Genetic Bases of Neuroendocrine Neoplasms in Mexican Patients
1 other identifier
observational
750
1 country
3
Brief Summary
Neuroendocrine neoplasms (NENs) are a heterogeneous group of lesions derived from cells with the ability to produce hormones that may arise from multiple different organs. Their clinical behavior is quite variable, encompassing both benign lesions and aggressive tumors that invade surrounding and/or distant structures. NENs may also cause serious morbidity due to hormone oversecretion. NENs are among the most frequently inherited human tumors, presenting either isolated or as part of syndromes in which a single patient or family develops multiple tumors. There are also non-inherited changes in the genetic information of the tumor cells that are potential targets for treatment. Both inherited and non-inherited DNA defects can be identified using modern routine genetic tests which, unfortunately, are not widely available in Mexico. This project seeks to uncover the genetic defects causing NENs in a large cohort of Mexican patients, using three different methods for genetic testing. Adult individuals with various types of NENs from two reference hospitals in Mexico City will be invited to participate. After completing informed consent, blood and, if possible, tissue samples will be obtained from all participants. Clinical details, laboratory results, imaging studies, and histopathological data at disease presentation will be retrieved. An initial screening will be performed by analyzing changes in the sequence of multiple genes that have been associated with the occurrence of NENs. In cases with negative screening, a specific method to assess changes in the number of copies of the same genes will also be employed. Finally, sequences of all DNA regions encoding information required to make proteins will be obtained in selected cases. Analyses will be carried out in blood and, if available, also in tumor tissue samples from study participants. Screening of additional family members will be offered. This project will accurately describe the repertoire of specific defects causing NENs in the study population, and will likely uncover and characterize novel genetic associations. The results will contribute for a better understanding of the alterations within and outside known driver genes that shape syndromic presentations, tumor behaviors, and inheritance patterns in individuals with NENs. These data will contribute to improve the information on the molecular bases of NENs, including alterations that can be used as therapeutic targets.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Aug 2022
Longer than P75 for all trials
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 3, 2022
CompletedFirst Submitted
Initial submission to the registry
July 17, 2024
CompletedFirst Posted
Study publicly available on registry
July 26, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2037
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 1, 2037
July 26, 2024
July 1, 2024
14.6 years
July 17, 2024
July 22, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Detection of a germline or somatic genetic defect of interest.
Detection of a genetic defect classified as pathogenic, likely pathogenic, or of uncertain significance in accordance with the criteria of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology.
Up to fifteen years from the date of recruitment.
Eligibility Criteria
Individuals with new or previous clinical diagnosis of the conditions included in the eligibility criteria under follow up at either of two reference hospitals in Mexico City: Instituto Nacional de Ciencias MĂ©dicas y NutriciĂ³n Salvador ZubirĂ¡n, and Specialties Hospital of Centro MĂ©dico Nacional Siglo XXI, Instituto Mexicano del Seguro Social. All individuals must provide written informed consent to be included in the study.
You may qualify if:
- Adult patients with a new or previous clinical diagnosis of any of the following conditions:
- Isolated NENs with sporadic presentation, including bronchopulmonary NENs, gastrointestinal NENs, medullary thyroid carcinoma, pancreatic NENs, paragangliomas, pheochromocytomas, pituitary neuroendocrine tumors, and primary hyperparathyroidism.
- Familial isolated NENs, including familial isolated pituitary adenoma, familial pheochromocytomas and paragangliomas, familial primary hyperparathyroidism, familial gastrointestinal stromal tumors and X-linked acrogigantism.
- Clinical syndromes encompassing NENs, with familial or sporadic presentation, including Carney complex, Carney-Stratakis syndrome, Carney triad, Cowden syndrome, DICER1 syndrome, Li-Fraumeni syndrome, Lynch syndrome, multiple endocrine neoplasia type 1, multiple endocrine neoplasia type 2, multiple endocrine neoplasia type 4, neurofibromatosis type 1, Pacak-Zhuang syndrome, paraganglioma, pheochromocytoma and pituitary adenoma syndrome, tuberous sclerosis complex, Von Hippel Lindau syndrome.
You may not qualify if:
- Age \<18 years.
- Refusal to give informed consent.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social
Mexico City, Mexico City, 06720, Mexico
Instituto Nacional de Ciencias MĂ©dicas y NutriciĂ³n Salvador ZubirĂ¡n
Mexico City, Mexico City, 14080, Mexico
Red de Apoyo a la InvestigaciĂ³n, CoordinaciĂ³n de la InvestigaciĂ³n CientĂfica, Universidad Nacional AutĂ³noma de MĂ©xico
Mexico City, Mexico City, 14080, Mexico
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Biospecimen
A 5 ml sample of peripheral blood obtained by phlebotomy will be collected in a tube with EDTA at recruitment and stored at 4°C until processing. Archival formalin-fixed paraffin-embedded tissues samples will be obtained for patients with previous tumor resection, and fresh frozen tissue samples will be obtained por individuals undergoing surgical tumor excision in the course of the study, when possible. DNA, and in selected cases, RNA, will be extracted from blood and tissue samples and will be stored at -20 °C or -80 °C, respectively, for the durantion of the study. A unique deidentified code for each participant will be used for sample labelling.
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Laura C HernĂ¡ndez RamĂrez, MD, PhD
Universidad Nacional Autonoma de Mexico
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Researcher C
Study Record Dates
First Submitted
July 17, 2024
First Posted
July 26, 2024
Study Start
August 3, 2022
Primary Completion (Estimated)
March 1, 2037
Study Completion (Estimated)
March 1, 2037
Last Updated
July 26, 2024
Record last verified: 2024-07