The National Institutes of Health (NIH) has launched the myeloMATCH trial, a precision medicine clinical study targeting specific genetic changes in cancer cells of patients with acute myeloid leukemia (AML) and myelodysplastic syndromes (MDS). Funded by the National Cancer Institute (NCI), the trial aims to accelerate the development of tailored treatments for these aggressive blood and bone marrow cancers.
According to Dr. W. Kimryn Rathmell, director of NCI, these precision trials bring cutting-edge treatments to patients across communities, promoting personalized care. Dr. Richard F. Little, NCI’s coordinator for myeloMATCH, emphasized the need for rapid identification of cancer subtypes to match treatments effectively and initiate therapy quickly after diagnosis.
Participants with newly diagnosed AML or MDS will undergo genetic testing, with treatment decisions based on the molecular features of their cancer. If a matching substudy is unavailable, patients will receive standard treatment. Those responding to initial therapy will undergo further genetic testing to identify remaining disease and guide subsequent treatment. Biomarker assays will be used to refine treatment options as the disease burden decreases.
The trial, managed by the National Clinical Trials Network and NCI’s Community Oncology Research Program, aims to enroll thousands over the next few years. Collaborators include SWOG Cancer Research Network, ECOG-ACRIN, and other leading groups.
myeloMATCH is part of a broader initiative, alongside ComboMATCH and ImmunoMATCH, to advance precision oncology. These trials build on the success of NCI-MATCH and align with the Cancer Moonshot’s goals to expand access to innovative therapies and reduce cancer deaths by 2047.