NCT07489378

Brief Summary

Background: All childhood cancers are rare, but some are called very rare. Very rare cancers are diagnosed in 2 or fewer out of 1 million people each year. Researchers want to gather data so they can learn more about these very rare cancers. They hope to use the data to develop future treatments. Objective: To gather data for a registry of very rare cancers found in children, teens, and young adults. Eligibility: People aged 1 month to 39 years newly diagnosed (within the past year) with a very rare cancer. Design: Participation will be by phone or email. No clinic visits are required. Researchers will look at the participant s medical records. They will ask for samples of tumor tissue that were already removed. They will use the samples for genetic testing. The results of these tests will be sent to the participant s own doctors. Some participants will be asked for saliva or cheek swab samples. They will receive a kit in the mail. They will spit into a tube or swab the inside of their cheek. They will mail the sample back to the lab. Participants will fill out questionnaires once a year for 5 years. They will answer questions about: Family history, such as other cancers in the family and their income, work, and education. Demographics, such as their gender, nationality, ethnicity, education, and work history. Symptoms and treatment for their cancer. This may include level of pain, and emotional and physical well-being. Participants data will be added to a secure database for other researchers. Their data will be anonymous.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
4,000

participants targeted

Target at P75+ for all trials

Timeline
130mo left

Started Aug 2026

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 21, 2026

Completed
3 days until next milestone

First Posted

Study publicly available on registry

March 24, 2026

Completed
4 months until next milestone

Study Start

First participant enrolled

August 5, 2026

Expected
8.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2035

2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2037

Last Updated

July 31, 2026

Status Verified

June 3, 2026

Enrollment Period

8.7 years

First QC Date

March 21, 2026

Last Update Submit

July 30, 2026

Conditions

Keywords

Longitudinal StudyRegistryPatient Reported OutcomesFamily HistoryMolecular Characterization

Outcome Measures

Primary Outcomes (1)

  • To establish a longitudinal observational study and registry for very rare pediatric and AYA solid tumors

    Percentage of participants from identified recruitment sources will be tabulated and described. An analysis of the ability to adequately obtain medical records at initial evaluation and follow-up to perform medical data extraction, which is critical to establishing a registry and longitudinal observational study will be assessed.

    Through 5 years after enrollment

Secondary Outcomes (2)

  • To evaluate the feasibility of PRO using validated reporting platforms suitable for pediatric and AYA populations

    At time of enrollment/study entry, and 2 and 5 years after enrollment

  • To conduct comprehensive clinical molecular characterization, utilizing CCDI MCI

    At time of enrollment/study entry

Study Arms (1)

1/ Cohort 1

Participants with very rare tumors

Other: Natural history study of individuals with very rare tumors

Interventions

We will collect information about the initial presentation and diagnosis of the disease, management, and tumor treatment history. Participants or parent/guardian will be asked to complete questionnaires and patient-reported outcome (PRO) instruments. Pathology materials (e.g., tissue samples, slides, or blocks) and saliva and/or buccal sample will be requested.

1/ Cohort 1

Eligibility Criteria

Age1 Month - 120 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

This is a longitudinal observational study and registry for children, adolescents and young adults (AYAs) with very rare cancers.

You may qualify if:

  • History of newly diagnosed (within 1 year of diagnosis) very rare solid tumor (defined as an estimated 2 incident cases per million per year).
  • Age \>= 1 month and \<= 39 years at the time of diagnosis.
  • Participants must have established care with a local treating physician.
  • Ability of the participant, parent/guardian, or Legally Authorized Representative (LAR) to understand and the willingness to sign a written informed consent document.

You may not qualify if:

  • Diagnosis of any of the following at any time:
  • Ewing Sarcoma
  • Osteosarcoma
  • Rhabdomyosarcoma
  • Diffuse midline glioma (H3K27 altered)
  • Atypical teratoid rhabdoid tumor
  • Pleuropulmonary blastoma
  • Common adult cancers that occur in pediatric/AYA populations (i.e., colorectal cancer, breast cancer)
  • The participant is unlikely to comply with the terms of the protocol.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

National Institutes of Health Clinical Center

Bethesda, Maryland, 20892, United States

RECRUITING

Related Links

Study Officials

  • Mary F Wedekind Malone, D.O.

    National Cancer Institute (NCI)

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Mary F Wedekind Malone, D.O.

CONTACT

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
PROSPECTIVE
Sponsor Type
NIH
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 21, 2026

First Posted

March 24, 2026

Study Start (Estimated)

August 5, 2026

Primary Completion (Estimated)

April 1, 2035

Study Completion (Estimated)

April 1, 2037

Last Updated

July 31, 2026

Record last verified: 2026-06-03

Data Sharing

IPD Sharing
Will share

This study will comply with the NIH Data Management and Sharing (DMS) Policy as waived or approved by the Center for Cancer Research, which applies to all new and ongoing NIH-funded research in the IRP, as of January 25, 2023, that is associated with a ZIA, with a clinical protocol that undergoes scientific review and/or will involve genomic data sharing.

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
Data will be made available as soon as possible or at the time of associated publication. Data not published in a manuscript will be shared via public source once the data set completes QC.
Access Criteria
Clinical data will be made available upon request and with the permission of the study PI. Genomic data are made available via dbGAP through requests to the data custodians.

Locations