Stopping cancer drug resistance by studying how tumors evolve in the body

Extending experimental evolutionary game theory in cancer in vivo to enable clinical translation: integrating spatio-temporal dynamics using mathematical modeling

NIH-funded research Cleveland Clinic Lerner Com-Cwru · NIH-11143202

This project combines lab and living-model experiments with mathematical models to find ways to keep targeted cancer drugs working longer for people whose tumors are driven by specific mutations.

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionCleveland Clinic Lerner Com-Cwru NIH-funded
Lab location1 site (Cleveland, United States)
Project IDNIH-11143202 on NIH RePORTER

What this research studies

Researchers will measure how different cancer cell types interact and change when exposed to targeted therapies using lab-grown cells and living models, then use math to map those interactions over time and space. They built a new "evolutionary game" test in the lab and are now extending it into living systems to better mimic how tumors behave in the body. The team will link experimental results with mathematical simulations to predict which treatment plans may slow or prevent resistant cells from taking over. The goal is to turn those predictions into treatment ideas that could be tested in patients down the line.

Who could benefit from this research

Good fit: People with cancers driven by activating mutations treated with or eligible for tyrosine kinase inhibitors would be the most relevant candidates for future participation or sample donation.

Not a fit: People whose cancers are not driven by kinase-activating mutations or who are not treated with targeted agents are less likely to see direct benefit from this work.

Why it matters

Potential benefit: If successful, this could help targeted cancer drugs work longer and lower the chance of relapse from drug-resistant tumor cells.

How similar studies have performed: There is a substantial theoretical and lab-based literature supporting evolutionary and game-theory approaches to resistance, but translating these methods into living models and clinical care is relatively new.

Where this research is happening

Cleveland, 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.
Conditions Cancer ModelCancer Treatment
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.