Tumors, Central Nervous SystemNCT04351035
National Wide Cross-sectional Study in Paediatric Central Nervous System Tumours in China -- the CNOG-MC001 Registry
An observational study of Tumors, Central Nervous System and Pediatric Brain Tumor, run by Xinhua Hospital, Shanghai Jiao Tong University School of Medicine at 38 sites in China.
Trial summary
Tumours of central nervous system (CNS) is the most common type of solid tumour in childhood. In China, there is limited epidemiology information. Released data from Chinese CDC did not include types of CNS tumours and geographic contribution. Read more about this study
- Who is it for?
- Ages Up to 18 years
- Conditions the study is for
- Tumors, Central Nervous System, Pediatric Brain Tumor, Malignant Brain Tumor
- What is being tested?
- Tumour resection
- Type of treatment
- Surgery or procedure
- How many people
- 4,303 participants
- Where
- 38 sitesChina
- Study dates
- 27 Oct 2018to 31 Aug 2021
- How long will I take part?
- 3 Years
- Phase
- Observational
- Are there results?
- None posted in the registry
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 18 years
- All sexes
- No healthy volunteers
- Child, Adult
Study population: Newly diagnosed paediatric (0-18 y/o) CNS tumous in period of Jan.1st 2016 to Dec.31st 2017, with sufficient baseline data and clear pathological diagnosis according to classification of CNS tumours - WHO 2016 version (for exceptions please refer to eligibility criteria)
Who may be able to join
- patients who were newly diagnosed with CNS tumour admitted for in-patient treatments during period of Jan.1st 2016 to Dec. 31st 2017
- patients who were less than 18 year-old at diagnosis
- patients with available mandatory information as age, gender during enrollment
- patients must have pathological diagnosis of tumours, which followed 2016 edition of the World Health Organization (WHO) Classification of Tumours of the Central Nervous System (CNS), except the following conditions:
- Diffuse Intrinsic Pontine Glioma (DIPG) according to classic symptoms and typical MRI
- confirmed NF1 patients with classic symtoms and MRI representing Optic Pathway Glioma (OPG) with no surgical treatment indications will be marked as "pilocytic astrocytoma"
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- patients with newly diagnosed recurrence or metastasis of previously confirmed (before Jan.1st 2016) Embryonal Tumours (medulloblastoma, emryonal tumour with multilayered rosettes - C19MC altered, atypical teratoid / rhabdoid tumour / others) and high grade gliomas (glioblastoma, anaplastic astrocytoma) that were unwilling to recieve second surgical treatment / inoperable / without surgical indication, will be marked as original diagnosis
- patients with newly diagnosed relapse of previously confirmed (before Jan.1st 2016) low grade glioma (defined as pilocytic astrocytoma, diffuse astrocytoma, pilomyxoid astrocytoma, pleomorphic xanthoastrocytoma, subependymal giant cell astrocytoma, oligodendroglioma, oligoastrocytoma, ganglioglioma, desmoplastic infantile astrocytoma and ganglioglioma, dysembryoplastic neuroepithelial tumour, papillary glioneuronal tumour, rosette-forming glioneuronal tumour of the fourth ventricle, angiocentric glioma, dysplastic cerebellar gangliocytoma, extraventricular neurocytoma, cerebellar liponeurocytoma, and central neurocytoma) and ependymal tumours in cross-sectional period, who were unwilling to be operated / inoperable / without surgical indication, will be marked as original diagnosis
- clinical, image and pathology data of patients with unidentified pathological diagnosis from member sites of CNOG-MC001 collaborative group will be sent to study center for reviewing; cases with unidentifiable diagnosis after center review and alignment with CNOG-MC001 sites will be marked as "unknown"
Who cannot join
- confirmed CNS metatasis patients whose tumour tissues were obtained from other systems other than CNS will be excluded
- patients with newly diagnosed recurrence or metastasis of previously confirmed CNS Tumours, will be excluded when primary tumour diagnosis and progression time points were both in cross-sectional period; these patients will be only enrolled as "newly diagnosed cases with primary tumours" and recorded as "progressed in follow-up" in follow-up data sheet
- patients with newly diagnosed relapse of previously confirmed (before Jan.1st 2016) low grade glioma and ependymal tumours, who were unwilling to be operated / inoperable, and were suspected as malignant transformation, will be excluded due to lack of pathological diagnosis
- patients with insufficient or inconsistant data (e.g: patient diagnosed with primary medulloblastoma with tumour located in cerebral) will be excluded in center review after consulting with data-upload institutions
Trial locations and contacts
38 sites in 1 country.
