Medical researchers need to develop special techniques to treat children, since their brains aren’t yet fully developed and can regrow and self-heal.

With your support, we can fund Paediatric Neurosurgical Research into the treatment of brain and spinal diseases and injury. This includes toddler concussion, head injury, brain tumours and brain cancer in children.

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2023 Research Funded:

Developing new immune-based therapies for brain cancer (LEVI’S-CATCH)

Funding: $100,000 (James & Diana Ramsay Foundation)

We are developing a new treatment for glioblastoma, based on a revolutionary type of ‘living drug’ known as CAR-T cells. In this approach, T cells (part of our immune system) are isolated from a patient’s blood and genetically engineered to give them cancer killing activity. These cells are returned to the patient’s bloodstream; they then travel to the tumour to attack it from within. CAR-T cell therapies are targeted specifically toward cancer cells. This has the advantage of causing much less long-term toxicity and damage to healthy tissues as compared to chemotherapy or radiation.

To achieve our goal of developing successful CAR-T cell therapies for children with diffuse intrinsic pontine glioma, our team of scientists and doctors first test and optimise potential new therapies in the laboratory. LEVI’S-CATCH Clinical Trial of GD2-CAR-T is commencing at Sydney Children’s Hospital with 5 patients. A 6th patient is likely before year’s end.

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Dr Tessa Gargett, Research Officer

Centre for Cancer Biology, UniSA

Developing advanced pre-clinical models of paediatric brain cancers

Funding: $55,000 ($30,000 Wilkins Family Foundation + $25,000 Harvey Foundation)

Develop a living paediatric brain cancer biobank through processing of fresh tumour material (resected from children with brain tumours as part of their normal therapy) into patient-specific:
1. cell lines
2. organoids
3. patient-derived xenograft mouse models of paediatric disease.
Our focus will be on malignant paediatric brain tumours: medulloblastoma, high grade glioma (including anaplastic astrocytoma, diffuse midline glioma (DMG/DIPG) and glioblastoma) and ependymoma. The development and use of these models will facilitate better understanding of the drivers of tumour growth and resistance to current therapies, enable the discovery and evaluation of new therapies, and translation of this research into the clinic.

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Prof Stuart Pitson
Head, Molecular Therapeutics Laboratory, Centre for Cancer Biology, Uni SA

South Australian Paediatric Brain Cancer Biobank

Funding: $150,00 over 3 years by the NRF Paediatric Fund

We wish to develop key facilities to expand paediatric brain cancer research in South Australia. To do this it is essential to establish a comprehensive, well annotated and run paediatric brain cancer biobank that will foster high quality discovery and clinical research. It is particularly important to have this paediatric brain cancer biobanking capacity established in South Australia as we move toward proton therapy for children with brain tumours at SAHMRI and the Bragg Centre for Proton Therapy and Research. We are seeking support to establish this important initiative.

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Affiliate Prof Jordan Hansford BScH MSc MBBS FRACP
lead Paediatric Neuro-Oncology Research Group, SAHMRI

Making immunotherapy for childhood brain cancer more effective

Funding: $50,000 by the NRF Paediatric Fund

Diffuse intrinsic pontine glioma (DIPG) is the most common, aggressive and lethal of childhood brain cancers. The infiltrative and invasive nature of DIPG in the brain’s ‘junction box’ limits the effectiveness of potential treatments. Genetically engineering a patient’s own white blood cells against DIPG to make chimeric antigen receptor (CAR)-T cells is emerging as a promising new therapy. However, CAR-T cell therapy is not effective in all DIPG patients may induce adverse conditions. We have discovered a method that may overcome this limitation of CAR-T cell therapy.

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Professor Michael Brown, MBBS PhD FRACP FRCPA
Central Adelaide Local Health Network Inc (RAH)
- Director, Cancer Clinical Trials Unit, Royal Adelaide Hospital Head, Translational Oncology Laboratory, Centre for Cancer Biology

Paediatric Radiation Therapy with AI-based Segmentation for Enhanced Treatment Planning
(PRAISE)

Funding: $47,790

The proposed project aims to improve the treatment of paediatric brain cancer using advanced artificial intelligence (AI) technology. We are developing a system that will help doctors accurately identify and outline the critical areas of the brain during radiation therapy planning. By leveraging AI algorithms and analysing large datasets of brain images with tumours, we aim to automate and optimise this process, ensuring precise treatment targeting while minimising side effects. This innovative approach has the potential to enhance the effectiveness and safety of treatment, leading to better outcomes for children with brain cancer.

