Biomarkers of Brain Injury in Children With Brain Tumors

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeUp to 17
SponsorUppsala University

About this trial

The goal of this observational study is to identify biomarkers of treatment-induced brain injury in children treated for primary brain tumors. The main question it aims to answer is:

Can investigators identify sensitive plasma biomarker(s) of treatment-induced brain injury in children with primary brain tumors?

Researchers will compare results between different treatment modalities (surgery, chemotherapy, radiation versus radiation-naive) and a healthy age- and sex-matched control population, to identify treatment-specific biomarkers.

Participants will provide plasma samples at the following time points: before surgery, 1-2 weeks after surgery, as well as at 3-, 6-, 12-, 18-, 24-, and 36 months after surgery. Participants who receive radiation treatment will also provide plasma samples before and during treatment (approximately every 2 weeks). Where possible, plasma samples are also collected before the start of any new treatment (e.g., chemotherapy). Healthy controls will provide samples once.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Age 0-17 years old, AND

Diagnosed with primary brain tumor through surgery, biopsy, or other diagnostic method (e.g., for germinoma) at Uppsala University Hospital or at another university hospital in Sweden, AND

Referred for radiotherapy at Skandion Clinic in Uppsala and/or at their local hospital (in some cases), with/without the addition of other cancer treatments.

Age 0-17 years old, AND

Disqualifiers

Diagnosed with a tumor only in the spinal cord (solitary spinal tumor).

Diagnosed with a tumor considered palliative already at diagnosis (e.g., diffuse intrinsic pontine glioma)

Have diagnosis of chronic disease that requires continuous medication.

Unable to provide informed consent due to language difficulties.

Trial population

Groups A and B will be selected from all children, 0-17 years of age, in Sweden with primary (newly diagnosed) brain tumors. Group C will be selected from: * Healthy sibling controls to other study participants, OR * Siblings to other children admitted to Uppsala University Hospital, OR * Other healthy children for example those who attend Uppsala University Hospital for another reason (e.g., minor elective daycare surgery).

Trial design

Design model

Case-control

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

560 Participants
are grouped into 3 trial groups
Group A: Group A - Radiation
Group B: Group B - Radiation-naive
Group C: Group C - Healthy Controls

Trial outcomes

Primary outcomes

1

Biomarker(s) of brain injury

Exploratory. "Brain injury" includes, e.g., changes visible on magnetic resonance imaging and neurocognitive follow-up assessments.

Time frame
From enrollment until the end of study follow-up (up to 3 years after start of primary behandling for primary brain tumor, such as operation for brain tumor)

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Uppsala University

Lead sponsor

Region Blekinge

Collaborator

Region Dalarna

Collaborator

Region Gotland

Collaborator

Region Gävleborg

Collaborator

Region of Uppsala

Collaborator

Region Halland

Collaborator

Region Jämtland Härjedalen

Collaborator

Region Jönköping County

Collaborator

Region Kalmar län

Collaborator

Region Kronoberg

Collaborator

Region Norrbotten

Collaborator

Region Skane

Collaborator

Region Stockholm

Collaborator

Sormland County Council, Sweden

Collaborator

Region Värmland

Collaborator

Region Västerbotten

Collaborator

Region Västernorrland

Collaborator

Region Västmanland

Collaborator

Region Örebro län

Collaborator

Region Östergotland

Collaborator

Göteborg University

Collaborator

Västra Götalandsregionen

Collaborator