The international diffuse intrinsic pontine glioma registry: an infrastructure to accelerate collaborative research for an orphan disease

Joshua Baugh, Ute Bartels, James Leach, Blaise Jones, Brooklyn Chaney, Katherine E. Warren, Jenavieve Kirkendall, Renee Doughman, Cynthia Hawkins, Lili Miles, Christine Fuller, Tim Hassall, Eric Bouffet, Adam Lane, Darren Hargrave, Jacques Grill, Lindsey M. Hoffman, Chris Jones, Alex Towbin, Sharon A. SavageMichelle Monje, Xiao Nan Li, David S. Ziegler, Sophie Veldhuijzen van Zanten, Christof M. Kramm, Dannis G. van Vuurden, Maryam Fouladi*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

Diffuse intrinsic pontine glioma (DIPG), a rare, often fatal childhood brain tumor, remains a major therapeutic challenge. In 2012, investigators, funded by the DIPG Collaborative (a philanthropic partnership among 29 private foundations), launched the International DIPG Registry (IDIPGR) to advance understanding of DIPG. Comprised of comprehensive deidentified but linked clinical, imaging, histopathological, and genomic repositories, the IDIPGR uses standardized case report forms for uniform data collection; serial imaging and histopathology are centrally reviewed by IDIPGR neuro-radiologists and neuro-pathologists, respectively. Tissue and genomic data, and cell cultures derived from autopsies coordinated by the IDIPGR are available to investigators for studies approved by the Scientific Advisory Committee. From April 2012 to December 2016, 670 patients diagnosed with DIPG have been enrolled from 55 participating institutions in the US, Canada, Australia and New Zealand. The radiology repository contains 3558 studies from 448 patients. The pathology repository contains tissue on 81 patients with another 98 samples available for submission. Fresh DIPG tissue from seven autopsies has been sent to investigators to develop primary cell cultures. The bioinformatics repository contains next-generation sequencing data on 66 tumors. Nine projects using data/tissue from the IDIPGR by 13 principle investigators from around the world are now underway. The IDIPGR, a successful alliance among philanthropic agencies and investigators, has developed and maintained a highly collaborative, hypothesis-driven research infrastructure for interdisciplinary and translational projects in DIPG to improve diagnosis, response assessment, treatment and outcome for patients.

Original languageEnglish (US)
Pages (from-to)323-331
Number of pages9
JournalJournal of Neuro-Oncology
Volume132
Issue number2
DOIs
StatePublished - Apr 1 2017

Funding

In 2011, physicians, scientists, and patient advocacy groups met at the first International DIPG Symposium, and advocated for the establishment of a focused international effort to develop uniform criteria for diagnosis, classification, disease assessment, and to study DIPG biology and therapeutic strategies through the development of in vitro and in vivo models. In 2012, with financial support from the DIPG Collaborative, a philanthropic partnership which now includes 29 private foundations, and international investigators banded together to establish the International DIPG Registry (IDIPGR) and a parallel European SIOPE Registry. The IDIPGR continues to expand and maintains a highly-collaborative, hypothesis-driven research infrastructure to support a wide spectrum of interdisciplinary and translational projects in DIPG. Here, we report the logistical challenges, pitfalls, and successes of developing this registry, which we hope will serve as a model for other orphan disease registries.

Keywords

  • Brain tumor
  • Diffuse intrinsic pontine glioma
  • Registry

ASJC Scopus subject areas

  • Oncology
  • Neurology
  • Clinical Neurology
  • Cancer Research

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