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Precision Medicine for Every Child With Cancer
Sponsor: Australian & New Zealand Children's Haematology/Oncology Group
Summary
To improve outcomes for childhood cancer patients through the implementation of precision medicine.
Key Details
Gender
All
Age Range
0 Years - 25 Years
Study Type
OBSERVATIONAL
Enrollment
3500
Start Date
2022-12-16
Completion Date
2030-07
Last Updated
2024-07-17
Healthy Volunteers
No
Conditions
Interventions
Whole Genome Sequencing
Each tumor sample will be sequenced and analyzed in parallel with its matched normal (germline DNA from the same patient) to enable the identification of somatic aberrations.
RNA seq
Results will be used for bioinformatics analysis for fusion transcripts and gene expression.
DNA Methylation
Genome-wide assessment of DNA methylation will be conducted on all samples where possible.
Targeted Panel Sequencing
Targeted panel sequencing may be performed: 1. When WGS is not feasible or appropriate, e.g., insufficient DNA from fresh or frozen sample or only Formalin-Fixed Paraffin-Embedded (FFPE) material is available 2. When mosaicism is suspected 3. When indicated for a disease type
High Throughput Sequencing (in vitro)
High throughput drug screening will be attempted for tumors from Cohort 1 (high-risk cancers with survival \<30%) and selected tumor types.
Patient Derived Xenograft (PDX)(in vivo)
In vivo drug testing in patient derived xenograft (PDX) will be attempted for tumors from Cohort 1 (high-risk cancers) and selected tumor types.
Liquid Biopsy
Liquid biopsy will be investigated as a non-invasive method for diagnosis of tumors that are difficult to biopsy directly, understanding tumor heterogeneity, monitoring of treatment response, and detection of minimal residual disease (MRD)/relapse in leukemia, solid and CNS tumors.
Locations (11)
Women's and Children's Hospital
Adelaide, Australia
Queensland Children's Hospital
Brisbane, Australia
Royal Hobart Hospital
Hobart, Australia
Monash Children's Hospital
Melbourne, Australia
Royal Children's Hospital
Melbourne, Australia
John Hunter Children's Hospital
Newcastle, Australia
Perth Children's Hospital
Perth, Australia
Sydney Children's Hospital, Randwick
Sydney, Australia
The Children's Hospital at Westmead
Sydney, Australia
Starship Children's Hospital
Auckland, Grafton, New Zealand
Christchurch Hospital
Christchurch, New Zealand