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A/Prof Peter Gorayski, BSc (Hons), BMBS, FRACGP, FRANCZR
Radiation Oncologist, Australian Bragg Centre for Proton Therapy and Research (SAHMRI 2)

2022 Research Funded:

Ways to make immunotherapy for brain cancer more effective

Funding: $35,000

Diffuse intrinsic pontine glioma (DIPG) is the most common, aggressive and lethal of childhood brain cancers. The infiltrative and invasive nature of DIPG in the brain’s ‘junction box’ limits the effectiveness of potential treatments. Genetically engineering a patient’s own white blood cells against DIPG to make chimeric antigen receptor (CAR)-T cells is emerging as a promising new therapy. However, CAR-T cell therapy is not effective in all DIPG patients. Soft outer cell membranes, which enable cancer cells to slither and invade in the brain, also prevent their killing by CAR-T cells, but can now potentially be stiffened by new drugs.

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Professor Michael Brown, MBBS PhD FRACP FRCPA
Central Adelaide Local Health Network Inc (RAH)
- Director, Cancer Clinical Trials Unit, Royal Adelaide Hospital Head, Translational Oncology Laboratory, Centre for Cancer Biology

Equipment: Braun Paediscope & Monopolar Electrodes

Funding: $29,388

The Braun Paediscope is used for intraventricular procedures in neurosurgery. It is particularly applicable for neonatal procedures due to its small size and lightweight design. The only neuroendoscope currently available at the Women’s and Children’s Hospital is much larger in diameter. In comparison, the Paediscope has a shaft diameter of 3mm whilst the current MINOP scope is 6mm. The Paediscope will provide a better safety margin for the procedure and enable greater mobility within the small neonatal ventricles. The Paediscope will additionally be useable in other neonatal and infant surgical procedures, for example septostomies, third ventricularostomies and choroid plexus coagulation. These could be performed in much younger children than currently possible, which has been shown to reduce the rates of ventriculo-peritoneal shunting and the associated complications. In addition, if it is demonstrated to improve outcome in the study population, the Paediscope will become the firstline instrument in the treatment of these patients.

Dr Gareth Rutter, Registrar

Women's & Children's Hospital


2021 Research Funded:

Developing better cell therapy for treating paediatric brain tumours

Funding: $50,000

Project: Diffuse intrinsic pontine glioma (DIPG) is the most aggressive childhood cancer and the leading cause of brain tumour-related death in children. Despite intensive research, effective treatments have not been developed other than use of radiotherapy to relieve brain tumour symptoms.

Here, we will extend our successful methods based on the genetic engineering of T cells to develop genetically engineered NKT cells. Unlike T cells, NKT cells are a white blood cell that can be modified to target both tumour cells and scavenger cells in the tumour microenvironment, thus potentially overcoming two factors responsible for aggressive tumour behaviour and therapy resistance.

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Ms Kristyna Sedivakova

University of Adelaide - Translational Oncology Laboratory

2020 Research Funded:

Developing preclinical models of sonic hedgehog medulloblastoma and assessment of targeting 14-3-3 in these models

Medulloblastoma is the most common malignant brain tumour in children, frequently occurring in early childhood before the age of five. Treatment for medulloblastoma involves surgical resection, radiation of the brain and spine, and chemotherapy. The five-year survival rates have improved over the last 20 years, however unsurprisingly, exposure of the developing brain to chemotherapy and radiotherapy has detrimental life-long side effects. These include neurological and auditory deficits, secondary cancers and hormonal dysfunction, as well as non-physical deficits such as learning difficulties and psycho-social issues. Therefore, new less toxic targeted therapies for medulloblastoma are desperately needed. We have identified a new therapeutic target for medulloblastoma, and new experimental drugs for this target that show great promise as a potential new therapy for medulloblastoma. Our aim is to assess this potential new therapeutic approach in advanced preclinical models of medulloblastoma. Successful outcomes will provide impetus for future clinical trials for medulloblastoma treatment.

