Preventing neuroblastoma from becoming resistant to treatment

Targeting evolving therapy resistance

NIH-funded research Children's Hosp of Philadelphia · NIH-11310012

This project follows how neuroblastoma tumors change during therapy in children and uses that information to try targeted drugs and immunotherapies to stop resistant cancer cells.

Quick facts

Grant typeP01 program project
Study typeNIH-funded research
Funding institutionChildren's Hosp of Philadelphia NIH-funded
Lab location1 site (Philadelphia, United States)
Project IDNIH-11310012 on NIH RePORTER

What this research studies

From a patient or parent view, the team will repeatedly monitor tumors using advanced genomic and single-cell methods (like ATAC‑seq) to see how cancer cells evolve during treatment. They will specifically look for changes such as ALK and RAS‑MAPK pathway alterations and epigenetic shifts that allow some cells to survive therapy. Based on those findings, researchers will develop and test targeted small molecules and immune‑based approaches aimed at the emerging resistant clones. Participation would involve providing tumor or blood samples and visiting specialized centers for sample collection and possible personalized treatment approaches.

Who could benefit from this research

Good fit: Children with high‑risk or relapsed neuroblastoma, especially those whose tumors show ALK or other evolving, targetable changes, would be the best candidates.

Not a fit: Patients with other cancer types, adults, or children whose tumors cannot be sampled or lack targetable changes are unlikely to benefit directly from this project.

Why it matters

Potential benefit: If successful, this work could lead to treatments that prevent relapse and improve survival while lowering long‑term side effects for children with neuroblastoma.

How similar studies have performed: Targeted drugs against ALK have helped some patients, but using serial single‑cell and epigenetic monitoring to guide evolving, personalized therapy is a newer and less tested approach.

Where this research is happening

Philadelphia, United States

Researchers

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 below.
Last reviewed 2026-06-13 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.