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Trial Title: A Taiwanese Oncogenetic Panel and Integrated Clinical Data Registry Study for Diffuse Glioma

NCT ID: NCT05622409

Condition: Primary Malignant Brain Tumors

Conditions: Official terms:
Glioma
Brain Neoplasms

Conditions: Keywords:
adult-type diffuse gliomas
next-generation sequencing
precision medicine

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Other

Intervention:

Intervention type: Other
Intervention name: A Taiwanese Oncogenetic Panel and Integrated Clinical Data Registry Study for Diffuse Glioma
Description: A Taiwanese Oncogenetic Panel and Integrated Clinical Data Registry Study for Diffuse Glioma
Arm group label: Arm 1
Arm group label: Arm 2
Arm group label: Arm 3

Summary: Glioma is a major histological subtype of primary malignant brain tumors in Taiwan, with distinct epidemiological, clinical, and pathological features comparing to the other common cancer diseases. The disease rarely appears with metastatic disease at diagnosis, and with the most malignant subtype, glioblastoma, occurs with preference in mid- to old-age. For decades, primary malignant brain tumors has been known as one of the most desperate disease without successful improvement regarding of the treatment. Surgical resection is the principle for the primary treatment of gliomas. Chemotherapy and radiotherapy are often applied to patients for adjuvant therapy of surgery to pursue the treatment effect. Disappointedly, vast majority of the patients would eventually develop disease recurrence, leaving only limited choice for salvage treatment thereafter. The prognosis of these patients remains desperate, and thus a better understanding of this deadly disease is crucial for finding better therapeutic strategies for these patients.

Detailed description: With demand of molecular characterization in precise diagnosis, we proposed this registry study to explore the impact of the new criteria by applying next-generation sequencing. The specific aims of this project are (1) to establish the tumor genetic and molecular profiles of adult-type diffuse gliomas in Taiwan, (2) to understand the treatment prognosis depending on difference of the genetic and molecular profiles for adult-type diffuse gliomas in Taiwan, and (3) to reveal the evolutionary changes of genetic and molecular features of adult-type diffuse gliomas. The long-term goals of this study are to help implement personalized therapy, to develop novel therapy, and to improve outcomes of patients with adult-type diffuse gliomas. It is also expected to create a platform for data storage and sharing.

Criteria for eligibility:

Study pop:
Arm 1: (Newly diagnosis arm): Anticipated 150 patients. Arm 2: IDH expression (N=50 for IDH-mutant and N=50 for IDH-wild type) Arm 3:Recurrent and paired samples (N=25).

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: 1. Pathological confirmation or suggestion of adult-type diffuse gliomas A. Diagnosis includes glioblastoma, astrocytoma, oligodendrocytoma that is listed in ATDG category per WHO criteria. B. Gliomas that are preferred as ATDGs from pathological and clinical views, but not given for confirmed diagnosis. 2. Willingness to provide archival or newly obtained tumor tissues for current study proposal. 3. Age equal or more than 20 years old (inform consent). 4. Life expectancy more than 3 months. 5. Patients fully understand the protocol with the willingness to have regular follow-up. 6. Additional criteria for individual arms A. [Arm 1] Within 2 months after surgery for primary tumor. B. [Arm 2] Total resection of primary tumors with tissue samples available for test. C. [Arm 3] (1) Total resection of primary tumors with the paired primary and recurrent tissue samples available for test. (2) IDH test suggesting wild-type. Exclusion Criteria: 1. Gliomas diagnosed or preferred as other categories than ATDGs, such as pediatric-type diffuse gliomas, circumscribed astrocytic gliomas, and others. 2. Inability to cooperate by providing a complete medical history. 3. Patients disagree to provide archived tumor samples. 4. Undesirable compliance. 5. Having a known additional malignancy that is progressing or has required active treatment within the past 3 years. Participants with basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or carcinoma in situ (e.g., cervical carcinoma in situ) that have undergone potentially curative therapy are not excluded.

Gender: All

Minimum age: 20 Years

Maximum age: N/A

Locations:

Facility:
Name: Kaohsiung Chang Gung Memorial Hospital

Address:
City: Kaohsiung
Country: Taiwan

Status: Not yet recruiting

Contact:
Last name: Ming-Jung Chuang

Investigator:
Last name: Ming-Jung Chuang
Email: Principal Investigator

Facility:
Name: Shuang Ho Hospital

Address:
City: New Taipei City
Country: Taiwan

Status: Recruiting

Contact:
Last name: Yong-Kwang Tu

Investigator:
Last name: Yong-Kwang Tu
Email: Principal Investigator

Facility:
Name: China Medical University Hospital

Address:
City: Taichung
Country: Taiwan

Status: Recruiting

Contact:
Last name: Chun-Chung Chen

Investigator:
Last name: Chun-Chung Chen
Email: Principal Investigator

Facility:
Name: Taichung Veterans General Hospital

Address:
City: Taichung
Country: Taiwan

Status: Recruiting

Contact:
Last name: Chiung-Chyi Shen

Investigator:
Last name: Chiung-Chyi Shen
Email: Principal Investigator

Facility:
Name: National Cheng Kung University Hospital

Address:
City: Tainan
Country: Taiwan

Status: Recruiting

Contact:
Last name: E-Jian Lee

Investigator:
Last name: E-Jian Lee
Email: Principal Investigator

Facility:
Name: National Taiwan University Hospital

Address:
City: Taipei
Country: Taiwan

Status: Recruiting

Contact:
Last name: Dar-Ming Lai

Investigator:
Last name: Dar-Ming Lai
Email: Principal Investigator

Facility:
Name: Taipei Medical University Hospital

Address:
City: Taipei
Country: Taiwan

Status: Recruiting

Contact:
Last name: Yung-Hsiao Chiang

Investigator:
Last name: Yung-Hsiao Chiang
Email: Principal Investigator

Facility:
Name: Taipei Veterans General Hospital

Address:
City: Taipei
Country: Taiwan

Status: Recruiting

Contact:
Last name: Sanford PC Hsu

Investigator:
Last name: Sanford PC Hsu
Email: Principal Investigator

Facility:
Name: CHENG GUNG MEMORIAL HOSPITAL, Linkou

Address:
City: Taoyuan
Country: Taiwan

Status: Not yet recruiting

Contact:
Last name: kuo-chen wei

Investigator:
Last name: kuo-chen wei
Email: Principal Investigator

Start date: December 29, 2022

Completion date: December 31, 2030

Lead sponsor:
Agency: National Health Research Institutes, Taiwan
Agency class: Other

Source: National Health Research Institutes, Taiwan

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05622409

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