38 sites in 1 country
China38 sites
Beijing Tiantan Hospital, Capital Medical University
Beijing, Beijing Municipality, 100070
the First Bethune Hospital of Jilin University
Ch’ang-ch’un, Jilin, 130021
Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital
Chengdu, Sichuan, 610072
Children's Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 400014
the First Hospital Affiliated To Army Medical University
Chongqing, Chongqing Municipality, 400038
Army Medical Center of PLA
Chongqing, Chongqing Municipality, 400042
the First Affiliated Hospital of Fujian Medical University
Fuzhou, Fujian, 350001
900 Hospital of the Joint Logistics Team of PLA
Fuzhou, Fujian, 350025
Guangdong 999 Brain Hospital
Guangzhou, Guangdong, 510510
Affiliated Hospital of Guilin Medical University
Guilin, Guangxi, 541001
the Children's Hospital, Zhejiang University School of Medicine
Hanzhou, Zhejiang, 310003
the First Affiliated Hospital of Harbin Medical University
Harbin, Heilongjiang, 150001
Anhui Provincial Children's Hospital
Hefei, Anhui, 230051
Qilu Hospital of Shandong University
Jinan, Shandong, 250012
Qilu Children's Hospital of Shandong University
Jinan, Shandong, 250021
Kunming Children's Hospital
Kunming, Yunnan, 650100
Lanzhou University Second Hospital
Lanzhou, Gansu, 730030
Affiliated Hospital of Southwest Medical University
Luzhou, Sichuan, 646000
Jiangxi Provincial Children's Hospital
Nanchang, Jiangxi, 330006
the First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330006
Huashan Hospital, Fudan University
Shanghai, Shanghai Municipality, 200040
Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine
Shanghai, Shanghai Municipality, 200086
Children's Hospital of Fudan University
Shanghai, Shanghai Municipality, 201102
Shengjing Hospital Affiliated to China Medical University
Shenyang, Liaoning, 110004
the Second Hospital of Hebei Medical University
Shijiazhuang, Hebei, 050000
the Second Affiliated Hospital of Soochow University
Suzhou, Jiangsu, 215004
the First Affiliated Hospital of Soochow University
Suzhou, Jiangsu, 215006
the Children's Hospital of Shanxi Province
Taiyuan, Shanxi, 030013
People's Hospital of Xinjiang Uygur Autonomous Region
Ürümqi, Xinjiang Uygur Autonomous Region, 830001
Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology
Wuhan, Hubei, 430022
Renmin Hospital of Wuhan University / Hubei General Hospital
Wuhan, Hubei, 430071
Xi'an Children's Hospital
Xi'an, Shaanxi, 710003
Xijing Hospital of Air Force Military Medical University
Xi'an, Shaanxi, 710032
the General Hospital of Ningxia Medical University
Yinchuan, Ningxia, 750004
Children's Hospital Affiliated to Zhengzhou University
Zhengzhou, Henan, 450006
the Third Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450052
the Fifth Affiliated Hospital of Zhengzhou University
Zhengzhou, Hunan, 450014
Affiliated Hospital of Zunyi Medical College
Zunyi, Guizhou, 563000
About this study
Official title: Retrospective, Multi-center Cross-sectional Study on Paediatric Central Nervous Systerm Tumours by CNOG-MC001 Collaborative Group
Tumours of central nervous system (CNS) is the most common type of solid tumour in childhood. In China, there is limited epidemiology information. Released data from Chinese CDC did not include types of CNS tumours and geographic contribution. As the Children's Neuro-Oncology Group (CNOG) was established in China in May 2017, it makes studies from multiple centers in children's brain tumors become practical. This retrospective cross-sectional study was aligned on CNOG annual meeting in 2018 and research group was named as CNOG-MC001 (MC, multicenter) collaborative group.
Read the detailed description
CNS tumours are mostly seen solid tumours in childhood , as the second common malignancy following leukemia in children. The annual age-standardized incidence rate per 1,000,000 person-years (ASR) of CNS tumour in international children's cancer incidence study is 20-30. In Asia, ASR of paediatric CNS tumours is around 15.0-24.9 in Japan, Korea, Singapore. For Chinese races including mainland of China, Taiwan and Hong Kong, ASRs of paediatric CNS tumour are 15.0, 17.4 and 23.8.
In 2017 in Shanghai, Children's Neuro-Oncology Group (CNOG) was found in 5th CSPN (Chinese Society of Pediatric Neurosurgery) / 9th CPNF (China Pediatric Neurosurgery Forum) conference, with 35 founding member institutions and 30 founding observation member institutions in mainland of China. Based on this progress, national wide registry (CNOG-MC001) was settled to obtain basic information about CNS tumour cases, combined with available epidemiology data from publications to assess current medical situation on paediatric CNS tumours in China. The protocol of CNOG-MC001 was aligned by CSPN and CNOG member institutions in CNOG annual meeting in 2018 and the study ofiicially started right after the meeting on 20181027.
