NIH-funded research R01 grant

Tracking therapy-resistant changes in childhood leukemia

Official title: Tracking Therapy-Resistant Alterations in Childhood Acute Lymphoblastic Leukemia

Funded at St. Jude Children's Research Hospital · NIH-11384571 · Data updated 2026-11-12

This project looks at how to identify molecular clues at diagnosis that predict which children with ALL might relapse, so doctors can tailor therapies to reduce late effects and improve outcomes.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionSt. Jude Children's Research Hospital
NIH-funded
Lab location1 site (Memphis, United States)
Project startAugust 1, 2022
Project endJuly 31, 2027
Funding year2026
Award (this year)$416,011
NIH project number5R01CA273326-05
Project IDNIH-11384571 on NIH RePORTER

Who could benefit from this research

Could help

Children diagnosed with acute lymphoblastic leukemia, particularly those at risk of relapse.

Less likely to help

Patients whose leukemia does not carry the studied resistance markers may not see a direct benefit.

What this research studies

Relapsed childhood ALL has poor outcomes and current treatments can cause lasting side effects. The project aims to build new molecular risk models by tracking resistance drivers present at diagnosis, to better guide risk-adapted therapy. Researchers plan to use genomic data from initial samples to identify markers linked to future relapse and test how they could predict response to treatment. The work builds on prior findings about resistance, addressing gaps where many relapsed cases lack known drivers. If successful, it could lead to more personalized, less toxic treatment plans for children with ALL.

Why it matters

Potential benefit: If successful, the research could lead to more accurate risk prediction at diagnosis and fewer relapses with reduced long-term treatment toxicity.

How similar studies have gone: Previous genomics studies identified resistance drivers, but many relapsed cases lack known drivers, indicating this approach is still evolving.

Where this research is happening

  • St. Jude Children's Research Hospital
    Memphis, United States
    Active

Researchers

  • Principal investigator: Ma, Xiaotu — St. Jude Children's Research Hospital
  • Study coordinator: Ma, Xiaotu

Related research

Other NIH-funded projects on the same topics.

  • Caregiver-led mobile tool to support healthy habits for kids treated for ALL

    A caregiver-directed mobile program helps children who were treated for acute lymphoblastic leukemia build healthier daily routines.

    NIH research University of Minnesota · Minneapolis, United States · NIH-11630804

  • Genomics of childhood ALL across global populations

    A wide-ranging study looks at how inherited genetics influence the risk of childhood acute lymphoblastic leukemia around the world.

    NIH research University of Minnesota · Minneapolis, United States · NIH-11608541

  • Genomics of childhood ALL across diverse populations

    A large international study will look at why children everywhere get acute lymphoblastic leukemia and how genetics may influence risk.

    NIH research University of Minnesota · Minneapolis, United States · NIH-11608540

  • Combinatorial targeting for high-risk B-cell ALL treatment

    A research effort at West Virginia University is exploring a combination therapy for adult B-cell acute lymphoblastic leukemia using targeted gene silencing and a small-molecule compound to improve treatment in patients.

    NIH research West Virginia University · Morgantown, United States · NIH-11579281

  • Understanding why Latino children have a higher risk of childhood ALL

    This project looks at why Latino children are more likely to develop acute lymphoblastic leukemia and whether genetic ancestry plays a role, with the goal of improving prevention and outcomes.

    NIH research Beckman Research Institute/city of Hope · Duarte, United States · NIH-11520852

  • Targeting obesity to improve survival for children with ALL

    A new approach explores whether reducing obesity-related factors can make chemotherapy work better for kids with acute lymphoblastic leukemia.

    NIH research Children's Hospital of Los Angeles · Los Angeles, United States · NIH-11474567

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.