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Dr Mel Tea

University of South Australia, Centre for Cancer Biology

Development of genetically engineered adoptive cell therapies to treat diffuse midline glioma in children

Funding: $50,000 – NRF Paediatric Research Fund – University of Adelaide

Project: Standard treatments for childhood brain cancers are unsatisfactory. The cancer cells grow back and cause death in almost all patients. Breakthrough treatments using engineered white blood cells have transformed survival prospects for patients with blood cancers. We want to extend the promise of this cell therapy to brain cancer patients. Here, we will combine our expertise in basic and clinical science to develop a new cell therapy program and so harness the power of the immune system to beat brain cancer.

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Dr Tessa Gargett

Researcher, University of Adelaide/UniSA

Targeting inflammation to prevent brain swelling following paediatric head injury

Funding: $71,500 x 3 years total $214,500 - James & Diana Ramsay Foundation - University of South Australia

Project: This project will investigate a potential therapeutic, an NK1 antagonist, which blocks the actions of the pro-inflammatory mediator substance P, which is present in higher levels in children. Substance P release causes ongoing neuronal injury and blocking its effects represents a novel mechanism for improving outcome.

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Dr Frances Corrigan

Senior Lecturer, Division of Health Sciences, University of South Australia

Concussion Research:

Developing imaging biomarkers that predict pre-frontal cortex deficits following concussive insults in adolescence

Traumatic brain injury (TBI) is common during childhood and adolescence, with most injuries classified as mild (concussions), but these can still have long-lasting consequences. Indeed, the paediatric population take longer to recover from concussive insults than adults and report higher rates of impulsivity, attention deficits and cognitive impairment post-injury. This longer recovery may relate to ongoing brain development in this population. In particular the pre-frontal cortex which continues to mature into early adulthood is important for the development of executive functions which control judgement, planning, impulsivity, and working memory. As such the age of onset of a concussion may interrupt the normal maturation processes within this region leading to ongoing impairment of executive functions. This project aims to investigate whether the age at which a concussive impact occurs can have differential effects on the development of the pre-frontal cortex. This will be through examination of effects on executive function in adulthood- by examining impulsivity, working memory and judgement and linking this to changes in the key neurotransmitter systems within this region of the brain. Importantly this will be linked to magnetic resonance imaging (MRI) measures that will identify whether there are any signature alterations that can be linked to persistent behavioural changes.

Chief Investigator Team:

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Assoc Prof Lyndsey Collins-Praino and Dr Frances Corrigan

University of Adelaide

Designing and validating an apparatus to induce concussive injury in a pre-clinical paediatric model

Despite evidence to suggest that children and adolescents take longer to recover from a concussion and may be more vulnerable to long-term detrimental effects, the majority of concussion research has focused on adults. Little is understood about the scaling of these parameters required for paediatric pre-clinical models. The aim of this research program is to develop a new apparatus to impart a mechanically relevant concussive brain injury mechanism, which can be scaled for age, in a pre-clinical model.

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Dr Claire Jones

Spinal Research Group & Centre for Orthopaedic and Trauma Research, Adelaide Medical School, NHMRC Early Career Research Fellow; Adjunct Lecturer, School of Mechanical Engineering, University of Adelaide

Discovering targets for immunotherapy of aggressive childhood cancers

Our team is focussed on developing new therapies for brain cancer, based on a revolutionary new approach known as CAR-T cell therapy. This technique has already shown remarkable success in treating some forms of leukaemia. It involves collecting ‘killer’ T cells from a cancer patient’s own blood, and using genetic engineering techniques to make them specifically latch onto, and then kill, cancer cells. We are currently developing and testing CAR-T cells which specifically recognise brain cancer cells, and – with the support of organisations such as the NRF – hope to progress this work toward patient clinical trials within the next 5 years.

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Dr Lisa Ebert BSc, PhD

The University of South Australia

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