The International Childhood Cancer Cohort Consortium (I4C): A research platform of prospective cohorts for studying the aetiology of childhood cancers

the International Childhood Cancer Cohort Consortium

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18 Scopus citations

Abstract

Background: Childhood cancer is a rare but leading cause of morbidity and mortality. Established risk factors, accounting for <10% of incidence, have been identified primarily from case-control studies. However, recall, selection and other potential biases impact interpretations particularly, for modest associations. A consortium of pregnancy and birth cohorts (I4C) was established to utilise prospective, pre-diagnostic exposure assessments and biological samples. Methods: Eligibility criteria, follow-up methods and identification of paediatric cancer cases are described for cohorts currently participating or planning future participation. Also described are exposure assessments, harmonisation methods, biological samples potentially available for I4C research, the role of the I4C data and biospecimen coordinating centres and statistical approaches used in the pooled analyses. Results: Currently, six cohorts recruited over six decades (1950s-2000s) contribute data on 388 120 mother-child pairs. Nine new cohorts from seven countries are anticipated to contribute data on 627 500 additional projected mother-child pairs within 5 years. Harmonised data currently includes over 20 “core” variables, with notable variability in mother/child characteristics within and across cohorts, reflecting in part, secular changes in pregnancy and birth characteristics over the decades. Conclusions: The I4C is the first cohort consortium to have published findings on paediatric cancer using harmonised variables across six pregnancy/birth cohorts. Projected increases in sample size, expanding sources of exposure data (eg, linkages to environmental and administrative databases), incorporation of biological measures to clarify exposures and underlying molecular mechanisms and forthcoming joint efforts to complement case-control studies offer the potential for breakthroughs in paediatric cancer aetiologic research.

Original languageAmerican English
Pages (from-to)568-583
Number of pages16
JournalPaediatric and Perinatal Epidemiology
Volume32
Issue number6
DOIs
StatePublished - Nov 2018
Externally publishedYes

Bibliographical note

Funding Information:
This work was supported by: the NIH intramural research programme (NCI, NICHD)—USA; National Children’s Study—USA; Tour de Cure— Australia; the Children’s Cancer Centre Foundation—Australia; Bluey Day Foundation—Australia; Baxter Family Foundation—Australia; The Rotary Club of North Brighton—Australia; Private philanthropic donations—Australia; and Murdoch Children’s Research Institution (M1300049), Australia. The UK Medical Research Council and the Wellcome Trust (Grant ref: 092731) and the University of Bristol provide core support for ALSPAC. The Maria Ascoli Foundation, Jerusalem, Israel, provided support for data pooling of the JPS. This work was partly supported by the Research Council of Norway through its Centres of Excellence funding scheme, project number 262700, and Innovation Fund Denmark (grant no. 09-067124). Danish cancer cases were ascertained by the Danish Childhood Cancer Registry (Steering Committee: Catherine Rechnitzer, Peter Skov Wehner, Steen Rosthøj, and Henrik Schrøder). The work within the I4C carried out by the Epigenetics Group at IARC is supported by grants from the Institut National du Cancer (INCa, Plan Cancer-EVA-INSERM, France) to Z.H. and A.G. and L’Association pour la Recherche sur le Cancer (ARC, France) to Z.H.

Funding Information:
This work was supported by: the NIH intramural research programme (NCI, NICHD)?USA; National Children's Study?USA; Tour de Cure?Australia; the Children's Cancer Centre Foundation?Australia; Bluey Day Foundation?Australia; Baxter Family Foundation?Australia; The Rotary Club of North Brighton?Australia; Private philanthropic donations?Australia; and Murdoch Children's Research Institution (M1300049), Australia. The UK Medical Research Council and the Wellcome Trust (Grant ref: 092731) and the University of Bristol provide core support for ALSPAC. The Maria Ascoli Foundation, Jerusalem, Israel, provided support for data pooling of the JPS. This work was partly supported by the Research Council of Norway through its Centres of Excellence funding scheme, project number 262700, and Innovation Fund Denmark (grant no. 09-067124). Danish cancer cases were ascertained by the Danish Childhood Cancer Registry (Steering Committee: Catherine Rechnitzer, Peter Skov Wehner, Steen Rosth?j, and Henrik Schr?der). The work within the I4C carried out by the Epigenetics Group at IARC is supported by grants from the Institut National du Cancer (INCa, Plan Cancer-EVA-INSERM, France) to Z.H. and A.G. and L?Association pour la Recherche sur le Cancer (ARC, France) to Z.H.

Funding Information:
NIH intramural research programme (NCI, NICHD)—USA; National Children’s Study—USA; Tour de Cure— Australia; The Children’s Cancer Centre Foundation— Australia; Bluey Day Foundation—Australia; Baxter Family Foundation—Australia; The Rotary Club of North Brighton—Australia; Private philanthropic donations—Australia; Murdoch Children’s Research Institution, Grant/Award Number: M1300049; The UK Medical Research Council and the Wellcome Trust, Grant/Award Number: 092731; The University of Bristol; The Maria Ascoli Foundation, Jerusalem, Israel; The Research Council of Norway; Innovation Fund Denmark, Grant/Award Number: 09-067124; Institut National du Cancer (INCa, Plan Cancer-EVA-INSERM, France)

Publisher Copyright:
© 2018 John Wiley & Sons Ltd

Keywords

  • International Childhood Cancer Cohort Consortium (I4C)
  • birth cohort
  • childhood cancer
  • environmental exposures
  • leukaemia
  • life style factors
  • recall bias
  • selection bias

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