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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 (12)

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

Grace-Alyssa Chua

Grace-Alyssa Chua

Research Assistant

Stephen Dymock

Stephen Dymock

PhD Student

Taylor Ferguson

Taylor Ferguson

PhD Student

Maren Jinks

Maren Jinks

PhD Student

Chinnu Jerard

Chinnu Jerard

PhD Student

Abigail Lim

Abigail Lim

Honours Student

Haima Sankar Jayasankarv

Haima Sankar Jayasankarv

Honours Student

Yasmin Henderson-Kelly

Yasmin Henderson-Kelly

Honours 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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Invasive fungal disease and antifungal prophylaxis in children with acute leukaemia: a multicentre retrospective Australian cohort study

Invasive fungal disease (IFD) is a common and important complication in children with acute myeloid leukaemia (AML). We describe the epidemiology of IFD in a large multicentre cohort of children with AML.

Combining CRISPR-Cas9 and TCR exchange to generate a safe and efficient cord blood-derived T cell product for pediatric relapsed AML

Hematopoietic cell transplantation (HCT) is an effective treatment for pediatric patients with high-risk, refractory, or relapsed acute myeloid leukemia (AML). However, a large proportion of transplanted patients eventually die due to relapse. To improve overall survival, we propose a combined strategy based on cord blood (CB)-HCT with the application of AML-specific T cell receptor (TCR)-engineered T cell therapy derived from the same CB graft.

Biologic and Clinical Analysis of Childhood Gamma Delta T-ALL Identifies LMO2/STAG2 Rearrangements as Extremely High Risk

Acute lymphoblastic leukemia expressing the gamma delta T-cell receptor (γδ T-ALL) is a poorly understood disease. We studied 200 children with γδ T-ALL from 13 clinical study groups to understand the clinical and genetic features of this disease. We found age and genetic drivers were significantly associated with outcome.

Preclinical Assessment of Dactinomycin in KMT2A-Rearranged Infant Acute Lymphoblastic Leukemia

Infants with KMT2A-rearranged B-cell acute lymphoblastic leukemia (ALL) have high rates of relapse and poor survival compared with children. Few new therapies have been identified over the past twenty years. The aim of this study was to identify existing anti-cancer agents that have the potential to be repurposed for the treatment of infant ALL.

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