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CAR T-cell Therapy
Radiation Therapy + CAR T-Cell Therapy for Lymphoma
Phase < 1
Recruiting
Led By Savita V Dandapani
Research Sponsored by City of Hope Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 1 year
Awards & highlights
Study Summary
This trial tests giving radiation therapy to LBCL patients before CAR T-cell therapy to slow disease progression and improve outcomes.
Who is the study for?
Adults with large B-cell lymphoma that has returned or hasn't responded to treatment, who are planning CAR T-cell therapy within 3 months. They must have recovered from previous cancer treatments, be in relatively good health (ECOG <=2 or KPS >=60), and not be pregnant. Excluded are those with active infections, diarrhea, CNS disease, recent radiation therapy, prior CD19-directed therapy, or any condition making study participation unsafe.Check my eligibility
What is being tested?
The trial is testing if bridging radiation therapy before CAR T-cell infusion can improve outcomes for patients with relapsed/refractory large B-cell lymphoma. It aims to control the disease while waiting for the personalized immune cell treatment (CAR T-cells) grown from the patient's own blood to become ready for infusion.See study design
What are the potential side effects?
Potential side effects include typical reactions to radiation like skin irritation and fatigue as well as possible acute toxicities related to CAR T-cell infusion which may involve fever, difficulty breathing, rapid heartbeat and a drop in blood pressure.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 1 year
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 1 year
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Proportion of participants completing planned radiation therapy
Secondary outcome measures
Complete response rate
Distant control
Incidence of AEs
+4 moreTrial Design
1Treatment groups
Experimental Treatment
Group I: Treatment (leukapheresis, external beam radiation, CAR-T)Experimental Treatment7 Interventions
Patients undergo leukapheresis per standard of care, undergo external beam radiation therapy, and undergo CAR T-cell infusion per standard of care on study. Patients undergo PET/CT throughout the study and may undergo MRI during screening. Patients also undergo blood sample collection throughout the study.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Positron Emission Tomography
2008
Completed Phase 2
~2240
Biospecimen Collection
2004
Completed Phase 2
~1700
Computed Tomography
2017
Completed Phase 2
~2720
External Beam Radiation Therapy
2006
Completed Phase 3
~3070
Leukapheresis
2016
Completed Phase 2
~690
Magnetic Resonance Imaging
2017
Completed Phase 3
~1190
Find a Location
Who is running the clinical trial?
City of Hope Medical CenterLead Sponsor
567 Previous Clinical Trials
1,922,651 Total Patients Enrolled
National Cancer Institute (NCI)NIH
13,670 Previous Clinical Trials
40,926,727 Total Patients Enrolled
Savita V DandapaniPrincipal InvestigatorCity of Hope Medical Center
3 Previous Clinical Trials
34 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have recovered from side effects of cancer treatment, except for hair loss.My scans show up to 6 areas of cancer that can be treated at 3 points.I have a serious health condition that is not under control.My diagnosis is large B-cell lymphoma confirmed by tissue analysis.I have previously received treatment targeting CD19.I have a condition affecting my brain or spinal cord.I have not had radiation therapy in the last 21 days.I am scheduled for CAR T-cell therapy within the next 3 months.I have another active cancer besides the one being treated.I am not pregnant.I am currently on antibiotics for an infection.I am mostly self-sufficient and can carry out daily activities.My condition has returned or didn't respond to treatment.I am 18 years old or older.I am currently experiencing diarrhea.
Research Study Groups:
This trial has the following groups:- Group 1: Treatment (leukapheresis, external beam radiation, CAR-T)
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Is the enrollment period still open for this investigation?
"Clinicaltrials.gov states that this study is no longer recruiting patients, with the initial post on August 23rd 2023 and a final update on March 24th 2023. However, there are an abundance of other medical trials actively searching for participants at present - 1753 to be precise!"
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