Oliver Ottmann, MD, FRCPath, of Cardiff University, Cardiff, UK, raises the issue of slow progression of clinical trials in acute lymphoblastic leukemia (ALL) and the factors that play a part. Speaking from the 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held in Budapest, Hungary, Prof. Ottmann alludes to the lack of funding that presents a particular challenge regarding this topic.