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NCT04959097Recruiting

Retinoblastoma Patient Clinical Database and Tissue Repository

Children's Hospital Los Angeles

Start Date

1/1/2017

Completion Date

12/31/2030

Summary

Retinoblastoma (RB) is a primary eye cancer that forms in the back of the eye of infants and toddlers. Traditionally, RB is diagnosed without a biopsy; tumor can only be studied once an eye has been surgically removed. Given this limitation, we use aqueous humor (AH), the clear fluid in the front of the eye to detect specific markers, or information, that comes from the tumor itself.

Detailed Description

Retinoblastoma (RB) is a primary intraocular malignancy that forms in the retina of infants and toddlers. Traditionally, RB is diagnosed without tissue as direct tumor biopsy is prohibited due to risk of extraocular spread; tissue can only be obtained once an eye has been surgically removed. Given this limitation, there are no eye-specific molecular biomarkers in current clinical practice for RB. The lack of in vivo molecular data without removing the eye limits our ability to prognosticate clinical outcomes and develop personalized treatment plans. It also limits our understanding of intratumoral dynamics throughout therapy. The aqueous humor (AH) is a high-yield source of tumor-derived nucleic acid that can be utilized as a liquid biopsy in eyes with retinoblastoma. Detection of biomarkers from the AH may be used to prognosticate the likelihood of eye salvage and in the future may facilitate targeted, patient-centered therapies based on molecular biomarkers. OBJECTIVES: 1. Systematically and prospectively record accurate and complete data regarding the clinical presentation, treatment, and outcomes of patients diagnosed with RB. 2. Collect, bank, preserve, and analyze biomaterials including AH, blood and saliva from patients with RB. 3. Correlate phenotypic data with genotypic findings from human biomaterials in retinoblastoma patients to identify clinically relevant biomarkers

Eligibility Criteria

Age Range: No minimum to 18 years

Inclusion Criteria: * All patients, age 0 days to 18 years, with a diagnosis unilateral or bilateral retinoblastoma (RB) seen at CHLA (Children's Hospital Los Angeles). Exclusion Criteria: * Patients referred for second opinions only and not treated at CHLA for any reason.

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Conditions

RetinoblastomaRetinoblastoma BilateralRetinoblastoma Unilateral

Locations

Phoenix Children's Hospital

Phoenix, Arizona 85016

United States

Children's Hospital Los Angeles

Los Angeles, California 90027

United States

Emory University Children's Healthcare of ATL

Atlanta, Georgia 30322

United States

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois 60611

United States

Oregon Health & Science University: Casey Eye Institute

Portland, Oregon 97239

United States

Wills Eye Institute

Philadelphia, Pennsylvania 19107

United States

St. Jude Children's Research Hospital

Memphis, Tennessee 38105

United States

Seattle Children's Hospital; University of Washington

Seattle, Washington 98101

United States

The Hospital for Sick Children (Toronto SickKids)

Toronto, Ontario M5G 2L3

Canada