Advanced Translational Research on Childhood Leukemia

  • STATUS
    Recruiting
  • participants needed
    150
  • sponsor
    Chinese University of Hong Kong
Updated on 5 August 2020

Summary

Prognosis of children with leukemia, the most common pediatric cancer, has improved markedly. Yet, relapse still occurs in 15-40% of patients with a probability of survival of <50%, which is unlikely to be boosted by intensification of standard chemotherapy due to overwhelming toxicity. The advent of effective and safe targeted therapies for high-risk cases is therefore imperative. This study constitutes two research projects aiming at driving therapeutic advances.

Description

The first part of the study aimed to investigate genomics and drug sensitivity profiling of childhood leukemia and its potential application for precision medicine.

The second part of the study aimed to develop novel antibody for treatment of childhood leukemia by animal model experiments.

Design

Project 1: Whole-exome and RNA sequencing will be performed on children with leukemia (ALL, AML, MPAL, JMML, MDS) prospectively recruited in the Hong Kong Children's Hospital. Samples will be screened for their sensitivity to preselected, clinically accessible targeted agents in an ex vivo culture system. Results for the high-risk patients will be subjected to the tumor broad for evaluation.

Project 2: Fully human antibody candidates identified by phage display will be engineered into therapeutic forms, and assessed for efficacy and safety in patient-derived xenografts of relapsed/refractory B-ALL and in transgenic mice. The mechanisms of action will be identified by single-cell RNA sequencing.

Significance

Implementation of functional genomics could identify leukemia patients who will benefit from targeted therapies and enable tailoring of precision medicine. The invented antibodies could be moved forward into clinical trials for salvaging high-risk pediatric B-ALL. Immediate and long-term impact on therapy of childhood leukemia is foreseen.

Details
Condition Childhood Leukemia
Age 18years or below
Treatment RNA-seq, whole exon sequencing, Cytogenetics test
Clinical Study IdentifierNCT04478006
SponsorChinese University of Hong Kong
Last Modified on5 August 2020

Eligibility

Yes No Not Sure

Inclusion Criteria

b'Clinical diagnosis/ defined as'
b'acute lymphoblastic leukemia (ALL) or'
b'acute myeloid leukemia (AML) or'
b'3 .mixed phenotype acute leukemia (MPAL) or'
b'juvenile myelomonocytic leukemia (JMML) or'
b'myelodysplastic syndromes (MDS) or'
b'normal bone marrow donor'

Exclusion Criteria

b'This study will not recruit subjects who are unable to understand English or Chinese.'
b'Patient or parent refusal'
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