Project PREDICTALL

Unique population-based genome-wide studies enabling prediction of cancer risk and oncological therapy complications in a cohort of pediatric patients treated for acute lymphoblastic leukemia with a uniform cALL-POL protocol

About project

Acute lymphoblastic leukemia (ALL) is the most common cancer diagnosed in children and has a favorable prognosis for long-term survival.

The poorest treatment outcomes for this disease occur in patients with a congenital predisposition to cancer, who often present an increased risk of severe, life-threatening toxicity from therapy as well as an increased likelihood of developing a secondary malignancy.

This group requires personalized ALL treatment in a new protocol to reduce the risk of adverse events (including late complications of therapy) and improve survival.

The proposed project is an attempt to address these needs by developing diagnostic and therapeutic solutions based on the integration of genotypic data (derived from genome-wide profiling of constitutional variants) with the clinical course of leukemia, in the context of treatment response and complications.

Specific objective

1
Patient identification
burdened with a congenital genetic defect predisposing to carcinogenesis and comparing the course of leukemia in these patients with children without congenital defects promoting carcinogenesis.
2
Clonal aberration analysis
in ALL cells in patients with identified gene variants predisposing to carcinogenesis, specifying the biological features of these growths and selecting potential molecular therapeutic targets.
3
Identification of gene variants
high-risk protocol-defined severe toxicities in response to specific types of therapy and doses of cytostatics.
4
Development of optimal treatment
diagnostic for predisposition to cancer in children with ALL
5
Selection for functional testing
candidate gene variants associated with predisposition to ALL, whose in-depth biological and clinical analysis will be developed in the next research project.
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