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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03336931
Registration number
NCT03336931
Ethics application status
Date submitted
22/10/2017
Date registered
8/11/2017
Date last updated
23/04/2024
Titles & IDs
Public title
PRecISion Medicine for Children With Cancer
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Scientific title
A Multicenter Prospective Study of the Feasibility and Clinical Value of a Diagnostic Service for Identifying Therapeutic Targets and Recommending Personalised Treatment for Children and Adolescents With High-risk Cancer
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Secondary ID [1]
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PRISM
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Universal Trial Number (UTN)
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Trial acronym
PRISM
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Childhood Cancer
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Childhood Solid Tumor
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Childhood Brain Tumor
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Childhood Leukemia
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Refractory Cancer
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Relapsed Cancer
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Condition category
Condition code
Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Diagnosis / Prognosis - Molecular profiling and drug testing
High-risk childhood cancers - Expected survival \< 30%
Diagnosis / Prognosis: Molecular profiling and drug testing
1. Laboratory analysis including:
A. Tumour molecular profiling: targeted whole exon variant analysis, whole genome (DNA) and transcriptome (RNA) sequencing, methylation analysis, proteomics analysis, immunohistochemistry B. In vitro high-throughput drug sensitivity testing C. In vivo drug testing using patient-derived xenograft (PDX) models D. Liquid biopsies
2. Multi-disciplinary Tumour Board case discussion
3. Recommendation of personalised therapy
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Intervention code [1]
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Diagnosis / Prognosis
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Personalized medicine recommendation
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Assessment method [1]
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Proportion of patients for whom personalized medicine recommendation can be made using a comprehensive diagnostic platform within a clinically relevant timeframe
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Timepoint [1]
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5 years
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Secondary outcome [1]
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Tumor samples with actionable molecular alterations
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Assessment method [1]
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Proportion of tumor samples found to have actionable molecular alterations
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Timepoint [1]
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5 years
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Secondary outcome [2]
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Successfully conducted in vitro high throughput drug screening and in vivo drug sensitivity testing
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Assessment method [2]
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Proportion of tumours where in vitro high throughput drug screening and in vivo drug sensitivity testing can be successfully performed
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Timepoint [2]
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5 years
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Secondary outcome [3]
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Identification of potential treatment by in vitro or in vivo drug screening
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Assessment method [3]
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Proportion of tumors for which a potential treatment option is identified by in vitro or in vivo drug screening
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Timepoint [3]
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5 years
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Secondary outcome [4]
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Reporting turnaround time
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Assessment method [4]
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Number of weeks from enrollment to issuing a report to the treating clinician
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Timepoint [4]
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5 years
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Secondary outcome [5]
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Patients receiving the recommended personalized therapy
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Assessment method [5]
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Proportion of patients who subsequently receive the recommended personalized therapy
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Timepoint [5]
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5 years
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Secondary outcome [6]
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Barriers or reasons for patients not receiving the recommended personalized therapy
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Assessment method [6]
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Description of the barriers or reasons for patients not receiving the recommended personalized therapy
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Timepoint [6]
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5 years
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Eligibility
Key inclusion criteria
Inclusion criteria (all must be met)
1. Age = 21 years
2. Histologic diagnosis of high-risk malignancy defined as expected overall survival < 30% OR where standard therapy would result in unacceptable and severe morbidity
3. Appropriate tissue samples are available for analysis
4. Life expectancy > 6 weeks
5. Written informed consent
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Minimum age
No limit
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Maximum age
21
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
5/09/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/12/2032
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Actual
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Sample size
Target
550
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC,WA
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Recruitment hospital [1]
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John Hunter Children's Hospital - Newcastle
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Recruitment hospital [2]
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Sydney Children's Hospital, Randwick - Sydney
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Recruitment hospital [3]
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The Children's Hospital at Westmead - Sydney
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Recruitment hospital [4]
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Queensland Children's Hospital - Brisbane
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Recruitment hospital [5]
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Women's and Children's Hospital - Adelaide
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Recruitment hospital [6]
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Royal Children's Hospital - Melbourne
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Recruitment hospital [7]
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Monash Children's Hospital - Melbourne
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Recruitment hospital [8]
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Perth Children's Hospital - Perth
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Recruitment postcode(s) [1]
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2305 - Newcastle
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Recruitment postcode(s) [2]
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2031 - Sydney
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Recruitment postcode(s) [3]
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2145 - Sydney
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Recruitment postcode(s) [4]
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4101 - Brisbane
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Recruitment postcode(s) [5]
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5006 - Adelaide
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Recruitment postcode(s) [6]
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3052 - Melbourne
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Recruitment postcode(s) [7]
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3168 - Melbourne
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Recruitment postcode(s) [8]
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6008 - Perth
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Funding & Sponsors
Primary sponsor type
Other
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Name
Sydney Children's Hospitals Network
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Children's Cancer Institute Australia
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Australian & New Zealand Children's Haematology/Oncology Group
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Address [2]
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Country [2]
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Other collaborator category [3]
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Other
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Name [3]
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Garvan Institute of Medical Research
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Address [3]
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Country [3]
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Other collaborator category [4]
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Other
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Name [4]
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German Cancer Research Center
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Address [4]
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Country [4]
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a multicentre prospective study of the feasibility and clinical value of a diagnostic service for identifying therapeutic targets and recommending personalised treatment for children and adolescents with high-risk cancer.
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Trial website
https://clinicaltrials.gov/study/NCT03336931
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Trial related presentations / publications
Rapport F, Smith J, O'Brien TA, Tyrrell VJ, Mould EV, Long JC, Gul H, Braithwaite J. Development of an implementation and evaluation strategy for the Australian 'Zero Childhood Cancer' (Zero) Program: a study protocol. BMJ Open. 2020 Jun 23;10(6):e034522. doi: 10.1136/bmjopen-2019-034522.
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Public notes
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Contacts
Principal investigator
Name
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A/Prof David Ziegler, MBBS
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Address
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Sydney Children's Hospitals Network
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03336931
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