NIH-funded research R01 grant

Tracking treatment-resistant changes in childhood acute lymphoblastic leukemia

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

Funded at St. Jude Children's Research Hospital · NIH-11167570 · Data updated 2026-11-12

Looking at genetic changes linked to treatment resistance in children with acute lymphoblastic leukemia to see if they can predict who will relapse.

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 year2025
Award (this year)$416,011
NIH project number5R01CA273326-04
Project IDNIH-11167570 on NIH RePORTER

Who could benefit from this research

Could help

Children (about 0–11 years old) newly diagnosed with acute lymphoblastic leukemia who can provide diagnostic blood or bone marrow samples and clinical follow-up information.

Less likely to help

Adults, children with other types of cancer, or patients whose leukemia does not show detectable genetic resistance markers are unlikely to benefit directly from this work.

What this research studies

If your child is newly diagnosed with ALL, researchers will analyze leukemia cells from blood or bone marrow taken at diagnosis using advanced genomic tests, including sequencing beyond the usual protein-coding regions. They will search for known and newly discovered genetic alterations that can make leukemia resistant to chemotherapy. The team will combine these genetic findings with clinical information to build new molecular risk models that aim to predict relapse risk earlier. The overall aim is to help guide more personalized treatment choices that could reduce relapse and long-term toxic side effects.

Why it matters

Potential benefit: Could help identify children at higher risk of relapse early so doctors can tailor treatments to prevent relapse and reduce long-term toxic side effects.

How similar studies have gone: Previous genomic studies have found some resistance mutations in relapsed ALL and improved biological understanding, but more than half of relapses lack known drivers and using these markers prospectively at diagnosis remains largely unproven.

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.