Lee, Darren
Abu-Shihab, Yazan
Plas, Kate
Nicolet, Deedra
Mrózek, Krzysztof https://orcid.org/0000-0002-1408-5063
Routbort, Mark J.
Patel, Keyur P. https://orcid.org/0000-0001-5081-2427
Walker, Christopher J.
Buss, Jill
Stiff, Andrew R.
Laganson, Andrea
DiNardo, Courtney D. https://orcid.org/0000-0001-9003-0390
Daver, Naval G. https://orcid.org/0000-0001-7103-373X
Kadia, Tapan M. https://orcid.org/0000-0002-9892-9832
Ravandi, Farhad https://orcid.org/0000-0002-7621-377X
Carroll, Andrew J. https://orcid.org/0000-0001-9844-730X
Kolitz, Jonathan E.
Powell, Bayard L.
Blum, William G.
Baer, Maria R. https://orcid.org/0000-0002-9499-1348
Marcucci, Guido https://orcid.org/0000-0002-3983-5908
Uy, Geoffrey L. https://orcid.org/0000-0002-7809-0996
Stock, Wendy https://orcid.org/0000-0002-8349-9200
Stone, Richard M. https://orcid.org/0000-0002-7526-2633
Medeiros, L. Jeffrey https://orcid.org/0000-0001-6577-8006
Byrd, John C.
Blachly, James S.
Bowman, Robert L. https://orcid.org/0000-0002-8294-8748
Tyner, Jeffrey W. https://orcid.org/0000-0002-2133-0960
Loghavi, Sanam https://orcid.org/0000-0001-8980-3202
Eisfeld, Ann-Kathrin https://orcid.org/0000-0001-6442-1419
Miles, Linde A. https://orcid.org/0000-0003-3578-2842
Funding for this research was provided by:
U.S. Department of Health & Human Services | NIH | National Cancer Institute (R00 CA252005)
American Society of Hematology (Junior Faculty Scholar)
American Cancer Society (Institutional Research Grant (University of Cincinnati))
University of Cincinnati Cancer Center Pilot Award
Carey & Stella Wamsley Charitable Trust
Article History
Received: 31 March 2026
Revised: 8 April 2026
Accepted: 15 May 2026
First Online: 15 June 2026
Competing interests
: LAM and RLB had previously received honoraria for speaking arrangements and had previously served on a Speakers Bureau for Mission Bio, Inc. JCB has ownership interest in Vincera, an advisory and consultancy role with Novartis, Syndax, and Vincera, research funding from Genentech, Janssen, Acerta, and Pharmacyclics, an AbbVie company. A-KE has received an honorarium from AstraZeneca for serving on their Diversity, Equity, and Inclusion Advisory Board and has received a research grant from Novartis. Spouse of A-KE has ownership interest in Karyopharm Therapeutics. SL has research funding from Amgen and Astellas and has received honoraria/consultation fees from Abbvie, Arima, BMS, Caris, Cogent, Daiichi Sankyo, Johnson and Johnson, Kura Oncology, Qiagen, Recordati, Servier, Stemline Therapeutics, Syndax, Tempus AI. The other authors declare no competing interests.
: Authors confirm that all methods described in the study were performed in accordance with relevant institutional guidelines and regulations. This study was approved by CCHMC IRB (protocol 2022-0806, multiomic profiling of de-identified samples), OSU IRB (protocol 2023C0062), MDACC IRB (protocol PA17-0485), and OHSU IRB (protocols 9570; 4422, for ex vivo drug assays/multiomic profiling). The authors confirm that patient consent was obtained all study participants according to institutional IRB approved protocols in accordance with the Declaration of Helsinki. Patients treated on Alliance for Clinical Trials in Oncology (Alliance) protocols gave informed consent for tissue banking and sequencing under CALGB 9665 and 20202. No clinical and/or outcome data analyses were performed on these patients. No live vertebrate studies were performed. This study did not include any identifiable images.