Solid Tumors

NCT ID: NCT05068583

Last Updated: 2024-08-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

320 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-05-08

Study Completion Date

2034-05-08

Brief Summary

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This study is being done to determine if traces of tumor can be found in the blood before, during, and after patients stop treatment. We will analyze the tumor material to see if it is similar to tumor tissue and if the tumor material in blood is helpful in monitoring the disease.

Detailed Description

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Liquid biopsies, particularly those involving cell-free DNA (cfDNA), are a promising non-invasive, cost effective method of monitoring disease in cancer patients with solid tumors and are being increasingly employed in various adult malignancies to diagnose disease, monitor tumor response, detect relapse and learn more about tumor biology. The utility of liquid biopsies which may include isolation and analysis of tumor derived material such as DNA, RNA, intact cells, proteins, or exosomes from blood or other bodily fluids in pediatric solid tumors has not been established. In this study, we propose to prospectively collect serial blood samples at baseline, during therapy, end of therapy, relapse, and during follow up from patients ≥ 6 months of age with newly diagnosed or relapsed/refractory various pediatric non-CNS malignant solid tumors to determine the feasibility of detecting various tumor-derived material, including exosomes, circulating tumor cells, and circulating tumor nucleic acid (ctDNA and ctRNA). The timing of blood sample collection will be during a routine lab draw around the time of a disease evaluation. The ctDNA and ctRNA as well as DNA and RNA extracted from tumor-derived exosomes will be quantified at each time point and the findings will be correlated with conventional methods for disease evaluation (e.g., imaging studies, histologic tumor response, or serum tumor markers) and outcome (overall survival and event-free survival).

Conditions

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Pediatric Solid Tumor, Unspecified, Protocol Specific

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Osteosarcoma

Blood Draw

Intervention Type OTHER

Blood draw at baseline, disease evaluation time point, and pre and post surgery and/or radiation.

Ewing Sarcoma

Blood Draw

Intervention Type OTHER

Blood draw at baseline, disease evaluation time point, and pre and post surgery and/or radiation.

Rhabdomyosarcoma

Blood Draw

Intervention Type OTHER

Blood draw at baseline, disease evaluation time point, and pre and post surgery and/or radiation.

Synovial Sarcoma

Blood Draw

Intervention Type OTHER

Blood draw at baseline, disease evaluation time point, and pre and post surgery and/or radiation.

Non-Rhabdomyosarcoma Soft Tissue Sarcoma

Blood Draw

Intervention Type OTHER

Blood draw at baseline, disease evaluation time point, and pre and post surgery and/or radiation.

Hepatic Tumors

Blood Draw

Intervention Type OTHER

Blood draw at baseline, disease evaluation time point, and pre and post surgery and/or radiation.

Renal Tumors

Blood Draw

Intervention Type OTHER

Blood draw at baseline, disease evaluation time point, and pre and post surgery and/or radiation.

Thyroid Tumors

Blood Draw

Intervention Type OTHER

Blood draw at baseline, disease evaluation time point, and pre and post surgery and/or radiation.

Germ Cell Tumors

Blood Draw

Intervention Type OTHER

Blood draw at baseline, disease evaluation time point, and pre and post surgery and/or radiation.

Healthy Volunteers

Blood Draw

Intervention Type OTHER

Blood draw at baseline, disease evaluation time point, and pre and post surgery and/or radiation.

Interventions

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Blood Draw

Blood draw at baseline, disease evaluation time point, and pre and post surgery and/or radiation.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Newly diagnosed, relapsed, or refractory histologically confirmed high grade bone or soft tissue sarcoma or malignant renal, thyroid, germ cell, or hepatic tumors, OR
* Healthy individual with no history of cancer or chronic medical problems and \< 21 years of age

Exclusion Criteria

* CNS Malignancies
* Individuals \< 6 months of age
Minimum Eligible Age

6 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Children's Hospital Los Angeles

OTHER

Sponsor Role lead

Responsible Party

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Fariba Navid

Principle Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Fariba Navid, MD

Role: PRINCIPAL_INVESTIGATOR

Children's Hospital Los Angeles

Locations

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Children's Hospital Los Angeles

Los Angeles, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Fariba Navid, MD

Role: CONTACT

323-361-2529

Facility Contacts

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Anya Zdanowicz

Role: primary

323-361-5418

Other Identifiers

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CHLA-19-00146

Identifier Type: -

Identifier Source: org_study_id

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