Handheld mass spectrometry to tell MPNST, neurofibroma, and normal nerve tissue during surgery
Official title: DoD Award NF230020 Identification of Metabolic Markers and Statistical Prediction of MPNST for Rapid Diagnosis and Assessment of Surgical Margins
Run by M.D. Anderson Cancer Center · NCT07298083 · Data updated 2026-11-12
This study will test whether a handheld mass spectrometry device can quickly tell malignant peripheral nerve sheath tumors (MPNST) from neurofibromas and normal nerve tissue during surgery for patients having tumor removal.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 1 Year and up |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | M.D. Anderson Cancer Center Academic / other |
| Locations | 1 site (Houston, Texas) |
| Status | Recruiting |
| Started | April 2, 2026 |
| Main results expected | April 30, 2030 |
| Study ends | April 20, 2032 |
| Registry record updated | September 18, 2026 |
| Trial ID | NCT07298083 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Patients aged 1 year and older with a measurable MPNST or neurofibroma who are scheduled for surgical resection and can provide consent (or have parental consent) are ideal candidates.
✕Probably not a fit
Patients who are pregnant, younger than one year, unable to undergo surgery, or unable to provide consent are unlikely to benefit from this intraoperative validation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study will collect tissue and metabolic data from about 60 patients with MPNST or neurofibroma who are undergoing surgical resection at M.D. Anderson. Researchers will map metabolite and lipid profiles of tumor, neurofibroma, and nerve tissue and build statistical models to distinguish them. The handheld MasSpec Pen combined with an Orbitrap mass spectrometer will be used intraoperatively to sample tissues and compare its readings to pathology and the metabolomic profiles. The goal is to validate the device for rapid intraoperative diagnosis and to help define surgical margins.
Why it matters
Potential benefit: If successful, surgeons could more quickly distinguish MPNST from benign neurofibromas and better define surgical margins, potentially reducing repeat operations and preserving healthy nerve tissue.
How similar studies have gone: Handheld mass spectrometry tools like the MasSpec Pen have shown promising tumor-versus-normal discrimination in other cancer types, but their use specifically for MPNST and neurofibroma margin assessment is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. This study will enroll approximately 60 participants diagnosed with either MPNST or neurofibroma who are undergoing surgical resection of an MPNST or neurofibroma as part of their standard of care. 2. Age ≥ 1 years. Individuals younger than 18 years old will be included. For patients of age \< 18 years, both parents' signatures will be requested. 3. Patients must have measurable disease, defined as at least one lesion that can be accurately measured in at least one dimension as ≥10 mm (≥1 cm) with CT scan, MRI, or calipers by clinical exam. 4. Recurrent or primary disease. 5. Patients who are \> 18 years should have the ability to understand and the willingness to sign a written informed consent document. 6. English and non-English speaking patients. Exclusion Criteria: 1. Adult patients with cognitive impairment requiring a legally authorized representative for consent. 2. Patients under age 1 and neonates. 3. Patients who are pregnant and undergoing surgery for MPNST are not eligible.
Where it's running
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The University of Texas M. D. Anderson Cancer Center
Houston, Texas, United States Recruiting
Study contacts
- Principal investigator: Keila Torres, MD,PHD — M.D. Anderson Cancer Center
- Study coordinator: Keila Torres, MD,PHD
- Email: ketorres@mdanderson.org
- Phone: (713) 792-4242
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.