Why some small tumors switch from dormancy to active growth

Instability of Cancer Cell States in Tumor progression (ICCS)

['FUNDING_R01'] · INSTITUTE FOR SYSTEMS BIOLOGY · NIH-11174440

The team looks at whether changes in gene activity in individual cancer cells can signal when a small or dormant tumor is about to start growing, which could help people with early-stage or dormant cancers.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorINSTITUTE FOR SYSTEMS BIOLOGY (nih funded)
Locations1 site (SEATTLE, UNITED STATES)
Trial IDNIH-11174440 on ClinicalTrials.gov

What this research studies

Researchers are measuring gene activity in single cancer cells (single-cell transcriptomes) to find signs of “cell state instability” that might warn a tumor is poised to start growing. They combine mathematical theory about “critical transitions” with lab experiments using cultured cells and animal models to change tumor cell density and test whether a computed signal (called IC) rises before escape from dormancy. The work focuses on tiny lesions that may either stay dormant or begin steady growth and seeks a measurable early-warning marker in the cells' gene expression. If successful, these markers could guide monitoring or early interventions for people with small or dormant tumors.

Who could benefit from this research

Good fit: People with very small, early-stage, or previously dormant tumors or those being monitored for recurrence would be the most relevant candidates for future tests based on this work.

Not a fit: People with advanced, widespread, or rapidly progressing metastatic cancer are unlikely to see direct benefit from this basic, early-stage research in the near term.

Why it matters

Potential benefit: Could help doctors detect which small tumors are likely to start growing so patients could get closer monitoring or earlier treatment.

How similar studies have performed: Applying critical-transition theory to single-cell cancer data is a relatively new, theory-driven approach with some supporting observations but limited clinical proof so far.

Where this research is happening

SEATTLE, 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.

View on NIH RePORTER →

Conditions: Cancers

Last reviewed 2026-05-15 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.