The first step of this study is a national wide pre-survey to all 35 CNOG member institutions and other 22 CSPN members. The pre-survey data sheet included number of annual surgically treated paediatric CNS tumour cases (age ranging from 0 to 18 years old, classified by WHO Classification of Tumours of the Central Nervous System 2016 version), to assess the proper sites to be involved in this study. After retrieving the pre-survey results, large-scale, detailed case data sheets will be sent to participating institutions as members of CNOG-MC001 collaborative group.
- Conditions
- Tumors, Central Nervous System, Pediatric Brain Tumor, Malignant Brain Tumor, Benign Brain Tumor
- Being tested
- Tumour resection
- Keywords
- national wide, cross-sectional, retrospective, CNOG-MC001, pediatric, central nervous system tumor
- Medical subject headings
- Central Nervous System Neoplasms, Brain Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Tumour resectionProcedure or surgery
It is mandatory that patients recieve surgical treatment for pathological diagnosis of CNS tumours in enrolled patients. Surgical resection of tumours could be regarded as total / subtotal / partial resection and biopsy.
| Study group | Role | What they receive |
|---|---|---|
| Children with CNS tumours | Patients newly diagnosed with CNS tumours in children younger than 18 y/o, who were under in-patient treatment, were labeled as candidate cases in the CNOG-MC001 cohort for reviewing. Receives: Procedure: Tumour resection |
What is being measured
The primary outcome is the main question the study is designed to answer.
Baseline information of children with CNS tumours
Baseline information including gender, age, and institutional geographic data are required for epidemiology analysis.
Measured: 2 years
Tumour type and anatomic location
Tumour type according to 2016 edition of the World Health Organization (WHO) Classification of Tumours of the Central Nervous System (CNS) is mandatory for epidemiology analysis.
Measured: 2 year
Secondary outcomes (2)
Overall Survival
Available overall survival data with post surgery treatments records of enrolled cases is preferred but not mandatory for outcome analysis.
Measured: 1 year
Progression Free Survival
Progression free survival data is preferred but not mandatory for outcome analysis.
Measured: 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Apr 2020
- Study start27 Oct 2018
- Primary completion1 Jul 2021
- Study completion31 Aug 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Tumors, Central Nervous SystemStudies of the same condition, open and under way.
- More trials run by Xinhua Hospital, Shanghai Jiao Tong University School of MedicineThe 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
- Cross-sectional
- Enrolment
- 4,303 participants (actual)
- Target duration
- 3 Years
Sponsor and investigators
- Sponsor type
- University, hospital or other
- Collaborators
- CNOG-MC001 Collaborative Group
- Responsible party
- Principal investigator, Jie Ma, MD, PhD, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
- Investigators
- Jie MA, M.D., Ph.D., Study chair, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04351035
- Sponsor's protocol ID
- CNOG-MC001
- Status last verified
- Aug 2021
- First submitted
- 16 Apr 2020
- Last updated
- 8 Sep 2021
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 Sep 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Retrospective, Multi-center Cross-sectional Study on Paediatric Central Nervous Systerm Tumours by CNOG-MC001 Collaborative Group
- ClinicalTrials.gov ID
- NCT04351035
- Acronym / sponsor ID
- CNOG-MC001
- Conditions
- Tumors, Central Nervous System, Pediatric Brain Tumor, Malignant Brain Tumor, Benign Brain Tumor
- Keywords
- national wide, cross-sectional, retrospective, CNOG-MC001, pediatric, central nervous system tumor
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 4,303 participants (actual)
- Lead sponsor
- Xinhua Hospital, Shanghai Jiao Tong University School of MedicineUniversity, hospital or other
- Collaborators
- CNOG-MC001 Collaborative Group
- Study start
- 27 Oct 2018 (actual)
- Primary completion
- 1 Jul 2021 (actual)
- Study completion
- 31 Aug 2021 (actual)
- First posted
- 17 Apr 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.
Tumours of central nervous system (CNS) is the most common type of solid tumour in childhood. In China, there is limited epidemiology information. Released data from Chinese CDC did not include types of CNS tumours and geographic contribution. As the Children's Neuro-Oncology Group (CNOG) was established in China in May 2017, it makes studies from multiple centers in children's brain tumors become practical. This retrospective cross-sectional study was aligned on CNOG annual meeting in 2018 and research group was named as CNOG-MC001 (MC, multicenter) collaborative group.
Detailed description
CNS tumours are mostly seen solid tumours in childhood , as the second common malignancy following leukemia in children. The annual age-standardized incidence rate per 1,000,000 person-years (ASR) of CNS tumour in international children's cancer incidence study is 20-30. In Asia, ASR of paediatric CNS tumours is around 15.0-24.9 in Japan, Korea, Singapore. For Chinese races including mainland of China, Taiwan and Hong Kong, ASRs of paediatric CNS tumour are 15.0, 17.4 and 23.8.
