Recurrent Childhood Rhabdomyosarcoma Clinical Trial
Official title:
Observational - Identifying and Validating Novel Mechanisms of Radiation Resistance in Rhabdomyosarcoma
This laboratory study is looking into mechanisms of radiation therapy resistance in samples from younger patients with rhabdomyosarcoma. Studying samples of tissue from patients with cancer in the laboratory may help doctors learn more about changes that occur in DNA and identify biomarkers related to cancer. It may also help doctors find better ways to treat cancer
Observational Study Model: Cohort Time Perspective: Retrospective Biospecimen Retention:
Samples with DNA Biospecimen Description: Tissue Study Population Description: Primary care
clinic Sampling Method: Non-probability sample
OBJECTIVES:
I. Determine the molecular response/resistance signatures with radiotherapy and standard
chemoradiation treatments using the xenograft model of the Pediatric Preclinical Testing
Program (PPTP).
II. Validate these novel pathways/biomarkers by their detection within clinically annotated
patient tumor tissue samples and testing their associations with clinical response, local
control rates, and overall survival rates.
OUTLINE: Archived tissue samples of matched primary-relapsed and non-matched primary are
analyzed for genomic DNA, DNA methylation profiles, RNA sequencing, differences between
alveolar rhabdomyosarcoma (ARMS) and embryonal rhabdomyosarcoma (ERMS), gene expression
profiles, target-of-rapamycin complex 1 (TORC1) and TORC2 pathway intermediates, and paired
box 3 (PAX3)/forkhead box O1 (FOXO1) translocation by microarray, immunohistochemical
staining, and fluorescence in situ hybridization (FISH).
;
Observational Model: Cohort, Time Perspective: Retrospective
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