ClinicalTrials.gg
RecruitingNCT05839379Updated Sep 8, 2026

Targeted Pediatric High-Grade Glioma Therapy

An observational study in High Grade Glioma, Diffuse Intrinsic Pontine Glioma and Anaplastic Astrocytoma, sponsored by Nationwide Children's Hospital. Recruiting at 22 sites in 7 countries. Open to participants aged 12 Months to 39 Years. Per ClinicalTrials.gov, last updated 2026-09-08.

Sponsored by Nationwide Children's Hospital · Observational

From the registry’s dates

  • Started Aug 2024; still recruiting 2 years 3 months later.
Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
350
Ages
12 Months to 39 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 11 studies in Glioma by Nationwide Children's Hospital — 10 open to participants now, 11 under way, none of them phase 3. Glioma · Nationwide Children's Hospital.

Started
2024
with 2 others
Observational
Only one
of the 11
Primary completion
2029-08
later than 6 of 10 live
Registered
6th of 11
by date

Among the 11 studies in Glioma by Nationwide Children's Hospital, this one is one of 3 that started in 2024, is the only observational one, reaches primary completion later than 6 of the 10 other live ones, and was the 6th registered.

By phase

11 studies; the count open now beside each. This study's row is marked.

Phase 25 · 5 open
Phase 14 · 3 open
Observationalthis study1 · 1 open
Phase 1/21 · 1 open

By the year they started

First in 2018; this study’s year is marked. 3 started in 2024.

Size and results

Median enrollment 62 across the 10 interventional studies, 350 across the 1 observational. None of them has completed or been terminated yet.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 11 studies in Glioma by Nationwide Children's Hospital, or all of them as a file.
02

Study summary

The goal of this study is to perform genetic sequencing on brain tumors from children, adolescents, and young adult patients who have been newly diagnosed with a high-grade glioma. This molecular profiling will decide if patients are eligible to participate in a subsequent treatment-based clinical trial based on the genetic alterations identified in their tumor.

Read the detailed description

A novel, molecularly-guided, multi-arm phase umbrella II trial is proposed in children, adolescents, and young adults with newly diagnosed HGG, including DIPG, in which we will (1) conduct comprehensive molecular screening of tumor tissue using a multi-omic approach (WES/WGS, gene fusion panels/RNASeq, DNA methylation microarray) across international CONNECT genomics cores with rapid return of clinical results, (2) stratify patients to biologically-targeted treatment arms, based on the tumor molecular profile and histopathology, and (3) perform longitudinal evaluation of peripheral blood, cerebrospinal fluid (CSF), and/or tumor tissue as well as advanced neuro-imaging to determine genomic, immune, and radiologic biomarkers predictive of response, recurrence, resistance, and toxicity.

Based on results of the above tumor molecular profiling and pathology-based confirmation of HGG diagnosis, eligible patients will be assigned to one of several biologically guided treatment arms on a phase II trial.

Approximately 300-350 patients will be enrolled on the screening protocol through which biospecimens (paired tumor DNA/RNA and normal comparator samples) will undergo extensive molecular profiling and/or there will be comprehensive central molecular and pathology review of previously obtained molecular results to assess eligibility to any of the therapeutic subprotocols of the phase II study.

03

Conditions studied

  • High Grade Glioma
  • Diffuse Intrinsic Pontine Glioma
  • Anaplastic Astrocytoma
  • Glioblastoma
  • Glioblastoma Multiforme
  • Diffuse Midline Glioma, H3 K27M-Mutant
  • Metastatic Brain Tumor
  • WHO Grade III Glioma
  • WHO Grade IV Glioma
04

Who can participate

Ages eligible
12 Months to 39 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Pediatric and young adult patients new diagnosed with High Grade Glioma including Diffuse Intrinsic Pontine Glioma (per 2021 WHO CNS tumor classification)

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age: Patients must be ≥12 months and ≤39 years of age at the time of enrollment onto this screening protocol.
  2. Diagnosis: Patients with newly diagnosed HGG, including DIPG are eligible. Diagnosis must have histologic confirmation from or resection. The diagnosis of HGG must have been confirmed by pathology review at the local site. For the diagnosis of DIPG, patients must have a tumor with pontine epicenter and diffuse involvement of at least 2/3 of the pons, with histopathology consistent with diffuse WHO grade 2-4 glioma (eg, diffuse astrocytoma, anaplastic astrocytoma, glioblastoma, H3K27-altered diffuse midline glioma). For all other tumors, histologic grade must be WHO grade 3-4.
  3. Disease Status: There are no disease status requirements for enrollment.

    • is not required. Patients without measurable disease are eligible.
    • Patients with /disseminated or multifocal disease or gliomatosis cerebri are eligible.
    • Patients with a primary spinal tumor are eligible.
    • Patients with secondary, radiation related HGG are eligible.
  4. Prior Therapy for HGG: Surgery, radiation, and/or dexamethasone are permissible. Temozolomide concurrent with radiation is permissible. Prior administration of avastin/bevacizumab is allowed (individual treatment arms have different requirements, check individual arm eligibility). No other prior anticancer therapy for HGG will be allowed.

    • Participants screening for assignment to TarGeT-L may not have received radiation.

    Timing from surgery to start of RT: For patients who have started RT, radiation must have started \<42 days from definitive surgery or biopsy, however it is strongly recommended patients start RT within 31 days from definitive surgery (if patient had two surgeries, radiation must have started within 31 days from second surgery).

  5. Tumor Sample Availability OR results from previous molecular profiling/targeted sequencing

    • If a patient screens through OPTION #1, tumor sample in addition to normal comparator tissue (peripheral blood, saliva, or buccal swab) must be submitted for comprehensive molecular screening at the time of screening enrollment.
    • If a patient screens through OPTIONS #2 or #3, results from previously performed molecular profiling must be submitted following enrollment. It is highly recommended that results be uploaded within 7 days of enrollment (if results are available at time of enrollment) or within 7 days of results becoming available (if pending at time of enrollment) to allow adequate time for central review.
  6. : All patients and/or their parents or legally authorized representatives must sign a written informed consent. Assent, when appropriate, will be obtained according to institutional guidelines.
  7. Enrollment timeline: Patients are eligible to enroll on the TarGeT-SCR anytime between diagnosis and the following specific timepoints post completion of RT (if relevant)

    • Patients screening through OPTION #1 are eligible to enroll anytime between diagnosis and 10 days post RT (if completing RT).
    • Patients screening through OPTIONS #2 or #3 are eligible to enroll anytime between diagnosis and 21 days post RT (if completing RT).
    • Participants screening for TarGeT-L (lorlatinib) are eligible to enroll on TarGeT-SCR anytime between diagnosis and 31 days post definitive surgery (to allow time for molecular review).

However, it is important to note the following:

  • For treatment protocols that include targeted therapy administered concurrently with RT, patients must start treatment within 10 calendar days of starting RT.
  • For treatment protocols that only include maintenance/ therapy (no systemic therapy given concurrently with radiation), patients must start treatment by 35 days post RT

    #SCREENING OPTIONS

  • OPTION1: Molecular screening through CONNECT TarGeT Clinical Testing Laboratories
  • OPTION2: Molecular screening through a national comprehensive tumor profiling program
  • OPTION3: Clinically validated targeted sequencing or focused profiling

Exclusion criteria

Exclusion Criteria:

-Tumors that do not meet HGG and DIPG diagnoses specified above

Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

05

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
350 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna
06

What researchers measure

Primary outcomes

  1. Molecular profiling

    Utilize molecular, clinical, and histopathologic data to assess eligibility for specific biologically-guided treatment subprotocols among pediatric, adolescent and young adult patients with newly diagnosed HGG, including DIPG.

    Time frame: 4 years

  2. Feasibility of molecular profiling and enrollment to a TarGeT treatment protocol

    Determine the percent of pediatric, adolescent, and young adult patients newly diagnosed with HGG, including DIPG, who undergo screening through one of three TarGeT-SCR screening mechanisms and are assigned to a TarGeT treatment arm.

    Time frame: 4 years

Secondary outcomes

  1. Genomic Research

    Increase knowledge of the genomic and immunologic landscape of newly-diagnosed pediatric and young adult HGGs, including DIPG, through comprehensive molecular characterization.

    Time frame: 6 years

  2. Germline susceptibility testing

    Determine the frequency and spectrum of germline cancer susceptibility mutations in children and young adults with HGG and DIPG and assess the feasibility of return of those results.

    Time frame: 4 years

  3. Biobanking

    Prospectively collect tumor tissue from diagnostic biopsy/resection as well as baseline peripheral blood and cerebrospinal fluid (CSF) samples for the CONNECT biorepository to be used in correlative research for the present trial as well as future studies.

    Time frame: 4 years

  4. Progression Free Survival

    Prospectively collect data to estimate the distribution of PFS in HGG and DIPG patients, respectively, who do not enroll on any TarGeT treatment subprotocol.

    Time frame: 4 years

  5. Feasibility of Assignment

    Determine the percent of pediatric, adolescent, and young adult patients newly diagnosed with HGG, including DIPG, who are assigned to a TarGeT treatment arm through one of the three TarGeT-SCR screening mechanisms, and begin treatment on a TarGeT treatment subprotocol within the required timelines.

    Time frame: 4 years

  6. Descriptively analyze patients not assigned

    For patients who consent to TarGeT-SCR but do not enroll on a TarGeT treatment subprotocol: Descriptively capture and analyze reasons for lack of treatment arm enrollment.

    Time frame: 4 years

  7. Overall Survival

    Prospectively collect data to estimate the distribution of OS in HGG and DIPG patients, respectively, who do not enroll on any TarGeT treatment subprotocol.

    Time frame: 4 years

07

Study locations

13 of 22 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2024 (actual). Primary completion is estimated for Aug 2029, 60 months after the start.

Of 113 non-industry observational studies under Glioma, half reached primary completion within 67 months of starting (the median), counting those still running; a quarter within 33 and three quarters within 104. This study's planned 60 months is below that.

Counting every sponsor, half of 123 studies reached it within 60 months; a quarter within 29 and three quarters within 104.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 20, 2023
First posted
May 3, 2023
StartActual
Aug 2, 2024
Primary completionEst.
Aug 28, 2029
CompletionEst.
Aug 28, 2034
Last update
Sep 8, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05839379
Responsible party
Sponsor
First posted
May 3, 2023
Start date
Aug 2, 2024
Primary completion
Aug 28, 2029 (estimated)
Completion
Aug 28, 2034 (estimated)
Last update
Sep 8, 2026

Study contacts

Kelsey H Troyer, PhD
Contact
kelsey.troyer@nationwidechildrens.org
16147223284
Maryam Fouladi, MD
study chair · Nationwide Children's Hospital
Margot Lazow, MD
study director · Nationwide Children's Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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