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Crystal Mackall
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schoolMD, National Cancer Institute Training

Dr. Crystal Mackall

BS, MD

Ernest and Amelia Gallo Family Professor of Paediatrics and Medicine

corporate_fareStanford Medicine, Stanford University

check_circleCAR T-Cell Therapy
check_circleCancer Immunotherapy
check_circlePaediatric Oncology
check_circleSolid-Tumour Cell Therapy
INSTITUTION
corporate_fareStanford Medicine
DEPARTMENT
sciencePaediatrics and Medicine
SPECIALTY
medical_servicesCAR T-Cell Therapy & Cancer Immunotherapy
LOCATION
location_onStanford, California, USA
INTERNATIONAL PATIENTS
publicInternational Patients Welcome
person

Crystal Mackall

BS, MD

Dr. Crystal L. Mackall is the Ernest and Amelia Gallo Family Professor of Paediatrics and Medicine at Stanford University and the Founding Director of the Stanford Center for Cancer Cell Therapy. She is internationally recognised for pioneering CAR T-cell therapy and adoptive cell therapy, particularly for children and young adults with cancers that have limited treatment options.

Dr. Mackall completed her fellowship training in paediatric haematology and oncology at the National Cancer Institute (NCI), NIH, where she subsequently spent 27 years before joining Stanford in 2016, including service as Chief of the NCI Paediatric Oncology Branch. At Stanford she co-leads the Cancer Immunotherapy Program, directs the Parker Institute for Cancer Immunotherapy at Stanford, and leads the Centre for Cancer Cell Therapy. Her research group has made foundational contributions to understanding T-cell exhaustion as a cause of CAR T-cell failure and has developed exhaustion-resistant and exhaustion-reversal cell-therapy platforms. She has led or co-led first-in-child and early-phase clinical trials spanning CD19 CAR T cells, CD22 CAR T cells, GD2 CAR T cells for diffuse midline glioma, and B7-H3-targeted approaches for solid tumours. Stanford reports she has published more than 300 manuscripts with an h-index of 120 as of January 2026.

workspace_premium30+Years Experience
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Visiting Days
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International Patients

CancerFax can coordinate medical-record review and consultation support for international patients seeking an opinion from Dr. Mackall at Stanford Medicine, subject to hospital availability and case acceptance.

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Why Consider Dr. Crystal Mackall?

Dr. Mackall is one of the most influential researchers and clinicians in cancer immunotherapy globally. Patients and families dealing with high-risk paediatric cancers or difficult solid tumours may find her expertise in CAR T-cell therapy and immunotherapy clinical trials particularly relevant.

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Pioneer in CAR T-Cell Therapy
Dr. Mackall's laboratory has been instrumental in advancing CD19, CD22, GD2, and B7-H3 CAR T-cell strategies from bench to early-phase clinical trials, including first-in-child trials for paediatric leukaemia and brain tumours.
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Over 300 Peer-Reviewed Publications
Stanford reports she has authored more than 300 manuscripts with an h-index of 120 (January 2026), reflecting deep and sustained contributions to immuno-oncology and cell-therapy science.
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National Academy of Medicine Member
Elected to the National Academy of Medicine in 2022 and recipient of the 2025 AACR–Cancer Research Institute Lloyd J. Old Award in Cancer Immunology, among numerous other major honours.
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Multidisciplinary Clinical Research Ecosystem
As Director of the Parker Institute for Cancer Immunotherapy at Stanford and Founding Director of the Stanford Center for Cancer Cell Therapy, Dr. Mackall leads one of the world's most comprehensive academic environments for cellular immunotherapy.
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Areas of Specialisation

Research-driven expertise in engineered T-cell therapy and paediatric cancer immunotherapy

Dr. Mackall's clinical and research work spans CAR T-cell therapy, adoptive cell therapy, and immunotherapy for paediatric and selected adult cancers. Her programmes are notable for advancing cellular therapies beyond haematologic cancers into solid tumours and paediatric brain tumours.

