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Serum DNA Analysis: Potential Application for Diagnosis and Prognosis in Brain Cancer.

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ClinicalTrials.gov Identifier: NCT00265174
Recruitment Status : Unknown
Verified November 2005 by Hadassah Medical Organization.
Recruitment status was:  Not yet recruiting
First Posted : December 14, 2005
Last Update Posted : December 14, 2005
Sponsor:
Information provided by:
Hadassah Medical Organization

Brief Summary:

Numerous studies document the ability of tumors to shed DNA into the blood stream. Circulating DNA can thus be recovered for analyses, representing a surrogate tumor material to test for potential applications in disease diagnosis and prognosis.

Detection of genetic alternation is one of the most important tests for cancer patient since they offen correlated with the clinical course, prognosis and chemosensitivity of primary brain tumors. Currently in brain tumor patients these molecular aberrations can be analyzed only on tumor tissue that was obtained at surgery or biopsy.

Paucity of pathologic samples or poor fixation technique often make the tissue samples unassessable for molecular aberrations.

Therefore, the ability to extract tumor DNA from peripheral blood holds a great clinical significance. Still, the molecular aberration evaluated on serum DNA should be correlated and verified by comparison to standard evaluations performed on tumor samples. Our study aim is to evaluate the feasibility of using serum DNA for routine diagnosis of tumor molecular aberrations.


Condition or disease
Primary Brain Tumor

Detailed Description:

Backround:

Genetic and epigenetic abrasions like loss of hetherozygosity and hypermethylation of gene promoters are common aberration in gliomas. Detection of these aberrations serves as diagnostic and prognostic tool. Examples: 1. oligodendrogliomas patients with combined 1p/19q LOH within the tumor respond better to chemotherapy and have better prognosis, whereas LOH on chromosome 10q is a marker for worse prognosis. 2. GBM patients with hypermethylation of the promoter of methyl-guanine-methyl-transferase (MGMT) in the tumor respond better to alkylating agent and have better prognosis.

As sample materials for diagnosis should be easily accessible by a minimally invasive procedure, there has been much interest in the potential use of nucleic acid markers in the blood of patients with cancer.

It was demonstrated that LOH as well as hypermethylation could be detected in the plasma/serum of patients with a variety of malignancies, suggesting that circulating tumor-associated DNA in the blood of patients can be a key determinant in predicting genetic and epigenetic abrasions in the tumor.

Objectives of the study:

Main objective: to find whether genetic abrasions in serum DNA represent the tumor DNA in patients with brain tumor.

Is tumor DNA can be detected in the serum of only high grade tumors or also in low grade tumor?

Methods:

Blood serum and tumor of patients are obtained anonymously, after the patient has signed a consent form, prior to surgery as part of the procedure for tissue collection for the brain tumor bank at Hadassah.

Part of the tumor is stained with hematoxylin-and-eosin and Histopathologic diagnosis is performed by a pathologist.

DNA is extracted from whole blood, serum and tumor of all patients with low grade or high grade gliomas.

In order to determine whether serum DNA represents the tumor DNA, LOH of 1p,19q,10q,17p,13q, 9p as well as methylation status of MGMT promoter will be tested in DNA samples from blood, serum and tumor.


Study Type : Observational
Estimated Enrollment : 60 participants
Observational Model: Defined Population
Primary Purpose: Screening
Time Perspective: Longitudinal
Time Perspective: Retrospective
Official Title: Serum DNA Analysis: Potential Application for Diagnosis and Prognosis in Brain Cancer.
Study Start Date : January 2006

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Brain Tumors
U.S. FDA Resources





Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

LOW AND HIGH GRADE GLIOMAS

Exclusion Criteria:

NON GLIAL TUMORS


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00265174


Contacts
Contact: ARIK TZUKERT, DMD 00-972-2-6776095 ARIK@HADASSAH.ORG.IL
Contact: HADAS LAMBERG, PHD 00-972-2-6777572 LHADAS@HADASSAH.ORG.IL

Locations
Israel
Hdassah Medical Organization Not yet recruiting
Jerusalem, Israel, 91120
Contact: Arik Tzukert, DMD    00-972-2-6777572    lhadas@HADASSAH.ORG.IL   
Sponsors and Collaborators
Hadassah Medical Organization
Investigators
Principal Investigator: TALI SIEGAL, MD Hadassah Medical Organization
Study Director: IRIS LAVON, PHD Hadassah Medical Organization

ClinicalTrials.gov Identifier: NCT00265174     History of Changes
Other Study ID Numbers: IRISL1-HMO-CTIL
First Posted: December 14, 2005    Key Record Dates
Last Update Posted: December 14, 2005
Last Verified: November 2005

Keywords provided by Hadassah Medical Organization:
SERUM DNA
LOH
METHYLATION
GLIOMA
MGMT

Additional relevant MeSH terms:
Brain Neoplasms
Central Nervous System Neoplasms
Nervous System Neoplasms
Neoplasms by Site
Neoplasms
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases