RAS MutationRAS-HEMATONCT04286360
Hematological Anomalies in Children With Rasopathy
An observational study of RAS Mutation, run by Assistance Publique - Hôpitaux de Paris at 14 sites in France.
Trial summary
During childhood, patients with RASopathies (Noonan syndrome and related diseases) can harbor various hematological anomalies ranging from isolated monocytosis, myelemia, thrombocytopenia or splenomegaly to myeloproliferative disorders. Read more about this study
- Who is it for?
- Ages Up to 15 years
- Conditions the study is for
- RAS Mutation
- How many people
- 300 participants
- Where
- 14 sitesFrance
- Study dates
- 11 Nov 2020to Nov 2029
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Up to 15 years
- All sexes
- Child
Study population: Patients aged 15 years old and younger with RASopathies (Noonan syndrome and related diseases)
Who may be able to join
- Age < 16 years
- Patient newly diagnosed with genetically confirmed rasopathy : Noonan syndrome, type 1 neurofibromatosis, Noonan syndrome with multiple lentigines, CBL syndrome, Costello syndrome, cardiofaciocutaneous syndrome or Legius syndrome i.e. with a germline mutation of one of these genes: PTPN11, SOS1, NRAS, RAF1, BRAF, SHOC2, MEK1, MEK2, CBL, NF1, SPRED1, KRAS, HRAS, NF1, SHOC2, LZTR1, SOS2, RIT1, RASA2, RRAS, PPP1CB, or a new gene of interest published during the recruitment period
- No history of hematological malignancy
- Written informed consent obtained from the parents
- Health insurance
Who cannot join
- History of malignant hematological pathology
Trial locations and contacts
14 sites in 1 country. Contact the study team or a site near you to ask about taking part.
14 sites in 1 country
France14 sites, 14 recruiting
- Recruiting
CHU Angers
Angers
Estelle Colin, MD
- Recruiting
CHU Caen
Caen
Marion Gerard, MD
- Recruiting
CHU Lille
Lille
Anne Dieux Coeslier, MD
- Recruiting
CHU Lyon
Lyon
Charles Patrick Edery, Pr
- Recruiting
CHU Marseille - Hôpital de la Timone
Marseille
Sabine Sigaudy, MD
- Recruiting
CHU Montpellier
Montpellier
David Genevieve, Pr
- Recruiting
CHU Nantes
Nantes
Bertrand Isidor, MD
- Recruiting
Hôpital Necker APHP
Paris
Marlène Rio, MD
- Recruiting
Hôpital Robert Debré APHP
Paris
Yline Capri, MD
- Recruiting
Hôpital Robert Debré APHP
Paris
Marion Strullu, MD
- Recruiting
Hôpital Trousseau APHP
Paris
Sandra Wahlen, MD
- Recruiting
CHU Rennes
Rennes
Sylvie Odent, Pr
- Recruiting
CHU Strasbourg
Strasbourg
Elise Scheafer, MD
- Recruiting
CHU Toulouse
Toulouse
Thomas Edouard, Pr
About this study
During childhood, patients with RASopathies (Noonan syndrome and related diseases) can harbor various hematological anomalies ranging from isolated monocytosis, myelemia, thrombocytopenia or splenomegaly to myeloproliferative disorders. These anomalies may spontaneously disappear or persist, sometimes leading to juvenile myelomonocytic leukemia. Guidelines for initial screening and subsequent hematological follow-up have recently been published in France: peripheral blood analysis should be performed in all newly diagnosed patients and followed by biannual peripheral blood analysis in infants until the age of 2 years.
In order to describe the characteristics of these abnormalities in terms of their incidence, age of occurrence, evolution and relation to genotype, we are conducting a longitudinal prospective study whose aim is to analyze peripheral blood cell counts and smears at diagnosis and one year later. In patients <3 years of age recruited at certain centers, biobanking of mononuclear cells will be performed. These data could yield a new insight into hematological anomalies in patients with RASopathies and thereby help physicians to determine the appropriate rhythm for hematological follow-up according to genotype.
- Conditions
- RAS Mutation
- Keywords
- RASopathie
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of patients with hematological abnormalities
Measured: at inclusion (within 6 months after diagnosis)
Secondary outcomes (8)
Proportion of patients with hematological abnormalities according to genetic abnormality
Measured: at inclusion (within 6 months after diagnosis)
Proportion of patients with hematological abnormalities according to age
Measured: at inclusion (within 6 months after diagnosis)
Proportion of patients with hematological abnormalities
Measured: at 1 year after inclusion
Proportion of patients with hematological abnormalities according to age
Measured: at 1 year after inclusion
Proportion of patients with hematological abnormalities according to genetic abnormalities
Measured: at 1 year after inclusion
Evolution of proportion of patients with hematological abnormalities during childhood
Measured: at 5 years post-inclusion
Event-free survival
Measured: at one year post-inclusion
Event-free survival
Measured: at 5 years post-inclusion
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Feb 2020
- Study start11 Nov 2020
- Primary completionMay 2025 (estimated)
- Study completionNov 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for RAS MutationStudies of the same condition, open and under way.