Core Specialisations

CAR T-Cell Therapy

Design, development, and clinical translation of genetically engineered T-cell therapies targeting paediatric and adult cancers.

starsCD19 CAR T-Cell Therapy
  • arrow_rightCAR T-cell therapy for paediatric acute lymphoblastic leukaemia
  • arrow_rightEarly-phase and first-in-child clinical trial leadership
starsCD22 CAR T-Cell Therapy
  • arrow_rightStrategies for leukaemia and lymphoma resistant to CD19-targeted therapy
  • arrow_rightDual-antigen targeting to reduce antigen-escape relapse
starsGD2 CAR T-Cell Therapy
  • arrow_rightCAR T-cell approaches for H3K27M-mutant diffuse midline glioma including DIPG
  • arrow_rightActive Stanford-sponsored GD2 CAR T-cell trial in diffuse intrinsic pontine glioma and spinal diffuse midline glioma (NCT04196413)
starsB7-H3 CAR T-Cell Research
  • arrow_rightB7-H3-targeted cellular therapy for paediatric solid tumours and brain tumours
  • arrow_rightResearch-phase development with clinical translation goals

T-Cell Biology & Resistance Platforms

Mechanistic research on T-cell exhaustion and the development of engineered platforms to overcome CAR T-cell failure.

starsT-Cell Exhaustion Research
  • arrow_rightIdentification of T-cell exhaustion as a major cause of CAR T-cell failure
  • arrow_rightMechanistic studies of IL-7 biology and T-cell homeostasis
starsExhaustion-Resistance & Synthetic Biology Platforms
  • arrow_rightDevelopment of exhaustion-resistant and exhaustion-reversal engineered T-cell platforms
  • arrow_rightSynthetic biology approaches for regulatable and safer cellular therapies

Paediatric Cancer Immunotherapy

Comprehensive immunotherapy research and clinical trial leadership for children and young adults with high-risk cancers.

starsPaediatric Haematologic Malignancies
  • arrow_rightPaediatric acute lymphoblastic leukaemia
  • arrow_rightLymphoma resistant to standard therapies
starsPaediatric Brain Tumours & Solid Tumours
  • arrow_rightDiffuse intrinsic pontine glioma (DIPG) and H3K27M-mutant diffuse midline glioma
  • arrow_rightCNS malignancies and sarcoma-related immunotherapy research
Clinical & Research Focus Areas
check_circlePaediatric Acute Lymphoblastic Leukaemia
check_circleDiffuse Midline Glioma / DIPG
check_circleLymphoma
check_circlePaediatric Solid Tumours
check_circleCNS Malignancies
check_circleHaematologic Malignancies via Cellular Immunotherapy
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Procedures & Treatment Approaches

Cellular immunotherapy, clinical trials, and multidisciplinary cancer care

Dr. Mackall's clinical research programme covers CAR T-cell therapy, adoptive cell therapy, cancer vaccines, cytokine-based treatments, and NK-cell immunotherapy, primarily for paediatric cancers and selected solid tumours.

CAR T-Cell & Adoptive Cell Therapy

Medical Oncology

Genetically engineered T-cell therapies targeting cancer-specific antigens, including first-in-child and early-phase clinical trials.

CAR T-Cell Treatment Approaches
arrow_rightCD19 CAR T-cell therapy for paediatric leukaemia
arrow_rightCD22 CAR T-cell therapy for resistant leukaemia and lymphoma
arrow_rightGD2 CAR T-cell therapy for diffuse midline glioma and DIPG
arrow_rightB7-H3 CAR T-cell approaches for solid tumours and brain tumours
arrow_rightNK-cell adoptive immunotherapy

Cancer Immunotherapy

Targeted Therapy

Immune-based systemic approaches including cancer vaccines, cytokine therapy, and checkpoint-related strategies for eligible patients.

Immunotherapy Modalities
arrow_rightCancer vaccines and dendritic cell vaccine strategies
arrow_rightCytokine-based immunotherapy
arrow_rightSynthetic biology platforms for regulatable cell therapies
arrow_rightT-cell exhaustion-reversal approaches in clinical research

Clinical Trials & Research Programme

Multidisciplinary

Early-phase and first-in-human or first-in-child trials conducted at Stanford Medicine and previously at the National Cancer Institute.

