The NCI Center for Cancer Research’s Neuro-Oncology Branch (NOB) launched in 2000 with the goal of improving treatment and outcomes for adults with primary brain and spine tumors. To fulfill this mission, the NOB:
Our Neuro-Oncology Clinic, located at the National Institutes of Health (NIH) Clinical Center in Bethesda, Maryland, offers patients expert evaluation, examinations, tests, and imaging; advanced neurosurgery and radiation therapy; and treatments based on the genetic characteristics of a person’s specific tumor type. Patients at the NIH Clinical Center consent to participate in research studies and are treated without charge.
Read about Patient Care at the Neuro-Oncology Clinic >
The NOB also manages an initiative supported by the Cancer Moonshot℠ called NCI-CONNECT (Comprehensive Oncology Network Evaluating Rare CNS Tumors). NCI-CONNECT aims to advance our understanding of rare adult central nervous system (CNS) cancers by establishing and fostering patient-advocacy-provider partnerships and networks to improve approaches to care and treatment.
Have your doctor reach out to discuss the best options for your care. Although we are not accepting self-referrals or international patients at this time, please know your care and safety remain our top priority.
Email: NCINOBReferrals@mail.nih.gov
Phone: 1-866-251-9686 or 240-760-6010
We are open Monday through Friday, 9 a.m. to 5 p.m. ET
There are no open positions at this time. Check back again later, or take a look at CCR's Careers page.
The mission of the Brain Tumor Trials Collaborative (BTTC) is to develop and perform state-of-the-art clinical trials to advance treatments for patients with brain and spine tumors.
NCI-CONNECT (Comprehensive Oncology Network Evaluating Rare CNS Tumors) aims to advance the understanding of rare adult central nervous system cancers to improve approaches to care and treatment.
The Neuro-Oncology Branch (NOB) has developed robust scientific programs addressing critical areas of brain and spine cancer research. Our investigators translate laboratory findings into clinical trials that are designed to assess whether a treatment is working and what impact it has on the patient. Each of our research programs has the same goal: to improve brain and spine cancer patient care and outcomes.
Led by Mark Gilbert, M.D., and Terri Armstrong, Ph.D., this program encompasses a growing portfolio of therapeutic clinical trials to treat brain and spine cancer patients, as well as a series of complementary non-therapeutic studies. The NOB's extensive clinical research infrastructure enables our investigators to launch critical studies, including Phase 0 studies using both microdialysis techniques and post-treatment tumor resection to determine tumor drug delivery; Phase I studies with pharmacokinetics and pharmacodynamics; and single arm Phase II studies. Larger scale clinical trials are being conducted through the Brain Tumor Trials Collaborative (BTTC) and NCI-CONNECT (Comprehensive Oncology Network Evaluating Rare CNS Tumors), both led by the NOB. Patient outcomes measures are integrated into each clinical trial, complementing ongoing work in the NOB's Patient Outcomes Program.
Led by Terri Armstrong, Ph.D., this program implements outcomes measures that assess brain and spine cancer patients over the course of their disease. This research utilizes longitudinal data from the Natural History Study, patient reported outcomes measures to learn cancer risk information, and biologic samples including germline DNA for single nucleotide polymorphisms. Dr. Armstrong is also developing preclinical models for treatment-related toxicities including radiation-induced somnolence, which may have an association with polymorphisms of select CLOCK genes.
Led by Jing Wu, M.D., Ph.D., this program develops brain and spine cancer clinical trials based on strong preclinical science and rationale. For example, Dr. Wu's studies with the multi-kinase inhibitor TG02 have led to the creation of a successful Phase I trial. The Translational Research Program is also investigating the malignant transformation and hypermutation that occurs in a subset of patients harboring IDH-mutated gliomas. This translational research complements the Cancer Metabolism Research Program, translating preclinical models and imaging biomarkers into clinical trials.
Initially led by Mark Gilbert, M.D., and called the Translational Immunology Research Program, this program has since transitioned its leadership to Masaki Terabe, Ph.D., who runs the Basic Immunology Research Program. The team is now focused on various aspects of translational and basic immunology, such as examining the biology of natural killer T (NKT) cells that serve as potent mediators of the immune response in brain and spine cancers. Other research topics include:
Led by Zhengping Zhuang, M.D., Ph.D., this program was founded on Dr. Zhuang's longstanding interest and expertise in evaluating hypoxia and pseudohypoxia, as well as the role of HIF2α abnormalities in brain and spine cancer biology. The Cancer Stem Cell Biology Program's ongoing research is focused on understanding the functional impact of genetic changes that may uncover early disease states and potential therapeutic opportunities.
Led by Chunzhang Yang, Ph.D., this program investigates the biological impacts of cancer-associated IDH mutations to uncover selective vulnerabilities in brain and spine cancers. Dr. Yang's research has demonstrated that DNA repair pathways are compromised in IDH-mutated cells, and that Nrf2-mediated metabolic pathways—such as glutathione de novo synthesis—support these cells by relieving metabolic stress and oxidative damage. These studies may have a direct link to clinical studies, as researchers in the Translational Research Program are developing a robust therapeutic program for patients with IDH-mutated tumors.
Led by Mioara Larion, Ph.D., this program studies the effects that IDH mutations have on tumor metabolism, with a particular focus on gliomas. Specifically, Dr. Larion is exploring the impact that IDH mutations have on cellular requirements for carbon sources; lipid metabolism at the molecular, organelle, and cellular levels; and the preclinical development of hyperpolarized MRI using 13C substrates to measure in vitro metabolic flux. Her research complements the cell biology-focused Molecular and Cell Biology Program and the clinical research on IDH-mutant tumors performed in the Translational Research Program.
