Personalized chemo dosing may boost survival in kids with High-Risk leukemia

NCT ID NCT06184009

First seen Jul 29, 2026 · Last updated Jul 30, 2026 · Updated 1 time

Summary

This nationwide trial is testing whether adjusting chemotherapy intensity based on the amount of leukemia cells remaining after initial treatment (called minimal residual disease, or MRD) can improve outcomes for children and teens with high-risk acute lymphoblastic leukemia (ALL). Participants receive different numbers of chemotherapy cycles depending on their MRD levels, with the goal of increasing cure rates while minimizing unnecessary toxicity. The study enrolls newly diagnosed patients aged 1 to 19 who meet high-risk criteria.

What this could mean

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

Active substance
chemotherapy regimen adjusted by minimal residual disease (MRD) levels
What this could lead to
If successful, this approach could improve long-term survival and reduce relapse in children with high-risk ALL, potentially curing more patients.
What could go wrong
This is a Phase 2 trial, so the strategy is still being tested. Chemotherapy carries significant side effects, and the benefit of MRD-guided adjustments is not yet proven.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

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

Contacts and locations

Locations

  • Ajou University Hospital

    RECRUITING

    Suwon, 16499, South Korea

  • Asan Medical Center

    RECRUITING

    Seoul, 05505, South Korea

  • Inha University Hospital

    NOT_YET_RECRUITING

    Incheon, 22332, South Korea

  • Korea University Anam Hospital

    NOT_YET_RECRUITING

    Seoul, 02841, South Korea

  • Pusan National University Yangsan Hospital

    RECRUITING

    Yangsan, 50612, South Korea

  • Samsung Medical Center

    RECRUITING

    Seoul, Seoul, South Korea

  • Seoul National University Hospital

    RECRUITING

    Seoul, Seoul, 03080, South Korea

  • Seoul saint Mary's Hospital

    RECRUITING

    Seoul, 06591, South Korea

  • Severance Hospital

    RECRUITING

    Seoul, 03722, South Korea

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