Trial Involvement
arrow_rightActive GD2 CAR T-cell trial for H3K27M-mutant diffuse midline glioma (NCT04196413)
arrow_rightPrior dendritic cell vaccine, cytokine, NK-cell, and modified T-cell trials at the NCI
arrow_rightMultidisciplinary collaboration across oncology, neurology, neurosurgery, and cell-therapy manufacturing

Second Opinion & Case Review

Second Opinion

Expert review of paediatric cancer cases, particularly for complex haematologic malignancies, brain tumours, and solid tumours under consideration for cellular immunotherapy.

Second Opinion Services
arrow_rightReview of pathology, imaging, molecular markers, and prior treatment history
arrow_rightAssessment of clinical trial eligibility for CAR T-cell or immunotherapy protocols
arrow_rightCoordination through CancerFax, subject to Stanford Medicine availability
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Research & Publications

Over 300 peer-reviewed manuscripts and a long record of first-in-child clinical trial leadership

Dr. Mackall has published more than 300 manuscripts with an h-index of 120 as of January 2026, according to Stanford Medicine. Her research spans CAR T-cell therapy, T-cell biology, T-cell exhaustion, adoptive cell therapy, and immunotherapy for paediatric and solid-tumour cancers.

Key Research Areas
arrow_rightCD19 CAR T-cell therapy in children and young adults with acute lymphoblastic leukaemia
arrow_rightCD22-targeted CAR T-cell strategies for resistant leukaemia and lymphoma
arrow_rightGD2 CAR T cells for H3K27M-mutant diffuse midline glioma – PubMed PMID 39537919
arrow_rightB7-H3 CAR T cells for paediatric solid tumours and brain tumours
arrow_rightT-cell exhaustion as a cause of CAR T-cell failure: mechanistic studies and reversal platforms
arrow_rightIL-7 biology and T-cell homeostasis research
Clinical Trial Leadership
arrow_rightNCT04196413 – GD2 CAR T cells in diffuse intrinsic pontine glioma and spinal diffuse midline glioma (Stanford, active)
arrow_rightPrior NCI early-phase trials: dendritic cell vaccines, cytokines, NK cells, and genetically modified T cells in paediatric cancers
arrow_rightSt. Baldrick's / Stand Up To Cancer Paediatric Cancer Dream Team co-leadership
Awards & Academic Recognition
arrow_right2025 AACR–Cancer Research Institute Lloyd J. Old Award in Cancer Immunology
arrow_right2022 Member, National Academy of Medicine
arrow_right2022 Fellow, AACR Academy
arrow_right2021 AACR–St. Baldrick's Foundation Award for Outstanding Achievement in Paediatric Cancer Research
arrow_right2021 ASCO Paediatric Oncology Award and Lecture
arrow_right2025 Italian-American Cancer Foundation Prize for Excellence in Medicine in the Clinical Sciences
Full Publication List

A full list of Dr. Mackall's publications is available via Stanford Medicine's faculty profile and Google Scholar. CancerFax can assist with accessing her research record for case-review purposes.

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Education & Training

Dr. Mackall completed her undergraduate and medical training in Ohio, followed by a combined paediatrics and internal medicine residency and a paediatric haematology/oncology fellowship at the National Cancer Institute, NIH.

Undergraduate
BS, Natural Sciences
University of Akron
1976 – 1980
Medical Degree
MD
Northeastern Ohio Universities College of Medicine (now Northeast Ohio Medical University)
1980 – 1984
Residency
Combined Paediatrics / Internal Medicine Residency
Children's Hospital Medical Center of Akron / Akron General Medical Center
1984 – 1988
Fellowship
Paediatric Haematology/Oncology Fellowship
Paediatric Branch, National Cancer Institute, NIH
1989 – 1992
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Clinical Experience

Dr. Mackall spent 27 years at the National Cancer Institute, rising to Chief of the Paediatric Oncology Branch, before joining Stanford in 2016 where she now leads the Centre for Cancer Cell Therapy and the Parker Institute for Cancer Immunotherapy at Stanford.

