Tracking tumor DNA over time in neuroblastoma
Official title: A Prospective Observational Study of Serial Circulating Tumor DNA and Molecular Residual Disease Monitoring for Molecular Profiling, Treatment Response Assessment, and Early Relapse Detection in Patients With Neuroblastoma
Run by Sun Yat-sen University · NCT07516678 · Data updated 2026-11-12
This project tests whether regular blood tests measuring circulating tumor DNA and molecular residual disease can track disease status and detect relapse earlier in children with neuroblastoma.
Quick facts
| Study type | Observational |
|---|---|
| Sex | All |
| Enrollment | 200 (estimated) |
| Sponsor | Sun Yat-sen University Academic / other |
| Locations | 1 site (Guangzhou, Guangdong) |
| Status | Recruiting |
| Started | January 1, 2022 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | April 8, 2026 |
| Trial ID | NCT07516678 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Children with histologically or clinically confirmed neuroblastoma (newly diagnosed or relapsed/refractory) who can provide serial blood samples and consent to clinical data collection.
✕Probably not a fit
Patients unable to provide required blood samples, those with tumors that shed minimal ctDNA, or those without sufficient clinical or tissue data for tumor-informed assays are unlikely to benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective observational program that enrolls newly diagnosed and relapsed/refractory neuroblastoma patients and collects serial biospecimens during routine clinical care. Plasma samples are obtained at baseline, during treatment, after surgery when applicable, during post-treatment surveillance, and at suspected relapse or progression, with bone marrow or CSF analyzed in selected cases. Molecular testing uses both tumor-informed personalized MRD assays and fixed-panel approaches to characterize baseline genomic alterations and dynamic ctDNA changes. Results will be correlated with imaging, marrow, serum markers, and clinical outcomes to determine whether ctDNA/MRD improves response assessment, molecular remission evaluation, and relapse surveillance.
Why it matters
Potential benefit: If successful, this approach could detect relapse or progression earlier and provide a minimally invasive way to monitor treatment response.
How similar studies have gone: Prior observational work in neuroblastoma and other pediatric solid tumors has shown ctDNA can reflect disease burden and signal relapse, though tumor-informed MRD testing is still emerging.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with histologically or clinically confirmed neuroblastoma according to institutional or protocol-defined diagnostic criteria. Newly diagnosed, relapsed, refractory, or progressive neuroblastoma eligible for serial biospecimen collection during routine clinical care. Availability of peripheral blood samples for ctDNA/MRD analysis at baseline and/or longitudinal follow-up time points. Availability of clinical data required for molecular-clinical correlation analyses, including response and outcome assessment. Availability of tumor tissue and matched control samples for tumor-informed assay development, if applicable and feasible. Written informed consent from a parent or legal guardian, and assent from the participant when applicable. Exclusion Criteria: * Inability to provide protocol-required blood samples for ctDNA/MRD testing. Insufficient clinical information for protocol-defined response or outcome analyses. Poor-quality or insufficient biospecimens that preclude molecular analysis, when molecular testing is a required component of the study dataset. Any condition that, in the opinion of the investigator, would make study participation inappropriate.
Where it's running
-
Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, China Recruiting
Study contacts
- Study coordinator: Yizhuo Zhang, Doctor of Haematology
- Email: zhangyzh@sysucc.org.cn
- Phone: +86 18819241079
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Neuroblastoma patients' genomic and biological profile study
This multicenter, prospective study tests profiles from blood, tumor tissue, and bone marrow to understand neuroblastoma in diagnosed, relapsed, or refractory patients.
-
CIML-NK Cells to Treat Neuroblastoma in Relapsed or Refractory Patients
We’re testing whether donor-derived cytokine-induced memory-like NK cells can be safely given with dinutuximab to kids and young adults whose neuroblastoma has come back or not responded to treatment.
-
Becotatug Vedotin for EGFR-positive relapsed, refractory, or metastatic pediatric solid tumors
This trial will test Becotatug Vedotin, an EGFR-targeted antibody-drug conjugate, to see if it is safe and helps children aged 2–18 with EGFR-positive relapsed, refractory, or metastatic solid tumors.
-
Anti-GD2-800CW imaging to highlight neuroblastoma during surgery
This trial will test whether a fluorescent antibody called anti-GD2-800CW can safely help surgeons see and remove neuroblastoma in children ages 1 to 18.
-
B7-H3 CAR T cells for relapsed or refractory solid tumors in children and young adults
This study tests a new B7-H3 CAR T cell therapy to see if it is safe and can help kids and young adults whose solid tumors have come back or stopped responding to standard treatments.
-
NET- and somatostatin-targeted PET/SPECT imaging to find and stage neuroblastoma and pheochromocytoma/paraganglioma
This study will try different PET and SPECT tracers to see if they can accurately find and stage tumors in children and adults with neuroblastoma or pheochromocytoma/paraganglioma.
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.