Targeting MYC in High-Risk Medulloblastoma

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeUp to 20
SponsorFondazione Policlinico Universitario Agostino Gemelli IRCCS

About this trial

Medulloblastoma is the most common malignant brain tumor in children. Group 3 medulloblastoma (G3 MB) represents the most aggressive molecular subtype and is associated with poor prognosis, particularly in cases characterized by high expression or amplification of the MYC oncogene. Current treatment strategies are not tailored to this subgroup and are associated with significant long-term toxicities, highlighting the need for more specific therapeutic approaches.

This study aims to characterize biological processes and molecular pathways driven by high MYC expression in high-risk G3 medulloblastoma in order to identify potential therapeutic vulnerabilities. The study will investigate MYC-associated regulation of gene expression and RNA splicing in tumor cells and will define molecular dependencies that may be targeted using candidate or repurposed anticancer agents.

To achieve this, publicly available genomic datasets will be analyzed, findings will be validated in patient tumor specimens, and patient-derived three-dimensional (3D) tumor models will be established from surgical samples. These models will be used for ex vivo assessment of selected therapeutic strategies in a system that preserves key features of the original tumor.

This translational approach integrates computational analyses, molecular validation, and functional testing in patient-derived models to improve understanding of MYC-associated tumor biology in Group 3 medulloblastoma.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients with histologically confirmed Group 3 medulloblastoma (G3 MB)

Age between 0 and 20 years

Undergoing surgical treatment at the UOC Child Neurosurgery Unit, Fondazione Policlinico Universitario "A. Gemelli", IRCCS, Rome

Availability of tumor tissue obtained during standard-of-care surgical resection for molecular analyses and/or establishment of patient-derived organoids

Disqualifiers

None

Trial design

Design model

Single group

Treatments tested in this trial

  • Tumor tissue collection

    Procedure/Surgery

    Tumor tissue will be collected during standard-of-care surgical resection of medulloblastoma. No additional surgical procedures will be performed for research purposes. Collected tissue will be used for molecular analyses and the establishment of patient-derived three-dimensional (3D) cultures for ex vivo translational research, including characterization of MYC-associated molecular pathways and evaluation of tumor cell responses to selected compounds in preclinical assays.

Treatment groups

35 Participants
are divided into 1 treatment group
Group A: Medulloblastoma tissue collection and ex vivo translational researchExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Successful establishment of patient-derived organoids (PDOs) from medulloblastoma surgical specimens

Rate of successful generation of patient-derived organoids (PDOs) from freshly resected high-risk Group 3 medulloblastoma surgical specimens. Success will be defined by the ability of tumor samples to generate stable and expandable three-dimensional (3D) cultures in vitro. Established models will be evaluated for histological and molecular concordance with the corresponding parental tumors using standard pathological and genetic analyses.

Time frame
Up to 24 months

Secondary outcomes

Other outcomes

Sponsors and contacts

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