New genetic tests could help kids avoid unnecessary transplants after CAR t

NCT ID NCT05621291

First seen Nov 01, 2025 · Last updated Jun 22, 2026 · Updated 38 times

Summary

This pilot study tests whether regular, advanced genetic testing of blood and bone marrow can better monitor children and young adults with B-cell acute lymphoblastic leukemia (B-ALL) after they achieve remission from CAR T therapy. The goal is to distinguish who is cured by CAR T alone from who may still need a stem cell transplant. Participants aged 1 to 25 will have frequent blood draws and four bone marrow biopsies over two years to see if these tests can predict relapse earlier than standard methods.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Children's Healthcare of Atlanta

    NOT_YET_RECRUITING

    Atlanta, Georgia, 30329, United States

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Children's Hospital of Los Angeles

    RECRUITING

    Los Angeles, California, 90027, United States

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Children's National Medical Center

    RECRUITING

    Washington D.C., District of Columbia, 20010, United States

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Dana-Farber/Boston Children s Hospital

    NOT_YET_RECRUITING

    Boston, Massachusetts, 02115, United States

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Fred Hutchinson Cancer Research Center

    RECRUITING

    Seattle, Washington, 98109, United States

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Huntsman Cancer Institute, University of Utah

    RECRUITING

    Salt Lake City, Utah, 84112, United States

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • National Institutes of Health Clinical Center

    RECRUITING

    Bethesda, Maryland, 20892, United States

    Contact Phone: •••-•••-••••

  • Seattle Children's, University of Washington

    RECRUITING

    Seattle, Washington, 98105, United States

    Contact Phone: •••-•••-•••• Email: •••••@•••••

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Next-generation sequencing (NGS) testing

What this could lead to

If successful, this testing approach could help doctors know which children are cured by CAR T alone and which need a stem cell transplant, reducing unnecessary transplants and their side effects.

What could go wrong

This is a small pilot study (60 participants) testing a monitoring strategy, not a treatment. The tests may not reliably predict relapse, and the approach may not improve outcomes in larger studies.

Conditions

The condition(s) this trial relates to.

acute lymphoblastic leukemia precursor B-cell acute lymphoblastic leukemia Precursor Cell Lymphoblastic Leukemia-Lymphoma

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.