NIH-funded research P01 program project

Why chronic myeloid leukemia sometimes resists treatment and how to improve TKI care

Official title: Understanding critical transitions in chronic myeloid leukemia to improve tyrosine kinase inhibitor therapy

Funded at University of California-Irvine · NIH-11306059 · Data updated 2026-11-12

This project looks at why some people with chronic myeloid leukemia respond differently to tyrosine kinase inhibitor drugs and aims to help more patients get deeper, longer-lasting remissions.

More Leukemia research and trials

Quick facts

Grant typeP01 program project
Study typeNIH-funded research
Funding institutionUniversity of California-Irvine
NIH-funded
Lab location1 site (Irvine, United States)
Project startApril 1, 2025
Project endMarch 31, 2030
Funding year2026
Award (this year)$514,990
NIH project number5P01CA288662-02
Project IDNIH-11306059 on NIH RePORTER

Who could benefit from this research

Could help

Ideal candidates would include people newly diagnosed with CML or those starting or on TKI therapy who can provide clinical data and blood or bone marrow samples.

Less likely to help

People without CML or those with unrelated health conditions would not be relevant for this project and would not benefit directly.

What this research studies

From a patient's perspective, researchers will combine information from blood and bone marrow samples, clinical records, and laboratory experiments to find the biological changes that mark when CML shifts toward resistance or remission. They will use systems biology tools and computer models to map those critical transitions and to identify early warning signs during the first year of treatment. The team plans to study why about 10–15% of patients fail standard TKI therapy and what allows some patients to stop therapy without relapsing. Findings could guide tests or new treatment strategies to help more people reach stable, treatment-free remission.

Why it matters

Potential benefit: If successful, this work could help doctors predict who will not respond to TKIs, guide earlier alternative treatments, and enable more patients to safely stop therapy and remain in remission.

How similar studies have gone: TKIs have already transformed CML care and some clinical trials have shown a portion of patients can achieve treatment-free remission, but using systems biology to predict and increase that number is a newer and evolving approach.

Where this research is happening

  • University of California-Irvine
    Irvine, United States
    Active

Researchers

  • Principal investigator: Van Etten, Richard a. — University of California-Irvine
  • Study coordinator: Van Etten, Richard a.

Related research

Other NIH-funded projects on the same topics.

  • Chronic myeloid leukemia: how T cells and leukemia stem cells interact during treatment

    This NIH grant explores how immune cells and stubborn leukemia stem cells interact during therapy to better predict if patients can stay off treatment.

    NIH research Northwestern University · Chicago, United States · NIH-11418370

  • Targeting DYRK2 to kill leukemia stem cells in CML

    Aims to find ways to remove leukemia stem cells in chronic myeloid leukemia by boosting a protein (DYRK2) that can halt their growth.

    NIH research Baylor College of Medicine · Houston, United States · NIH-11323889

  • Targeting a specific protein to eliminate leukemia stem cells in chronic myeloid leukemia.

    This study is looking at a new way to help people with chronic myeloid leukemia (CML) by focusing on a protein called DYRK2, which could help make leukemia stem cells less likely to survive, so patients might be able to stop their current treatments without their cancer coming back.

    NIH research Baylor College of Medicine · Houston, United States · NIH-11109689

  • Understanding how some patients with chronic myeloid leukemia can remain healthy without treatment

    This study is looking into why some people with chronic myeloid leukemia can stay healthy without taking their medication, using mice to find out what helps them maintain remission, which could lead to better ways to manage the condition and lessen the need for long-term treatment.

    NIH research University of California-Irvine · Irvine, United States · NIH-11078332

  • Improving treatment for chronic myeloid leukemia with targeted therapies

    This study is looking for ways to help people with chronic myeloid leukemia (CML) respond better to their main treatment, tyrosine kinase inhibitors (TKIs), especially during the first year after they are diagnosed, so that more patients can achieve a lasting remission and possibly a cure.

    NIH research University of California-Irvine · Irvine, United States · NIH-11016818

  • Targeting a specific protein to treat chronic myeloid leukemia

    This study is testing a new small protein that could help stop a key protein linked to chronic myeloid leukemia from working against you, and if it works, it might offer a fresh treatment option for patients like you.

    NIH research University of Utah · Salt Lake City, United States · NIH-11001839

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.