Ernest and Amelia Gallo Family Professor of Paediatrics and Medicine
Stanford University School of Medicine
Stanford Center for Cancer Cell Therapy; Parker Institute for Cancer Immunotherapy at Stanford
check_circleFounding Director, Stanford Center for Cancer Cell Therapy (2017–present)
check_circleDirector, Parker Institute for Cancer Immunotherapy at Stanford (2016–present)
check_circleCo-Leader, Stanford Cancer Immunotherapy Program (2016–present)
check_circleAssociate Director, Stanford Cancer Institute (2016–present)
check_circleChief, Paediatric Oncology Branch, National Cancer Institute (2008–2015)
check_circleInvestigator / Principal Investigator, National Cancer Institute, NIH (1992–2015)
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Languages & International

Dr. Mackall consults in English. Languages spoken beyond English are not publicly listed in official sources.

🇺🇸English
Interpreter Support Available

CancerFax can coordinate professional medical interpreter support for international patients seeking to consult with Dr. Mackall at Stanford Medicine.

CancerFax can coordinate professional medical interpreter support for international patients when required.

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How CancerFax Helps You Access Dr. Crystal Mackall

CancerFax is a specialist cancer patient-navigation platform. We help international patients prepare structured medical summaries, assess treatment eligibility, and connect directly with Dr. Crystal Mackall's team — with full coordination from initial inquiry to consultation.

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Medical Report Review

Free review of your pathology results, imaging, molecular profiling, and treatment history — prepared as a structured clinical summary for Dr. Crystal Mackall's team.

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Treatment Eligibility Screening

CancerFax screens your case for eligibility for treatments and clinical programmes available through Dr. Crystal Mackall before you travel, so you arrive with a clear pathway.

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Case Submission

We coordinate direct case submission to Dr. Crystal Mackall's department, including all documentation required for clinical review and appointment scheduling.

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Appointment & Consultation Coordination

CancerFax manages appointment scheduling with Dr. Crystal Mackall's team, confirming availability and aligning timelines with your travel plans.

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Travel, Visa & Logistics Support

We prepare visa invitation letters, provide hospital-proximity accommodation guidance, and coordinate airport transfers for international patients.

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Follow-Up & Continuity of Care

After your consultation or treatment, CancerFax facilitates communication between Dr. Crystal Mackall's team and your home oncologist for seamless post-treatment follow-up.

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Frequently Asked Questions About Dr. Crystal Mackall

Dr. Crystal Mackall is the Ernest and Amelia Gallo Family Professor of Paediatrics and Medicine at Stanford University and Founding Director of the Stanford Center for Cancer Cell Therapy. She is internationally recognised as a pioneer in CAR T-cell therapy and paediatric cancer immunotherapy, with more than 30 years of research and clinical experience.

Dr. Mackall's verified focus areas include paediatric acute lymphoblastic leukaemia, lymphoma, diffuse intrinsic pontine glioma (DIPG), H3K27M-mutant diffuse midline glioma, CNS malignancies, paediatric solid tumours, and haematologic malignancies treated through engineered T-cell therapy. Her programme also includes research on sarcoma-related immunotherapy.

CAR T-cell therapy is a form of adoptive cell therapy in which a patient's T cells are genetically engineered to recognise and attack cancer cells. Dr. Mackall is one of the world's leading researchers and clinical trial leaders in CAR T-cell therapy, including CD19, CD22, GD2, and B7-H3-targeted approaches for paediatric cancers. Clinical access depends on eligibility, trial availability, and Stanford Medicine's referral process.

CancerFax can coordinate medical-record review and consultation support for international patients seeking an expert opinion from Dr. Mackall at Stanford Medicine. Clinical access, appointment availability, clinical trial eligibility, and visa or insurance requirements must be confirmed directly with Stanford Medicine.

Submit your medical reports through CancerFax. The CancerFax team will review the documents, prepare the case for submission, and coordinate the next steps with Stanford Medicine, subject to availability and case acceptance. For second opinions, please include pathology reports, imaging studies, molecular or genomic results, and a full treatment history.

Yes. Dr. Mackall has an extensive clinical trial record, including first-in-child trials at the National Cancer Institute and ongoing Stanford-sponsored trials. An active study of GD2 CAR T cells in H3K27M-mutant diffuse midline glioma (NCT04196413) is listed on ClinicalTrials.gov. Eligibility depends on diagnosis, prior treatment history, molecular markers, and trial status at the time of enquiry.

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Medical Disclaimer: Information on this page is for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before making any medical decisions.

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