LLR Childhood Leukaemia CellBank Anne Thomson, CellBank Manager..org.uk

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1 LLR Childhood Leukaemia CellBank Anne Thomson, CellBank Manager.org.uk

2 Purpose To facilitate high quality translational research in childhood leukaemia: clinical and basic science Centralised specialist national bank for childhood leukaemia Safe repository for samples located at UK Biocentre Collects samples for banking from all children with leukaemia, regardless of clinical trial participation Collects samples for ALLR3 trial and other relapse patients Collects samples for Asparaginase, Dasatinib and Genomics (formerly known as cytogenetics) sub-studies of ALL2011

3 Consenting for CellBank Separate consent form Range of patient and parent information leaflets Consent for CellBank is independent of trial consent

4 Collection of samples for CellBank Additional samples of bone marrow, peripheral blood and CSF taken at trial time points Excess samples from MRD testing also banked Samples for Asparaginase and genomics sub-studies of ALL2011 collected by CellBank and distributed to relevant laboratories. Sample handling will be provided for IntReALL trial Samples not required for these studies are banked (provided consent has been given)

5 Advantages of sample collection by CellBank for sub-studies and trials Fewer samples required from patient Maximises use of samples Increases banking of excess samples Simplified dispatch from clinic Reduced number of forms to complete

6 Sample collection Peripheral blood Plasma for Asparaginase study Bone marrow CSF CellBank Bankingviable cells, plasma, DNA, CSF Excess MRD sample Samples sent to MRD labs where clinical sample inadequate Viable cells for genomics sub-study

7 Sending samples to CellBank

8 Sending samples to CellBank Place samples in tubes provided Stick appropriately coloured barcode labels on tubes with duplicates on sample information sheet Complete sample information sheet as fully as possible and enclose with samples Pack tubes into pre-addressed safeboxes Post on day of sample collection Friday samples (or late Thursday) should be sent by courier only and not posted contact UK Biocentre to arrange courier

9 What does CellBank contain? Number of patients Number of aliquots Total ALL ALL Relapse (inc. ALLR3) AML ALL ALL2011 Interim Other samples Small trials, rare and non-trial samples

10 Release of samples for research Applicants make enquiries via website to determine if suitable samples are held in the Bank and may also contact the CellBank manager Completed applications submitted to CellBank by Independent peer review by CellBank Application Review (CBAR) panel (rapid response to applicants, no set meeting dates) Release of samples subject to completion of signed Material Transfer Agreement and any conditions imposed by CBAR. Annual reports submitted to Steering Committee.

11 Research using CellBank samples 36 approved research projects have received CellBank samples resulting in 20 publications and presentations at international scientific meetings

12 Summary of LRCG projects utilising samples obtained from the LLR Childhood Leukaemia Cell Bank Development of a novel integrated genetic classification of paediatric acute lymphoblastic leukaemia (ALL) Submitted for publication. Genomic characterisation of intrachromosomal amplification of chromosome 21 (iamp21) - Nature (2014) 508:98 Clinical relevance of IGH translocation in teenagers and young adults JCO (2014) 32:1453 Benefit of intensive treatment for high risk patients with iamp21 JCO (2013) 31:3389 Prevalence of key secondary genetic abnormalities in childhood ALL and correlation with distinct genetic subtypes Haematologica (2013) 98:1081 Identification of prognostic factors in Down Syndrome patients with ALL BJH (2014) 165:552, Leukemia (2013) 27:251, Leukemia (2012) 26:2204, Christine Harrison & Anthony Moorman, Leukaemia Research Cytogenetics Group Northern Institute for Cancer Research, Newcastle University

13 Steering committee Allison Blair Brenda Gibson Chris Bunce Andy Hall Jerry Hancock Anthony Moorman John Moppett Richard Palmer Alex Smith Anne Thomson Suzanne Watt Rob Wynn (Cell processing, storage, SOPs) (Childhood Leukaemia Trials) (LLR) (Tumour Bank/CCLG) (MRD laboratories) (Cytogenetics) (Paediatric haematology and ALL2011 trial) (Family representative) (Data management) (CellBank manager) (Cord blood bank) (Paediatric haematology, Chair)

14 Acknowledgements Grateful thanks are expressed to the following: Leukaemia & Lymphoma Research UK MRD laboratory network Epidemiology and Cancer Statistics Group, University of York Leukaemia Research Cytogenetics Group, Northern Institute for Cancer Research UK Biocentre Clinical centres Further information can be found at:

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