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Development of the SIOPE DIPG network, registry and imaging repository: a collaborative effort to optimize research
Sophie E M Veldhuijzen van Zanten1, Joshua Baugh2, Brooklyn Chaney2
1Department of Paediatrics, Division of Oncology/Haematology, VU University Medical Center, Amsterdam, The Netherlands. s.veldhuijzen@vumc.nl.
Abstract:
Diffuse intrinsic pontine glioma (DIPG) is a rare and deadly childhood malignancy. After 40 years of mostly single-center, often non-randomized trials with variable patient inclusions, there has been no improvement in survival. It is therefore time for international collaboration in DIPG research, to provide new hope for children, parents and medical professionals fighting DIPG. In a first step towards collaboration, in 2011, a network of biologists and clinicians working in the field of DIPG was established within the European Society for Paediatric Oncology (SIOPE) Brain Tumour Group: the SIOPE DIPG Network. By bringing together biomedical professionals and parents as patient representatives, several collaborative DIPG-related projects have been realized. With help from experts in the fields of information technology, and legal advisors, an international, web-based comprehensive database was developed, The SIOPE DIPG Registry and Imaging Repository, to centrally collect data of DIPG patients. As for April 2016, clinical data as well as MR-scans of 694 patients have been entered into the SIOPE DIPG Registry/Imaging Repository. The median progression free survival is 6.0 months (95% Confidence Interval (CI) 5.6-6.4 months) and the median overall survival is 11.0 months (95% CI 10.5-11.5 months). At two and five years post-diagnosis, 10 and 2% of patients are alive, respectively. The establishment of the SIOPE DIPG Network and SIOPE DIPG Registry means a paradigm shift towards collaborative research into DIPG. This is seen as an essential first step towards understanding the disease, improving care and (ultimately) cure for children with DIPG.
Insights
Diffuse intrinsic pontine glioma (DIPG) research is advancing through international collaboration. The SIOPE DIPG Network and Registry are improving data collection and understanding of this rare childhood cancer.
Area of Science:
- Pediatric Oncology
- Neuro-oncology
- Cancer Research
Background:
- Diffuse intrinsic pontine glioma (DIPG) is a rare and aggressive childhood brain tumor with a dismal prognosis.
- Decades of single-center trials have failed to improve survival rates for DIPG patients.
- There is a critical need for international collaboration to advance DIPG research.
Purpose of the Study:
- To establish an international collaborative network for DIPG research.
- To create a centralized, web-based database for collecting DIPG patient data and imaging.
- To analyze initial data from the registry to understand survival outcomes.
Main Methods:
- Formation of the SIOPE DIPG Network, uniting biologists, clinicians, and parents.
- Development of the SIOPE DIPG Registry and Imaging Repository, a comprehensive international database.
- Centralized collection of clinical data and MR scans from DIPG patients.
Main Results:
- As of April 2016, 694 DIPG patients' data and MR scans were entered into the registry.
- Median progression-free survival was 6.0 months (95% CI 5.6-6.4).
- Median overall survival was 11.0 months (95% CI 10.5-11.5), with 2% alive at five years.
Conclusions:
- The SIOPE DIPG Network and Registry represent a paradigm shift towards collaborative DIPG research.
- This collaborative approach is essential for understanding DIPG, improving patient care, and ultimately finding a cure.
- International cooperation is vital for advancing outcomes in rare pediatric brain tumors like DIPG.
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