Exploring genetic differences in twins with childhood brain tumors

Somatic Mosaicism in Twins Discordant for Childhood Cancer: a Pilot Study

Observational Children's Oncology Group · NCT06054295

This study looks at the genetic differences in identical twins who have childhood brain tumors to see how these differences might affect their cancer.

Quick facts

Study typeObservational
Enrollment50 (estimated)
AgesN/A to 18 Years
SexAll
SponsorChildren's Oncology Group Research network
Locations1 site (Minneapolis, Minnesota)
Trial IDNCT06054295 on ClinicalTrials.gov

What this trial studies

This observational study investigates the genetic factors contributing to discordance in childhood central nervous system (CNS) tumors among same-sex twins. It aims to analyze blood and saliva DNA samples from 25 pairs of monozygotic twins to assess the prevalence of somatic mosaicism in cancer-associated genes. The study will also compare mutation profiles in pre- and post-treatment samples to ensure that observed differences are not influenced by cancer therapies. The research is conducted through the Children's Oncology Group's Project: EveryChild registry.

Who should consider this trial

Good fit: Ideal candidates include same-sex twins diagnosed with CNS tumors before the age of 19, whether newly diagnosed or with recurrent disease.

Not a fit: Patients who are not part of a twin pair or those diagnosed with tumors unrelated to CNS will not benefit from this study.

Why it matters

Potential benefit: If successful, this study could enhance understanding of genetic predispositions to CNS tumors, potentially leading to improved prevention and treatment strategies.

How similar studies have performed: While the exploration of somatic mosaicism in twins is a relatively novel approach, similar studies have shown promise in understanding genetic factors in cancer.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Newly diagnosed patient with CNS tumor or have recurrent disease and enrolled on APEC14B1.
* Patient must have same sex twin. Note: (history of) treatment on a COG therapeutic trial is not required.
* Patients must be diagnosed at \< 19 years of age at the time of diagnosis.
* A family is eligible to participate if the twin with the CNS tumor is deceased but has a blood sample banked through APEC14B1.
* All patients and/or their parents or legal guardians must provide informed consent. Assent will be obtained for participants between the ages of 8-17 years.
* All institutional, FDA, and NCI requirements for human studies must be met.

Where this trial is running

Minneapolis, Minnesota

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Pediatric Central Nervous System TumorCentral Nervous System TumorDiscordant TwinSomatic Mutation
Last reviewed 2026-06-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.