Table 3. Adapted table of a proposed consensus for designing the next generation of clinical trials in medulloblastoma (Ramaswamy et al. 14).
Medulloblastoma patient subgroups → genome-wide
methylation array → molecularly informed clinical trial or other validated methods |
Tissue collection from all patients → snap-frozen
and
paraffin-embedded tumor tissue, blood, and CSF |
All patients require tumor board planning for a clinical
trial
registry: neuroimaging, neuropathology, and radiotherapy |
Treatment-related side effects in all patients in the short
and
long term: quality-of-life measures and neuropsychological outcomes |
Recurrent disease: tumors should be re-biopsied if the
diagnosis was unclear, or 2 years after the initial diagnosis, or before using targeted therapy for 2 years |
Extent of resection: neurosurgeons should aim for
maximal
safe removal |
CSF, cerebrospinal fluid.