Fifteen Years of Pediatric Neuro-Oncology Trials: Insights from ClinicalTrials.gov to Optimize Future Design

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ID: 315394
2026
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Ranked #17 of 42 articles by views in Neuro-Oncology Practice

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Abstract
Lay Summary Brain tumors are the leading cause of cancer-related death in children, yet clinical trials face major challenges, including small patient numbers and complex treatment plans that often lead to early termination. We analyzed all U.S. pediatric brain tumor trials listed on ClinicalTrials.gov from 2010–2024 to understand design trends and reasons for failure. Trial openings declined over time, and poor accrual was the most common reason for discontinuation. Trials with more hospitals involved were much more likely to finish successfully. These findings show that future trials should include more sites and use collaborative designs to ensure every child has access and every trial has the best chance to succeed.
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openalex_W7162872475 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Bradley Gampel, Joanne Salcido, Sravya Pailla, Yuguang Ban, Eugene Hwang, David E Kram
Journal Neuro-Oncology Practice
Year 2026
DOI
10.1093/nop/npag054
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