Screening for pediatric leukemia in children with relapsed or difficult-to-treat cases
Official title: Pediatric Acute Leukemia (PedAL) Screening Trial - Developing New Therapies for Relapsed Leukemias
Run by PedAL BCU, LLC · NCT04726241 · Data updated 2026-11-12
This study is testing how to better screen children and young adults with tough cases of leukemia to see if they qualify for new treatment options.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | Any age to 22 Years |
| Sex | All |
| Enrollment | 960 (estimated) |
| Sponsor | PedAL BCU, LLC Academic / other |
| Locations | 184 sites (Birmingham, Alabama and 183 other locations) |
| Status | Recruiting |
| Started | April 18, 2022 |
| Main results expected | December 31, 2030 |
| Study ends | December 31, 2030 |
| Registry record updated | August 25, 2026 |
| Trial ID | NCT04726241 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are children and young adults under 22 years old with relapsed or refractory acute leukemias.
✕Probably not a fit
Patients with leukemia that is not relapsed or refractory may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to screen children and young adults with relapsed or refractory acute leukemias by analyzing their clinical and biological characteristics. It involves collecting blood and bone marrow samples to determine eligibility for various pediatric leukemia sub-trials. The study also maintains a comprehensive registry and specimen bank to support ongoing research and treatment strategies. Patients will be monitored for several years after their participation to assess long-term outcomes.
Why it matters
Potential benefit: If successful, this study could lead to improved diagnostic and treatment options for children with difficult-to-treat leukemia.
How similar studies have gone: Other studies have shown promise in utilizing biological characteristics for patient stratification in leukemia, indicating a potential for success with this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria:
* Patients must be less than 22 years of age at the time of study enrollment
* Patient must have one of the following at the time of study enrollment:
* Patient has known or suspected relapsed/refractory (including primary refractory) AML as defined in protocol
* This includes isolated myeloid sarcoma
* Patient has known or suspected relapsed/refractory (including primary refractory) myeloid leukemia of Down syndrome (ML-DS)
* Patient has known or suspected relapsed ALL as defined in protocol that meets one of the following criteria:
* Second or greater B-ALL medullary relapse, excluding KMT2Ar
* Any first or greater B-ALL medullary relapse involving KMT2Ar
* Any first or greater T-ALL medullary relapse with or without KMT2Ar
* Patient has known or suspected relapsed/refractory (including primary refractory) mixed phenotype acute leukemia (MPAL) as defined in protocol
* Patient has known or suspected de novo or relapsed/refractory (including primary refractory) treatment-related AML (t-AML)
* Patient has known or suspected de novo or relapsed/refractory (including primary refractory) myelodysplastic syndrome (MDS) or treatment-related myelodysplastic syndrome (t-MDS)
* Note: Relapsed/refractory disease includes stable disease, progressive disease, and disease relapse.
* Patient has known or suspected de novo or relapsed/refractory (including primary refractory) juvenile myelomonocytic leukemia (JMML)
* Note: Relapsed/refractory disease includes stable disease, progressive disease, and disease relapse.
* All patients and/or their parents or legal guardians must sign a written informed consent
* All institutional, Food and Drug Administration (FDA), and National Cancer Institute (NCI) requirements for human studies must be met
Where it's running
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Children's Hospital of Alabama
Birmingham, Alabama, United States Recruiting -
USA Health Strada Patient Care Center
Mobile, Alabama, United States Recruiting -
Providence Alaska Medical Center
Anchorage, Alaska, United States Recruiting -
Banner Children's at Desert
Mesa, Arizona, United States Recruiting -
Phoenix Childrens Hospital
Phoenix, Arizona, United States Recruiting -
Banner University Medical Center - Tucson
Tucson, Arizona, United States Recruiting
Show 44 more locations
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Arkansas Children's Hospital
Little Rock, Arkansas, United States Recruiting -
Kaiser Permanente Downey Medical Center
Downey, California, United States Recruiting -
Loma Linda University Medical Center
Loma Linda, California, United States Recruiting -
Miller Children's and Women's Hospital Long Beach
Long Beach, California, United States Recruiting -
Children's Hospital Los Angeles
Los Angeles, California, United States Recruiting -
Valley Children's Hospital