In 2017 in Shanghai, Children's Neuro-Oncology Group (CNOG) was found in 5th CSPN (Chinese Society of Pediatric Neurosurgery) / 9th CPNF (China Pediatric Neurosurgery Forum) conference, with 35 founding member institutions and 30 founding observation member institutions in mainland of China. Based on this progress, national wide registry (CNOG-MC001) was settled to obtain basic information about CNS tumour cases, combined with available epidemiology data from publications to assess current medical situation on paediatric CNS tumours in China. The protocol of CNOG-MC001 was aligned by CSPN and CNOG member institutions in CNOG annual meeting in 2018 and the study ofiicially started right after the meeting on 20181027.
The first step of this study is a national wide pre-survey to all 35 CNOG member institutions and other 22 CSPN members. The pre-survey data sheet included number of annual surgically treated paediatric CNS tumour cases (age ranging from 0 to 18 years old, classified by WHO Classification of Tumours of the Central Nervous System 2016 version), to assess the proper sites to be involved in this study. After retrieving the pre-survey results, large-scale, detailed case data sheets will be sent to participating institutions as members of CNOG-MC001 collaborative group.
Study design
- Observational model
- Cohort
- Time perspective
- Cross-sectional
- Target follow-up
- 3 Years
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Children with CNS tumours | – | Procedure: Tumour resectionPatients newly diagnosed with CNS tumours in children younger than 18 y/o, who were under in-patient treatment, were labeled as candidate cases in the CNOG-MC001 cohort for reviewing. |
Who may qualify
- Ages
- Up to 18 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
- Study population
- Newly diagnosed paediatric (0-18 y/o) CNS tumous in period of Jan.1st 2016 to Dec.31st 2017, with sufficient baseline data and clear pathological diagnosis according to classification of CNS tumours - WHO 2016 version (for exceptions please refer to eligibility criteria)
Key inclusion criteria (9 listed)
- patients who were newly diagnosed with CNS tumour admitted for in-patient treatments during period of Jan.1st 2016 to Dec. 31st 2017
- patients who were less than 18 year-old at diagnosis
- patients with available mandatory information as age, gender during enrollment
- patients must have pathological diagnosis of tumours, which followed 2016 edition of the World Health Organization (WHO) Classification of Tumours of the Central Nervous System (CNS), except the following conditions:
- clinical, image and pathology data of patients with unidentified pathological diagnosis from member sites of CNOG-MC001 collaborative group will be sent to study center for reviewing; cases with unidentifiable diagnosis after center review and alignment with CNOG-MC001 sites will be marked as "unknown"
Key exclusion criteria (4 listed)
- confirmed CNS metatasis patients whose tumour tissues were obtained from other systems other than CNS will be excluded
- patients with newly diagnosed recurrence or metastasis of previously confirmed CNS Tumours, will be excluded when primary tumour diagnosis and progression time points were both in cross-sectional period; these patients will be only enrolled as "newly diagnosed cases with primary tumours" and recorded as "progressed in follow-up" in follow-up data sheet
- patients with newly diagnosed relapse of previously confirmed (before Jan.1st 2016) low grade glioma and ependymal tumours, who were unwilling to be operated / inoperable, and were suspected as malignant transformation, will be excluded due to lack of pathological diagnosis
- patients with insufficient or inconsistant data (e.g: patient diagnosed with primary medulloblastoma with tumour located in cerebral) will be excluded in center review after consulting with data-upload institutions
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Tumour resectionIt is mandatory that patients recieve surgical treatment for pathological diagnosis of CNS tumours in enrolled patients. Surgical resection of tumours could be regarded as total / subtotal / partial resection and biopsy. | Procedure or surgery | Children with CNS tumours |
Primary outcome
Baseline information of children with CNS tumours
Time frame: 2 years
Baseline information including gender, age, and institutional geographic data are required for epidemiology analysis.
Tumour type and anatomic location
Time frame: 2 year
Tumour type according to 2016 edition of the World Health Organization (WHO) Classification of Tumours of the Central Nervous System (CNS) is mandatory for epidemiology analysis.
2 secondary outcomes
Overall Survival
Time frame: 1 year
Progression Free Survival
Time frame: 1 year
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Sep 2021.
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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. This study is not recruiting at the moment.
Jie MA, M.D., Ph.D. study chair
Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
38 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Tumors, Central Nervous System and Pediatric Brain Tumor, run by Xinhua Hospital, Shanghai Jiao Tong University School of Medicine at 38 sites in China.
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 9 inclusion and 4 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: finished, as of the sponsor's last update on 8 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 38 sites in China. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Baseline information of children with CNS tumours (time frame: 2 years). The study lists 2 primary outcomes in all. 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 8 Sep 2021.