Can a Tumor's own cells reveal the best drug for each child?
NCT ID NCT05857969
First seen Aug 26, 2026 · Last updated Aug 27, 2026 · Updated 1 time
Summary
This trial explores whether testing a child's own tumor cells against a panel of approved drugs can help doctors choose a personalized treatment plan. It enrolls children and young adults up to age 21 with recurrent or refractory cancers, including leukemias, lymphomas, and solid tumors. Tumor samples from routine biopsies are analyzed for drug sensitivity and genetic changes, with the goal of recommending a tailored therapy within four weeks. The study aims to see if this functional precision medicine approach is feasible and whether it can improve outcomes compared to standard care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Functional precision medicine, combining ex vivo drug sensitivity testing and genomic tumor profiling to select individualized therapies
- What this could lead to
- If successful, this approach could help doctors choose more effective, personalized treatments for children with hard-to-treat cancers, potentially improving outcomes.
- What could go wrong
- This is an early-phase feasibility study, so it may not lead to better outcomes for all patients. Tumor testing might not always yield actionable results within the 4-week window, and the approach may not work for every cancer type.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
-
About 65 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Feb 2023
- Expected to finish
-
Dec 2028
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
1 day to 21 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients aged 21 years or younger at the time of enrollment on this study of any gender, race or ethnicity. Subjects with suspected or confirmed diagnosis of recurrent or refractory cancer Subjects who are scheduled for or have recently had biopsy or tumor excised (solid tumors) or bone marrow aspirate (blood cancers) Subjects willing to have a blood draw or buccal swab done for the purposes of genetic testing Subjects or their parents or legal guardians willing to sign informed consent Subjects aged 7 to 17 willing to sign assent Exclusion Criteria: * Subjects who do not have malignant tissue available and accessible The amount of excised malignant tissue is not sufficient for the ex vivo drug testing and/or genetic profiling. Patients with newly diagnosed tumors and tumors that have high (\>90%) cure rate with safe standard therapy.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Recurrent childhood acute lymphoblastic leukemia are added.
By submitting, you agree to our Terms of use
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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The study's own enquiry address
This study publishes an address for enquiries. See it below .
-
The places running it
1 site. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
By submitting, you agree to our Terms of use
Study contacts
-
Contact
Email: •••••@•••••
Locations
-
Nicklaus Children's Hospital
RECRUITINGMiami, Florida, 33155, United States
Contact Email: •••••@•••••
Contact Email: •••••@•••••
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Precision radiation may boost stem cell transplant success in tough leukemias
- Engineered immune cells take aim at tough childhood leukemia
- Selective immune cell removal may tame transplant complications
- Stem cell transplant study seeks best way to prevent immune attack
- Targeted drug shows promise for kids with tough cancers
- New Two-Step transplant shows promise for blood cancer patients