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Leukaemia Translational Research

The main aim of our Leukaemia Translational Research Team is to test innovative therapeutic approaches, with a focus on clinical translation of this knowledge, to improve the outcomes of children suffering from leukaemia.

Leukaemia is the most common form of cancer in children.

Remarkable therapeutic advances have been made over the past sixty years and 5-year survival now exceeds 90% for certain subgroups. However, despite this progress, leukaemia is the second most frequent cause of death from cancer in children. This is predominantly due to disease relapse, with many children also suffering from treatment-related toxicity and a poor initial response to conventional chemotherapy.

Our overarching goal focuses on developing innovative therapeutic strategies and identifying novel drugs that can be readily translated into clinical practice to improve the outcomes for children suffering from leukaemia.

To realise this goal, the research focus of the Leukaemia Translational Research team is divided into four main streams:

  1. Phenotypic drug discovery using established and novel disease models to identify efficacious new drugs and drug combinations that can be readily translated into clinical practice for children with leukaemia
  2. Studying the development of leukaemia within the bone marrow and the interaction of leukaemia cells with the surrounding cells within the bone marrow to identify novel therapeutic targets and new treatment strategies
  3. Modelling the long-term complications resulting from leukaemia therapy to evaluate treatments aimed at preventing such complications
  4. Conducting clinical studies which investigate avenues to prevent infectious complications in children with cancer

These streams are facilitated by direct access to primary patient samples and the development of new preclinical disease models for childhood leukaemia. These resources are utilised to characterise the genetic and molecular mechanisms that underpin specific leukaemia subtypes, conduct preclinical assessment of drug efficacy and establish mechanisms of drug action and response. Together, with existing clinical collaborations with the Children’s Oncology Group,  International BFM Study Group and Interfant Study Group, the team aims to facilitate rapid clinical translation of their research, to ultimately improve the outcome, care and overall well-being of children suffering from leukaemia.

Team leader

Professor Rishi S. Kotecha
Professor Rishi S. Kotecha

MB ChB (Hons) MRCPCH FRACP PhD

Co-Head, Leukaemia Translational Research

Co-Head, Leukaemia Translational Research

Team members (7)

Dr Vincent Kuek
Dr Vincent Kuek

BSc(Hons), PhD

Senior Research Officer

Dr Sung Chiu
Dr Sung Chiu

MBBS FRACP FRCPA PhD

Postdoctoral Research Fellow

Joyce Oommen

Joyce Oommen

Research Assistant

Emanuela Ferrari

Emanuela Ferrari

Research Assistant

Stephen Dymock

Stephen Dymock

PhD Student

Taylor Ferguson

Taylor Ferguson

PhD Student

Abigail Lim

Abigail Lim

PhD Student

Leukaemia Translational Research projects

Featured projects

Therapeutic opportunities from dissecting the pre-B leukaemia bone marrow microenvironment

Novel therapeutics approaches for infants with high-risk infant acute lymphoblastic leukaemia

Publications

Reports and Findings

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Abdominal Imaging at Initial Diagnosis and Following Relapse in Children With Acute Lymphoblastic Leukaemia

Acute lymphoblastic leukaemia (ALL) is the most common paediatric malignancy and remains one of the most common causes of cancer-related death in children and adolescents. It is characterised by the proliferation of immature lymphoid cells capable of infiltrating bone marrow, blood and extramedullary sites. Five-year overall survival rates exceed 90% with current multidrug chemotherapeutic regimens. This manuscript reviews the abdominal imaging features of leukaemic infiltration in children with ALL at the time of initial diagnosis and following relapse.

Age-based pegaspargase dosing is safe and achieves therapeutic levels in infants with ALL: report from COG AALL15P1

Beyond bone: the emerging role of osteoclasts in immune regulation, leukemia development and following myeloablative therapy

Osteoclasts are important regulators of bone remodeling, with an established role in maintaining skeletal homeostasis. The emergence of osteoimmunology has identified osteoclasts as key players in the immune system. In particular, osteoclasts can initiate bi-directional crosstalk mechanisms with hematopoietic stem cells and various immune cells, such as T cells, B cells and NK cells, to influence hematopoiesis and inflammatory response.

Pharmacogenomics in pediatric oncology: Australian adolescent or young adult and caregiver perspectives

Preemptive pharmacogenomic (PGx) testing in pediatric oncology patients could reduce toxicity and improve efficacy of medications yet remains underutilized. Consumer identified implementation barriers have not been extensively explored nor included adolescent or young adult (AYA) patient perspectives. This study describes Australian pediatric oncology consumer perspectives on PGx testing, elucidating barriers to implementation.

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