Personalized Treatment for Brain Cancer
(SUPERNOVA-RBT Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial seeks to identify the best personalized treatment for children and young adults with rare brain tumors that have recurred after treatment. By analyzing the unique characteristics of each person's tumor, researchers aim to recommend the most effective and least harmful treatment options. The trial seeks participants who have experienced a recurrence of a rare brain tumor and are candidates for surgery or biopsy. If successful, this approach could enhance treatments for other types of cancer in the future. As an unphased trial, it offers participants the chance to contribute to groundbreaking research that could lead to improved, personalized cancer treatments.
What prior data suggests that this personalized treatment recommendation is safe for brain cancer patients?
Research has shown that personalized treatments for brain cancer are generally well-tolerated. In one study on treatments for recurring brain tumors, patients received bevacizumab—a drug commonly used in cancer treatment—and found it safe, with most managing the side effects well. Another study discovered that fractionated radiotherapy, a type of targeted radiation, improved survival rates and was preferred over chemotherapy due to fewer severe side effects.
These examples demonstrate that personalized treatments, tailored to the specific characteristics of a person's tumor, aim to be both effective and safe. While side effects can occur, they are usually less severe than those from traditional treatments. This approach focuses on finding the safest and most effective way to treat each unique case of brain cancer.12345Why are researchers excited about this trial?
Researchers are excited about the Personalized Treatment Recommendation for brain cancer because it tailors therapies based on the unique genetic makeup of each patient's tumor. Unlike the standard treatments, which often include surgery, radiation, and chemotherapy, this approach uses real-time high-throughput drug screening, RNA sequencing, and whole genome sequencing to design a treatment plan specifically for each individual's cancer profile. This personalized approach has the potential to improve treatment effectiveness and reduce side effects by specifically targeting the cancer's unique characteristics.
What evidence suggests that this personalized treatment might be effective for brain cancer?
Research has shown that personalized treatments for brain cancer, like the one in this trial, hold promise. This trial provides participants with a personalized treatment recommendation based on their tumor's unique features, potentially leading to better outcomes. Studies have found that combining personalized treatments with traditional methods, such as surgery and radiation, can improve survival rates. For instance, personalized vaccines for brain cancer have shown potential in extending the time before cancer returns. Additionally, gene therapy, another type of personalized treatment, is advancing rapidly and offers new hope for better outcomes. Overall, these personalized strategies represent a significant advancement in treating brain tumors.678910
Who Is on the Research Team?
Adriana Fonseca, MD
Principal Investigator
Children's National Research Institute
Are You a Good Fit for This Trial?
This trial is for children and young adults with rare brain tumors that have come back or worsened after previous treatment. Participants must be able to undergo surgery to provide tumor tissue for testing.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment Recommendation
Participants receive a personalized treatment recommendation based on real-time drug screening and molecular profiling within 28 days from tissue acquisition
Treatment
Participants receive treatment based on tumor board recommendations, with monitoring for adverse events and clinical activity
Follow-up
Participants are monitored for safety and effectiveness after treatment, including adverse events and radiographic response
What Are the Treatments Tested in This Trial?
Interventions
- Personalized Treatment Recommendation
Trial Overview
Researchers will analyze each person's tumor in the lab, test different drugs on it, and use genetic information to recommend a personalized treatment plan. The goal is to find the most effective and least toxic therapy for each participant.
How Is the Trial Designed?
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Treatment groups
Experimental Treatment
Participants will be provided a treatment recommendation by the tumor board within 28 days from tissue acquisition. Based on the results of the real-time, High-throuput drug screeningRNA sequencing (RNAseq), whole genome sequencing (WGS), and clinical details of each subject's tumor.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Adriana Fonseca
Lead Sponsor
Children's National Research Institute
Collaborator
Citations
Glioblastoma: Clinical Presentation, Multidisciplinary ... - PMC
Typical survival for newly diagnosed patients is 12–15 months with a two-year survival rate below 30%. Treatment generally includes surgical ...
Personalized radiation therapy for glioblastoma - Haque
The current median OS for patients with glioblastoma is 15–20 months. More effective treatments are needed to improve outcomes for these ...
3.
medicine.washu.edu
medicine.washu.edu/news/personalized-vaccine-shows-promise-against-aggressive-brain-cancer/Personalized vaccine shows promise against aggressive ...
A WashU Medicine-led clinical trial has found that a personalized vaccine to treat glioblastoma appears to increase recurrence-free survival ...
4.
news.keckmedicine.org
news.keckmedicine.org/new-treatment-may-dramatically-improve-survival-for-those-with-deadly-brain-cancer/New treatment may dramatically improve survival for those ...
Nearly half of patients treated with laser interstitial thermal therapy (LITT), followed by pembrolizumab were still alive at 18 months. “These ...
Glioblastoma Clinical Trials for New Treatments
the five-year survival rate for patients with glioblastoma is only 6.8%. Only 5% of new investigational drug applications submitted … for brain cancer the rate ...
ASTRO updates guideline on radiation therapy for high ...
Evidence-based recommendations guide complex multidisciplinary treatment for patients diagnosed with aggressive WHO grade 4 adult-type disease ...
New Brain Cancer Guidelines to Improve Care, Patient ...
“The result will allow patients the optimal personalized approach to maximize long-term control of brain metastases with good functional outcome ...
Future options for phase II trials in patients with recurrent ...
The progression-free survival rate at 6 months (PFS-6) has long been considered the best end-point for assessing the efficacy of new agents in phase II ...
9.
pure.psu.edu
pure.psu.edu/en/publications/treatment-of-recurrent-high-grade-astrocytoma-results-of-a-system/Treatment of recurrent high grade astrocytoma; results of a ...
Average median survival for patients treated with radiation therapy was 44.7 weeks although selection bias makes these data difficult to compare ...
ASCO Endorses ASTRO Guideline on Radiation Therapy ...
Fractionated radiotherapy improves overall survival compared with chemotherapy or best supportive care alone after biopsy or resection of newly ...
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