Viewing Study NCT00340496



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Study NCT ID: NCT00340496
Status: COMPLETED
Last Update Posted: 2008-03-04
First Post: 2006-06-19

Brief Title: Analysis of NF2 Mutations in Radiation-Related Neural Tumors
Sponsor: National Cancer Institute NCI
Organization: National Institutes of Health Clinical Center CC

Study Overview

Official Title: Analysis of NF2 Mutations in Radiation-Related Neural Tumors
Status: COMPLETED
Status Verified Date: 2006-07
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: Adults treated with X-rays in childhood for benign conditions such as enlarged tonsils and adenoids have an increased risk of developing nervous system tumors The risk is highest for schwannomas RR of 331 95 CI of 94-1165 intermediate for meningiomas RR of 95 95 CI of 35-257 and lowest for gliomas RR of 26 95 CI of 08-86

Studies of sporadic tumors of these types have demonstrated the presence of somatic mutations in the NF2 gene Because these mutations are not usually seen in other types of tumors they are believed to be what caused the sporadic neural tumors to develop Germline mutations in the same gene are responsible for the autosomal dominant disorder known as neurofibromatosis 2 NF2 which is characterized by the development of similar types of neural tumors

The purpose of the proposed study is to determine if neural tumors that developed in people who were treated with X-rays in childhood also have somatic NF2 mutations This will be done using DNA from paraffin-embedded neural tumors that developed in 112 individuals treated with X-rays in childhood for benign head and neck conditions These individuals are from a cohort of over 4000 irradiated persons followed by Michael Reese Hospital in Chicago since 1974 If we find NF2 mutations in the radiation-related tumors we will determine whether they are somatic or germline by looking for NF2 mutations in DNA from buccal cells of the patients with the studied tumors We expect that most patients will have NF2 mutations only in tumor DNA However there is a remote possibility that one or more patients may have a germline NF2 mutation and thus an increased risk of developing neural tumors even in the absence of X-ray treatment We will then compare the types and frequencies of the somatic NF2 mutations with those found in sporadic neural tumors If we do not find somatic NF2 mutations in the radiation-related tumors we will conclude that X-rays caused neural tumors to develop through interactions with another gene or genes Either result will contribute to our knowledge of radiation tumorigenesis

We will send letters describing this study to patients from the Michael Reese Hospital cohort who have developed radiation-related neural tumors Those who consent to take part in it will be asked for permission to obtain paraffin blocks from any neural tumor that they have had removed and to donate buccal cells for NF2 mutation studies Finally they will also be asked to complete a questionnaire that will help us update their medical history and obtain a medical history on close blood relatives
Detailed Description: Adults treated with X-rays in childhood for benign conditions such as enlarged tonsils and adenoids have an increased risk of developing nervous system tumors The risk is highest for schwannomas RR of 331 95 CI of 94-1165 intermediate for meningiomas RR of 95 95 CI of 35-257 and lowest for gliomas RR of 26 95 CI of 08-86

Studies of sporadic tumors of these types have demonstrated the presence of somatic mutations in the NF2 gene Because these mutations are not usually seen in other types of tumors they are believed to be what caused the sporadic neural tumors to develop Germline mutations in the same gene are responsible for the autosomal dominant disorder known as neurofibromatosis 2 NF2 which is characterized by the development of similar types of neural tumors

The purpose of the proposed study is to determine if neural tumors that developed in people who were treated with X-rays in childhood also have somatic NF2 mutations This will be done using DNA from paraffin-embedded neural tumors that developed in 112 individuals treated with X-rays in childhood for benign head and neck conditions These individuals are from a cohort of over 4000 irradiated persons followed by Michael Reese Hospital in Chicago since 1974 If we find NF2 mutations in the radiation-related tumors we will determine whether they are somatic or germline by looking for NF2 mutations in DNA from buccal cells of the patients with the studied tumors We expect that most patients will have NF2 mutations only in tumor DNA However there is a remote possibility that one or more patients may have a germline NF2 mutation and thus an increased risk of developing neural tumors even in the absence of X-ray treatment We will then compare the types and frequencies of the somatic NF2 mutations with those found in sporadic neural tumors If we do not find somatic NF2 mutations in the radiation-related tumors we will conclude that X-rays caused neural tumors to develop through interactions with another gene or genes Either result will contribute to our knowledge of radiation tumorigenesis

We will send letters describing this study to patients from the Michael Reese Hospital cohort who have developed radiation-related neural tumors Those who consent to take part in it will be asked for permission to obtain paraffin blocks from any neural tumor that they have had removed and to donate buccal cells for NF2 mutation studies Finally they will also be asked to complete a questionnaire that will help us update their medical history and obtain a medical history on close blood relatives

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None
Secondary IDs
Secondary ID Type Domain Link
OH96-C-N027 None None None