Stop missing critical markers of relapse in Acute Myeloid Leukemia

Miss 95% fewer drivers of relapse with a single tube for monitoring remission.

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Four standard tubes with 4-5 markers each are replaced by one tube with 20 markers. Bone marrow stability goes from 24 hours to 90+ days when fixed at collection.

Bone marrow degrades quickly. Current panels miss drivers of relapse.

Sample quality and panel depth decide whether residual disease is found before it becomes clinical relapse.

Bone marrow cells at 0 h, 24 h and 72 h after collection: the sample thins out and loses its myeloid signal over time.

Bone marrow degrades outside a short window

Myeloid cells degrade within 24 to 72 hours of collection. Storage and transit erase the populations that matter most for AML MRD, so tests can miss disease that is still there.

Four split tubes that repeat the same shared markers consolidate into one 20-marker Teiko panel that uses shared markers once and adds relapse markers.

Current panels miss drivers of relapse

Finding leftover leukemic cells takes a full marker panel from enough viable cells. Splitting a patient's sample across multiple tubes wastes precious marker real estate. For patients, this means that the current panels may miss critical drivers of relapse.

Our results are demonstrating 90+ day stability in bone marrow.

We are developing a clinical MRD test on fixed bone marrow using TokuKit, already proved on blood.

Status quo

24 hours

TokuKit

90+ days

In development

Long-term biobanking

Source: ICCS 2026 poster

Our test will deliver a 4X reduction in tubes with an estimated ~95% reduction in missed cases of relapse

No cells are spent splitting the aspirate across tubes that each carry only a fraction of the panel.

Current status quo

8 markers per tube

Splitting the aspirate across 4 tubes repeats backbone markers in each one, using up panel space that could find markers of relapse.

Four tubes of 8 markers each converge into one tube with all 20 markers.

Teiko

20 markers, one tube

All 20 markers from a single tube. Cells stay together for the full panel instead of being divided across tubes.

Pre-Analytic Stabilization of Bone Marrow Aspirates for AML MRD Testing

Lily Shang, PhD and collaborators showed that bone marrow aspirates can be stabilized at collection, shipped, and analyzed centrally by spectral flow cytometry. ICCS 2026 poster #218.

Read the ICCS 2026 news post

Built with academic and clinical partners

HOACNY
Medical College of Wisconsin
UCSF
The Christie NHS Foundation Trust
University of Utah
Read the University of Utah collaboration announcement
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