Madera, California, United States Recruiting -
UCSF Benioff Children's Hospital Oakland
Oakland, California, United States Recruiting -
Kaiser Permanente-Oakland
Oakland, California, United States Recruiting -
Children's Hospital of Orange County
Orange, California, United States Recruiting -
Lucile Packard Children's Hospital Stanford University
Palo Alto, California, United States Recruiting -
UCSF Medical Center-Mission Bay
San Francisco, California, United States Recruiting -
Children's Hospital Colorado
Aurora, Colorado, United States Recruiting -
Rocky Mountain Hospital for Children-Presbyterian Saint Luke's Medical Center
Denver, Colorado, United States Recruiting -
Connecticut Children's Medical Center
Hartford, Connecticut, United States Recruiting -
Yale University
New Haven, Connecticut, United States Recruiting -
Alfred I duPont Hospital for Children
Wilmington, Delaware, United States Recruiting -
Children's National Medical Center
Washington D.C., District of Columbia, United States Recruiting -
Broward Health Medical Center
Fort Lauderdale, Florida, United States Recruiting -
Golisano Children's Hospital of Southwest Florida
Fort Myers, Florida, United States Recruiting -
UF Health Cancer Institute - Gainesville
Gainesville, Florida, United States Recruiting -
Memorial Regional Hospital/Joe DiMaggio Children's Hospital
Hollywood, Florida, United States Recruiting -
Nemours Children's Clinic-Jacksonville
Jacksonville, Florida, United States Recruiting -
Nicklaus Children's Hospital
Miami, Florida, United States Recruiting -
Arnold Palmer Hospital for Children
Orlando, Florida, United States Recruiting -
Nemours Children's Hospital
Orlando, Florida, United States Recruiting -
Nemours Children's Clinic - Pensacola
Pensacola, Florida, United States Recruiting -
Johns Hopkins All Children's Hospital
St. Petersburg, Florida, United States Recruiting -
Saint Joseph's Hospital/Children's Hospital-Tampa
Tampa, Florida, United States Recruiting -
Saint Mary's Medical Center
West Palm Beach, Florida, United States Recruiting -
Children's Healthcare of Atlanta - Arthur M Blank Hospital
Atlanta, Georgia, United States Recruiting -
Memorial Health University Medical Center
Savannah, Georgia, United States Recruiting -
Kapiolani Medical Center for Women and Children
Honolulu, Hawaii, United States Recruiting -
Saint Luke's Cancer Institute - Boise
Boise, Idaho, United States Recruiting -
Lurie Children's Hospital-Chicago
Chicago, Illinois, United States Recruiting -
University of Illinois
Chicago, Illinois, United States Recruiting -
University of Chicago Comprehensive Cancer Center
Chicago, Illinois, United States Recruiting -
Loyola University Medical Center
Maywood, Illinois, United States Recruiting -
Advocate Children's Hospital-Oak Lawn
Oak Lawn, Illinois, United States Recruiting -
Advocate Children's Hospital-Park Ridge
Park Ridge, Illinois, United States Recruiting -
OSF Children's Hospital of Illinois
Peoria, Illinois, United States Recruiting -
Southern Illinois University School of Medicine
Springfield, Illinois, United States Recruiting -
Northwestern Medicine Central DuPage Hospital
Winfield, Illinois, United States Recruiting -
Riley Hospital for Children
Indianapolis, Indiana, United States Recruiting -
Ascension Saint Vincent Indianapolis Hospital
Indianapolis, Indiana, United States Recruiting
+134 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Principal investigator: Michele S Redell — Children's Oncology Group
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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HA-1 TCR T cell therapy for leukemia that returned or didn't respond after a donor stem cell transplant
This Phase 1 study will test whether giving specially engineered donor T cells called HA-1 TCR T cells is safe and what dose works for people whose acute leukemia came back or didn't respond after a donor stem cell transplant.
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Using cord blood transplant and chemotherapy to treat high-risk blood cancers
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Low-dose Liposomal Amphotericin B for preventing fungal infections in adults with blood cancers and prolonged neutropenia
This study tests whether giving a daily 50 mg dose of liposomal amphotericin B can help prevent invasive fungal infections in adults with blood cancers who have prolonged low white blood cell counts.
-
Revumenib with Mezigdomide for relapsed or refractory acute leukemia
This trial will test whether combining revumenib and mezigdomide is safe for people aged 12 and older with relapsed or refractory acute leukemia that has KMT2A, NUP98, or NPM1 genetic changes.
-
CMV Triplex vaccine to boost immunity and prevent CMV after haploidentical stem cell transplant
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.