- More trials run by Assistance Publique - Hôpitaux de ParisThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 300 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Assistance Publique - Hôpitaux de Paris
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04286360
- Sponsor's protocol ID
- K171010J
- Acronym
- RAS-HEMATO
- Status last verified
- May 2024
- First submitted
- 17 Jan 2020
- Last updated
- 4 Jun 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 4 Jun 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Hematological Anomalies in Children With Rasopathy
- ClinicalTrials.gov ID
- NCT04286360
- Acronym / sponsor ID
- RAS-HEMATO / K171010J
- Conditions
- RAS Mutation
- Keywords
- RASopathie
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 300 participants (estimated)
- Lead sponsor
- Assistance Publique - Hôpitaux de ParisUniversity, hospital or other
- Study start
- 11 Nov 2020 (actual)
- Primary completion
- May 2025 (estimated)
- Study completion
- Nov 2029 (estimated)
- First posted
- 27 Feb 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
During childhood, patients with RASopathies (Noonan syndrome and related diseases) can harbor various hematological anomalies ranging from isolated monocytosis, myelemia, thrombocytopenia or splenomegaly to myeloproliferative disorders. These anomalies may spontaneously disappear or persist, sometimes leading to juvenile myelomonocytic leukemia. Guidelines for initial screening and subsequent hematological follow-up have recently been published in France: peripheral blood analysis should be performed in all newly diagnosed patients and followed by biannual peripheral blood analysis in infants until the age of 2 years.
In order to describe the characteristics of these abnormalities in terms of their incidence, age of occurrence, evolution and relation to genotype, we are conducting a longitudinal prospective study whose aim is to analyze peripheral blood cell counts and smears at diagnosis and one year later. In patients <3 years of age recruited at certain centers, biobanking of mononuclear cells will be performed. These data could yield a new insight into hematological anomalies in patients with RASopathies and thereby help physicians to determine the appropriate rhythm for hematological follow-up according to genotype.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- Up to 15 years
- Sex
- All
- Age groups
- Child
- Study population
- Patients aged 15 years old and younger with RASopathies (Noonan syndrome and related diseases)
Key inclusion criteria (5 listed)
- Age < 16 years
- Patient newly diagnosed with genetically confirmed rasopathy : Noonan syndrome, type 1 neurofibromatosis, Noonan syndrome with multiple lentigines, CBL syndrome, Costello syndrome, cardiofaciocutaneous syndrome or Legius syndrome i.e. with a germline mutation of one of these genes: PTPN11, SOS1, NRAS, RAF1, BRAF, SHOC2, MEK1, MEK2, CBL, NF1, SPRED1, KRAS, HRAS, NF1, SHOC2, LZTR1, SOS2, RIT1, RASA2, RRAS, PPP1CB, or a new gene of interest published during the recruitment period
- No history of hematological malignancy
- Written informed consent obtained from the parents
- Health insurance
Key exclusion criteria (1 listed)
- History of malignant hematological pathology
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Proportion of patients with hematological abnormalities
Time frame: at inclusion (within 6 months after diagnosis)
8 secondary outcomes
Proportion of patients with hematological abnormalities according to genetic abnormality
Time frame: at inclusion (within 6 months after diagnosis)
Proportion of patients with hematological abnormalities according to age
Time frame: at inclusion (within 6 months after diagnosis)
Proportion of patients with hematological abnormalities
Time frame: at 1 year after inclusion
Proportion of patients with hematological abnormalities according to age
Time frame: at 1 year after inclusion
Proportion of patients with hematological abnormalities according to genetic abnormalities
Time frame: at 1 year after inclusion
Evolution of proportion of patients with hematological abnormalities during childhood
Time frame: at 5 years post-inclusion
Event-free survival
Time frame: at one year post-inclusion
Event-free survival
Time frame: at 5 years post-inclusion
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Jun 2024.
- Individual participant dataSharing planned: Undecided
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RecruitingPhase 3
Study of Zoldonrasib + Chemo of Investigator's Choice vs Placebo + Chemo of Investigator's Choice as First-line Treatment in Metastatic KRAS G12D-mutated Pancreatic Adenocarcinoma ( RASolute 305 )
Pancreatic Cancer, Pancreatic Cancer Metastatic
RecruitingPhase 2
A Phase 2 Study of VS-7375 in Patients With KRAS G12D-Mutated Pancreatic Cancer
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RecruitingPhase 3
Study of Zoldonrasib (RMC-9805) Plus Daraxonrasib (RMC-6236) Versus Gemcitabine and Nab-Paclitaxel as First-Line Treatment in Metastatic KRAS G12D-Mutated Pancreatic Adenocarcinoma
Pancreatic Cancer, Pancreatic Cancer Metastatic
Not yet recruitingPhase 1/2
A Phase Ib/II Study of GFH276 in Combination With Chemotherapy (± Bevacizumab) or Cetuximab in Patients With RAS-mutant Metastatic Colorectal Cancer
CRC
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
14 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of RAS Mutation, run by Assistance Publique - Hôpitaux de Paris at 14 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 4 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 14 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Marion STRULLU, MD (187891611 ext. +33, marion.strullu@aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Proportion of patients with hematological abnormalities (time frame: at inclusion (within 6 months after diagnosis)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Jun 2024.