About this trial
Pleuropulmonary blastoma (PPB) is a rare malignant neoplasm of the lung presenting in early childhood. Type I PPB is a purely cystic lesion, Type II is a partially cystic, partially solid tumor, Type III is a completely solid tumor. Treatment of children with PPB is at the discretion of the treating institution. This study builds off of the 2009 study and will also seek to enroll individuals with DICER1-associated conditions, some of whom may present only with the DICER1 gene mutation, which will help the Registry understand how these tumors and conditions develop, their clinical course and the most effective treatments.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Known or suspected PPB or related thoracic tumor
Known or suspected sex-cord stromal tumor including Sertoli-Leydig cell tumor and gynandroblastoma (males or females)
Other known or suspected DICER1-related condition including ovarian sarcoma, cystic nephroma, renal sarcoma, pineoblastoma, pituitary blastoma, nasal chondromesenchymal hamartoma, ciliary body medulloepithelioma and others
Individuals with known or suspected DICER1 pathogenic variation regardless of whether they have an established DICER1-associated condition
Disqualifiers
None
Trial population
1. For those with PPB: PPB primarily affects children so their participation is required. 2. For those with DICER1-associated conditions: There's a wide array of conditions associated with DICER1, that occur at a variety of ages, from the development of cysts in utero, to lung cysts and thyroid disease noted in grandparents. 3. The Investigators are aware that many individuals with PPB, and with conditions associated with DICER1, come from countries outside of the U.S. To exclude individuals outside the US, minority groups and non-English speaking groups would be a disservice to eligible patients and healthcare providers and would limit the sample size of this rare cancer study.
Trial design
Cohort
Other
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Event-free survival
The primary endpoint for statistical analysis will be time from start treatment to an event, defined as the occurrence of progression or recurrence of PPB, occurrence of a second malignant neoplasm, or death from any cause that is at least possibly related to the original disease or treatment.
Secondary outcomes
Overall response to chemotherapy
The investigators will assess overall response to chemotherapy among participants with radiographically measurable tumor following initial surgery or biopsy.
Overall survival
The investigators will assess overall survival and time to death from any cause among participants.
Quality of life outcomes in individuals diagnosed with PPB.
Chemotherapy and surgery may have adverse effects on the quality of life outcomes. Multiple factors may impact quality of life for participants.This study will allow the investigators to assess the quality of life outcomes in participants with DICER1-related tumors and will compare outcomes to those with more common childhood cancers.
Cardiac outcomes in individuals diagnosed with PPB.
Chemotherapy and surgery may have adverse effects on cardiac outcomes. This study will allow the investigators to assess the cardiac outcomes as measured by ejection fraction and shortening fraction via echocardiogram of participants with DICER1-related tumors, and compare outcomes to those with more common childhood cancers.
Sponsors and contacts
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Children's Hospitals and Clinics of Minnesota
Lead sponsor
Washington University School of Medicine
Collaborator
ResourcePath, LLC
Collaborator
University of Cambridge
Collaborator
Emory University
Collaborator
Dana-Farber Cancer Institute
Collaborator
Phoenix Children's Hospital
Collaborator
Allina Health System
Collaborator
University of California, San Francisco
Collaborator
M.D. Anderson Cancer Center
Collaborator
UC Davis Children's Hospital
Collaborator
KK Women's and Children's Hospital
Collaborator
Louisiana State University Health Sciences Center Shreveport
Collaborator
Children's Healthcare of Atlanta
Collaborator
Dayton Children's Hospital
Collaborator
Akron Children's Hospital
Collaborator
Starship Children's Hospital of New Zealand
Collaborator
Beijing Children's Hospital
Collaborator
Bronson Methodist Hospital
Collaborator
Rutgers Cancer Institute of New Jersey
Collaborator
Children's Hospital of Los Angeles (CHLA)
Collaborator
Children's Hospital of Philadelphia
Collaborator
Children's Hospital Medical Center, Cincinnati
Collaborator
Connecticut Children's Medical Center
Collaborator
Federal Scientific Clinical Centre of Pediatric Hematology, Oncology and Immunology named after Dmitry Rogache
Collaborator
Driscoll Children's Hospital
Collaborator
Hannover Medical School
Collaborator
Jewish General Hospital
Collaborator
Kaiser Permanente
Collaborator
King Faisal Specialist Hospital & Research Center
Collaborator
Kingston Health Sciences Centre
Collaborator
Massachusetts General Hospital
Collaborator
McGill University Health Centre/Research Institute of the McGill University Health Centre
Collaborator
National Institutes of Health (NIH)
Collaborator
Royal Perth Hospital
Collaborator
Princess Margaret Hospital for Children
Collaborator
Prisma Health-Upstate
Collaborator
Roswell Park Cancer Institute
Collaborator
The Hospital for Sick Children
Collaborator
St. Jude Children's Research Hospital
Collaborator
Huntsman Cancer Institute/ University of Utah
Collaborator
University of Virginia
Collaborator
University of Texas Southwestern Medical Center
Collaborator
Ann & Robert H Lurie Children's Hospital of Chicago
Collaborator