NIH-funded research R01 grant

Metabolic drivers of B-ALL diversity and relapse risk

Official title: Metabolic Drivers of VDJ Diversity in B-ALL: Implications for MRD Detection and Relapse

Funded at Stanford University · NIH-11434237 · Data updated 2026-11-12

A study at Stanford will explore how diverse B-cell receptor rearrangements and their metabolism shape relapse risk in children and adults with B-ALL, with the goal of improving detection and treatment.

More B-ALL research and trials

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionStanford University
NIH-funded
Lab location1 site (Stanford, United States)
Project startAugust 3, 2026
Project endJuly 31, 2031
Funding year2026
Award (this year)$676,748
NIH project number1R01CA316658-01
Project IDNIH-11434237 on NIH RePORTER

Who could benefit from this research

Could help

Patients with B-ALL (both pediatric and adult) who have or are at risk of relapse and are participating in MRD testing or treatment programs.

Less likely to help

Patients without detectable VDJ diversity or those not undergoing MRD-focused care may see limited direct benefit.

What this research studies

This project looks at how subclonal B-cell IGH rearrangements (VDJ diversity) may hide residual leukemia and contribute to relapse after treatment. Researchers will analyze high-throughput sequencing data from patients to identify metabolic and signaling patterns linked to these diverse cell populations. They will test whether interfering with key metabolic pathways could reduce relapse-prone cells and improve monitoring. The work combines genomics, metabolism, and clinical outcomes to suggest new strategies for MRD detection and therapy.

Why it matters

Potential benefit: If successful, the work could lead to better MRD detection and new treatments that prevent relapse for children and adults with B-ALL.

How similar studies have gone: Preliminary data show VDJ-diverse subclones relate to poorer outcomes and MRD invisibility, supporting a continuation of this approach.

Where this research is happening

  • Stanford University
    Stanford, United States
    Active

Researchers

  • Principal investigator: Davis, Kara Lynn — Stanford University
  • Study coordinator: Davis, Kara Lynn

Related research

Other NIH-funded projects on the same topics.

  • Donor CAR T Cells Added to Transplant to Prevent Relapse in adults with B-ALL

    A new approach combines donor CAR-T cells targeting CD19 and CD22 with a stem cell transplant to lower relapse risk in adults with B-ALL.

    NIH research Stanford University · Stanford, United States · NIH-11400088

  • Donor CAR T cells targeting CD19 and CD22 to prevent relapse in adult B‑ALL

    Adults with B‑cell acute lymphoblastic leukemia receive a donor stem‑cell transplant with regulatory T cells followed by donor CAR T cells that target CD19 and CD22 to try to lower the chance the leukemia comes back.

    NIH research Stanford University · Stanford, United States · NIH-11197508

  • Social stress and smoking: why disadvantaged young adults struggle to quit

    This grant looks at how daily social stress affects if and when disadvantaged young adults who smoke can quit and stay quit.

    NIH research Medical University of South Carolina · Charleston, United States · NIH-11540695

  • Learning from remission and relapse in lupus (SLE)

    Researchers are studying people with systemic lupus erythematosus who are in long-term remission without steroids or immunosuppressants to understand their immune cells, brain function, and what might predict relapse.

    NIH research Feinstein Institute for Medical Research · Manhasset, United States · NIH-11513534

  • Learning from Remission and Relapse in SLE

    A program to study people with systemic lupus erythematosus who are in long-term remission to understand immune and brain signals that might predict relapse.

    NIH research Feinstein Institute for Medical Research · Manhasset, United States · NIH-11513533

  • Alternative NF-kB activation after chemotherapy in ovarian cancer

    This grant studies how ovarian cancer might come back after chemotherapy by looking at specific signaling pathways in cancer cells and the tumor environment.

    NIH research San Diego State University · San Diego, United States · NIH-11473227

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.