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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04903782
Registration number
NCT04903782
Ethics application status
Date submitted
16/03/2021
Date registered
27/05/2021
Titles & IDs
Public title
Cancer Predisposition Testing by Family-based Whole-genome Sequencing (WGS) in Every Child With Newly Diagnosed Cancer
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Scientific title
Assessment of the Utility of Family-based (Trio) Whole-genome Sequencing for Cancer Predisposition Testing in Sequential Newly Diagnosed Paediatric and Adolescent Cancer Patients
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Secondary ID [1]
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PREDICT
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Universal Trial Number (UTN)
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Trial acronym
PREDICT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Neoplastic Syndromes, Hereditary
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Cancer
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Genetic Predisposition to Disease
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Condition category
Condition code
Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Inflammatory and Immune System
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0
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Normal development and function of the immune system
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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 - Family-based whole genome sequencing
Children and adolescents with newly diagnosed malignancy -
Diagnosis / Prognosis: Family-based whole genome sequencing
1. Germline whole-genome family-based sequencing and variant identification.
2. Multidisciplinary Meeting case discussion.
3. Recommendation of referral to a Cancer Genetics Clinic for further investigation, follow up and/or genetic counselling.
4. Psychosocial study to analyse the impact of germline sequencing on families.
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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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The proportion of patients with CPS identify by WGS as compared to those correctly identified by clinical information (i.e. family history, tumour type, physical findings).
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Assessment method [1]
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Timepoint [1]
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2 years
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Secondary outcome [1]
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The proportion of individuals found to have a reportable germline mutation in a CPG
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Assessment method [1]
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Timepoint [1]
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2 years
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Secondary outcome [2]
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The proportion of patients who have de-novo vs. inherited mutation in CPG.
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Assessment method [2]
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Timepoint [2]
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2 years
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Secondary outcome [3]
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Turnaround time for issuing a report to the treating clinician.
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Assessment method [3]
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Timepoint [3]
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2 years
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Secondary outcome [4]
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The proportion of participants with a complete recording of family history of cancer.
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Assessment method [4]
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Timepoint [4]
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2 years
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Secondary outcome [5]
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Sensitivity and specificity of WGS versus single/multiple gene panel testing guided by clinical predictive factors.
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Assessment method [5]
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Timepoint [5]
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2 years
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Secondary outcome [6]
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The proportion of participants with CPS who undergo cancer surveillance.
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Assessment method [6]
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Timepoint [6]
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2 years
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Secondary outcome [7]
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Test the significance of common cancer risk polymorphisms within a family as a contributing factor in cancer incidence.
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Assessment method [7]
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Timepoint [7]
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2 years
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Secondary outcome [8]
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Quantify the frequency of rare noncoding, complex, and oligogenic variation (in units of variants/person, and genes with variants/person), as detected by WGS, in a paediatric cancer population relative to cancer-free parents and population controls.
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Assessment method [8]
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Timepoint [8]
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2 years
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Secondary outcome [9]
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Assess the prevalence of subclonal somatic variation (e.g. clonal haematopoiesis of indeterminate potential) in children with non-haematological cancer.
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Assessment method [9]
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Timepoint [9]
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2 years
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Secondary outcome [10]
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The psychological impact of the germline sequencing process, including the informed consent process, on patients and parents.
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Assessment method [10]
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This will be achieved through identifying the incidence of patients and parents enrolled in the study experiencing clinically significant levels of distress, defined as a \>7 rating on any of the outcome measures in the Emotion Thermometers Tool©. The incidence of parents and patients experiencing other psychological outcomes such as reduced quality of life will also be identified using the validated scales EuroQoL EQ-5D-5L (parent proxy)/EQ-5D-Y (youth version), Decisional Regret Scale and the Trust In Physician Scale (adapted for a paediatric setting). Psychological outcomes will be re-assessed over the 5 year course of the study to assess impacts of germline sequencing over time.
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Timepoint [10]
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5 years
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Secondary outcome [11]
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Cost of clinical model including WGS for cancer predisposition testing in every child newly diagnosed with cancer.
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Assessment method [11]
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Timepoint [11]
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5 years
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Eligibility
Key inclusion criteria
* New diagnosis of malignancy
* Age = 21 years
* Written informed consent
Psychosocial component:
* Participants (= 12 years)
* Parent/caregiver(s) of participants
* Healthcare professionals involved in the care of patients enrolled in the study
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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
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
8/03/2021
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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
15/06/2028
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Actual
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Sample size
Target
270
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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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 - Sydney
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Recruitment hospital [3]
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The Children's Hospital at Westmead - Sydney
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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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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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Ethics approval
Ethics application status
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Summary
Brief summary
Assessment of the utility of family-based (trio) whole-genome sequencing for cancer predisposition testing in sequential newly diagnosed paediatric and adolescent cancer patients
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Trial website
https://clinicaltrials.gov/study/NCT04903782
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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 public queries
Name
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Clinical Trials Manager
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Address
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Country
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Phone
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+61 2 9382 3122
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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/NCT04903782