ClinicalTrials.gg
RecruitingNCT05857969Updated Aug 26, 2026

Ex Vivo Drug Sensitivity Testing and Multi-Omics Profiling

A Phase 1 interventional study of Functional Precision Medicine in Recurrent Childhood Acute Myeloid Leukemia, Recurrent Childhood Acute Lymphoblastic Leukemia and Recurrent Childhood Large Cell Lymphoma, sponsored by Florida International University. Recruiting at 1 site in United States. Open to participants aged 1 Day to 21 Years. Per ClinicalTrials.gov, last updated 2026-08-26.

Sponsored by Florida International University · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2023; still recruiting 3 years 8 months later.

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Phase
Phase 1
Study type
Interventional
Enrollment
65
Allocation
Not applicable
Ages
1 Day to 21 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 1,544 studies in Precursor Cell Lymphoblastic Leukemia-Lymphoma with a site in United States — 170 open to participants now, 276 under way, 13 of them phase 3. Precursor Cell Lymphoblastic Leukemia-Lymphoma · United States.

Planned enrollment
332nd of 1,269
65 · median 35
Started
2023
with 42 others
Phase 1
500 of 1,544
49 open now
Primary completion
2028-02
later than 184 of 274 live
Registered
1,422nd of 1,544
by date

Among the 1,544 studies in Precursor Cell Lymphoblastic Leukemia-Lymphoma with a site in United States, this one is the 332nd largest by planned enrollment of the 1,269 interventional ones that give a count, is one of 43 that started in 2023, is one of 500 in phase 1, reaches primary completion later than 184 of the 274 other live ones, and was the 1,422nd registered.

Precursor Cell Lymphoblastic Leukemia-Lymphoma

2,584 studies on the registry are indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma; 473 are open to participants now.

Browse Precursor Cell Lymphoblastic Leukemia-Lymphoma studies →

Open to participants now

170 of the 1,544 studies in Precursor Cell Lymphoblastic Leukemia-Lymphoma with a site in United States are open now. Recruiting first, the newest first:

165 more — sign in →

All 170 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 370 Precursor Cell Lymphoblastic Leukemia-Lymphoma studies recruiting now, 96 (26%) set no upper age limit and 257 (69%) stop at 75 or younger; 247 take children under 18; 29 take healthy volunteers.

This study: 1 Day to 21 Years · all sexes · no healthy volunteers.

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02

Study summary

Functional precision medicine (FPM) is a relatively new approach to cancer therapy based on direct exposure of patient- isolated tumor cells to clinically approved drugs and integrates ex vivo drug sensitivity testing (DST) and genomic profiling to determine the optimal individualized therapy for cancer patients. In this study, we will enroll relapsed or refractory pediatric cancer patients with tissue available for DST and genomic profiling from the South Florida area, which is 69% Hispanic and 18% Black. Tumor cells collected from tissue taken during routine biopsy or surgery will be tested.

Read the detailed description

PRIMARY OBJECTIVE: The primary objective of the study is to determine feasibility of providing pediatric cancer patients with access to personalized treatment options and clinical management recommendations based on Functional Precision Medicine (FPM), the combination of ex vivo drug sensitivity testing (DST) and genomic profiling.

SECONDARY OBJECTIVE: The secondary objective of the study is to compare individual outcomes (response and disease-free survival) in patients with pediatric cancers treated with FPM-guided therapy as compared to non-FPM guided (conventional) therapy.

EXPLORATORY OBJECTIVE: To explore associations between tumor molecular characteristics (genomic and transcriptomic variation) and ex vivo drug response with respect to patient ethnicity.

03

Conditions studied

  • Recurrent Childhood Acute Myeloid Leukemia
  • Recurrent Childhood Acute Lymphoblastic Leukemia
  • Recurrent Childhood Large Cell Lymphoma
  • Refractory Childhood Acute Lymphoblastic Leukemia
  • Refractory Childhood Hodgkin Lymphoma
  • Refractory Childhood Malignant Germ Cell Neoplasm
  • Recurrent Childhood Brain Tumor
  • Recurrent Childhood Brainstem Glioma
  • Recurrent Childhood Rhabdomyosarcoma
  • Recurrent Childhood Soft Tissue Sarcoma
  • Recurrent Childhood Ependymoma
  • Recurrent Childhood Lymphoblastic Lymphoma
  • Recurrent Childhood Gliosarcoma
  • Refractory Chronic Myelogenous Leukemia, BCR-ABL1 Positive
  • Refractory Childhood Malignant Solid Neoplasm
  • Recurrent Childhood Malignant Solid Neoplasm
  • Recurrent Childhood Malignant Neoplasm
  • Refractory Childhood Malignant Neoplasm

Keywords

  • ex vivo drug sensitivity assay
  • genomic profiling
  • Functional precision medicine
  • Biomarker development
04

Who can participate

Ages eligible
1 Day to 21 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

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 cancer Subjects who are scheduled for or have recently had 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 Subjects aged 7 to 17 willing to sign assent

Exclusion criteria

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.

Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
65 participants (estimated)

Study arms

  • Experimental
    Functional Precision Medicine for Chemorefractory or relapsed patients

    We intend to enroll chemorefractory or relapsed pediatric patients with all types of cancers where tumor tissue would be available for functional precision medicine that integrates ex vivo drug screening and genomic profiling. The results of the drug sensitivity assay and genetic screening will be used to inform treating physician about patient-specific drug sensitivity or resistance guiding best therapy choices.

    Device: Functional Precision Medicine

Interventions

  • DeviceFunctional Precision Medicine

    Ex Vivo Drug Sensitivity Testing + Genomic Tumor Profiling

06

What researchers measure

Primary outcomes

  1. Percentage of Patients that receive Functional Precision Medicine (FPM)-guided treatment options

    This study will be considered successful (feasibility demonstrated) if it is possible to choose and initiate a monotherapy or combination drug regimen based on functional and/or genomics data within 4 weeks in at least 39 out of 65 patients (60%). To achieve at least 90% power, the null hypothesis will be rejected when at least 39 out of 65 patients receive treatment recommendations through functional and/or genomics data within 4 weeks on the study. With that outcome, we would have 95% confidence that the true feasibility rate is at least 40% (95% CI: 0.4905 to 1).

    Time frame: Up to 6 years

Secondary outcomes

  1. Assessing Progression-Free Survival (PFS) in FPM-guided therapy versus standard of care

    We will assess changes in cohort PFS by comparing PFS in patients treated with FPM-guided therapy versus PFS in patients treated with non-FPM guided conventional therapy (standard of care)

    Time frame: Up to 6 years

  2. Assessing Previous vs Trial PFS Ratio (PFS2/PFS1) in FPM-guided patients versus standard of care

    We will assess changes in PFS from each patient's previous treatment versus their PFS from the treatment assigned during the trial. Assessments will be made both in the FPM-guided cohort and the non-FPM-guided cohort (standard of care). Analysis will include both the raw ratio as well as the number of incidences of 30% improved PFS on trial versus previous regimen (PFS2/PFS1 \> 1.3x).

    Time frame: Up to 6 years

  3. Assessing Overall Survival (OS) in FPM-guided patients versus standard of care patients

    We will assess changes in cohort OS by comparing OS in patients treated with FPM-guided therapy versus OS in patients treated with non-FPM guided conventional therapy (standard of care)

    Time frame: Up to 6 years

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2023 (actual). Primary completion is estimated for Feb 2028, 60 months after the start.

Of 159 non-industry phase 1 interventional studies under Precursor Cell Lymphoblastic Leukemia-Lymphoma, half reached primary completion within 57 months of starting (the median), counting those still running; a quarter within 38 and three quarters within 92. This study's planned 60 months is close to that.

Counting every sponsor, half of 209 studies reached it within 57 months; a quarter within 35 and three quarters within 92.

How these figures are worked out, and which studies are left out of them.

Registered
May 5, 2023
First posted
May 15, 2023
StartActual
Feb 22, 2023
Primary completionEst.
Feb 22, 2028
CompletionEst.
Dec 31, 2028
Last update
Aug 26, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05857969
Collaborators
Nicklaus Children's Hospital f/k/a Miami Children's Hospital, First Ascent Biomedical Inc., National Institute on Minority Health and Health Disparities (NIMHD)
Responsible party
Diana Azzam, PhD (Assistant Professor, Florida International University) — Principal investigator
First posted
May 15, 2023
Start date
Feb 22, 2023
Primary completion
Feb 22, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Aug 26, 2026

Study contacts

Diana Azzam, PhD
Contact
fpmlab@fiu.edu
305-348-9043
Lillian Garvin
Contact
exvivotrial@nicklaushealth.org
800-533-1792
Diana Azzam
principal investigator · Florida International University
Maggie Fader
principal investigator · Nicklaus Children's Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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