Clinical trial Recruiting at 174 sites Phase1; Phase2 Interventional Ages Any age to 22

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.

More Acute Myeloid Leukemia trials

Quick facts

PhasePhase1; Phase2
Study typeInterventional
AgesAny age to 22 Years
SexAll
Enrollment960 (estimated)
SponsorPedAL BCU, LLC
Academic / other
Locations184 sites (Birmingham, Alabama and 183 other locations)
StatusRecruiting
StartedApril 18, 2022
Main results expectedDecember 31, 2030
Study endsDecember 31, 2030
Registry record updatedAugust 25, 2026
Trial IDNCT04726241 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

  • 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
  • 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.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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.