Clinical trial Recruiting at 1 site Observational Ages 1 Year and up

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.

More MPNST trials

Quick facts

Study typeObservational
Ages1 Year and up
SexAll
Enrollment60 (estimated)
SponsorM.D. Anderson Cancer Center
Academic / other
Locations1 site (Houston, Texas)
StatusRecruiting
StartedApril 2, 2026
Main results expectedApril 30, 2030
Study endsApril 20, 2032
Registry record updatedSeptember 18, 2026
Trial IDNCT07298083 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

  • The University of Texas M. D. Anderson Cancer Center
    Houston, Texas, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Safety and preliminary activity of BMS-986504 in unresectable MPNST

    A new medicine called BMS-986504 is being tested to see if it is safe and may help people with unresectable malignant peripheral nerve sheath tumors, especially those whose tumors lack MTAP.

    Recruiting Phase 1/2 Case Comprehensive Cancer Center · Cleveland, Ohio · NCT07549022

  • Imlygic (T-VEC) injections for cutaneous neurofibromas in adults with NF1

    This trial will test whether injecting Imlygic into bothersome cutaneous neurofibromas can shrink them or reduce symptoms in adults with NF1 who want local treatment.

    Recruiting Phase 1 Johns Hopkins University · Baltimore, Maryland · NCT07102394

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    Recruiting at 16 sites Phase 2 Memorial Sloan Kettering Cancer Center · Los Angeles, California and 15 other locations · NCT05985161

  • Selumetinib plus ZEN-3694 with durvalumab for certain sarcomas and NF1-associated MPNST

    This trial tests a combination of medicines to see if they can help adults with unresectable or metastatic sarcomas, including NF1-associated MPNST.

    Recruiting Phase 2 University of Alabama at Birmingham · Birmingham, Alabama · NCT05253131

  • Combining immune therapy with chemotherapy for advanced soft tissue sarcoma

    This study is testing if combining a new immune therapy with standard chemotherapy can help people with advanced soft tissue sarcoma who can’t have surgery or radiation feel better and live longer.

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  • MeK and MDM2 inhibitors in NF1-related tumors

    This study tests a combination of selumetinib and APG-115 in adults and older teens with NF1 who have unresectable or metastatic MPNST or related conditions to see if the treatment is tolerable and helps slow or stop tumor growth.

    Recruiting at 2 sites Phase 1/2 Children's National Research Institute · Washington D.C., District of Columbia and 1 other locations · NCT06735820

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.