Biomarker and Imaging Package Study in Immune Effector Cell-Associated Neurotoxicity Syndrome

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-80
Sponsorzhang shoulong

About this trial

CAR T-cell therapy is a promising innovative therapy for hematological malignancies. Immune effectors cells-associated neurotoxicity syndrome (ICANS) is a significant complication of CAR therapy. The goal of this study is to understand what brain mechanisms become disrupted when patients experience ICANS. The study will test the hypothesis that cerebrospinal fluid catecholamines and multimodal magnetic resonance imaging are affected in this disorder.

To test this hypothesis, the study will measure cerebrospinal fluid catecholamines in ICANS patients and evaluate brain magnetic resonance imaging for these participants. This study may contribute to knowledge about brain biomarkers and imaging of ICANS, which will greatly aid in ICANS detection and prevention.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Subjects must be ≥ 18 years of age at signing of informed consent.

Subjects are scheduled to receive CAR T-cell treatment.

Disqualifiers

Refusal to sign the informed consent

Subjects having previously been treated with CAR-T therapy.

Subjects with clinically significant active bleeding, history of intracranial bleeding, or is at risk for intracranial bleeding

Subjects presenting primary CNS lymphoma

Trial population

This is a prospective observational study using a consecutive patient sample.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Incidence of CAR-T-associated Neurotoxicity

The incidence of CAR-T-associated neurotoxicity of any grade defined by ASTCT

Time frame
up to 3 years post CAR T-cell infusion

Secondary outcomes

1

To identify biomarkers for ICANS

Serum and cerebrospinal fluid cytokines, neurocognitive assessments (Montreal Cognitive Assessment)

Time frame
up to 1 years post CAR T-cell infusion
2

MRI scans for ICANS

Lesion location associated with severity of ICANS

Time frame
up to 1 years post CAR T-cell infusion

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

zhang shoulong

Lead sponsor

Hebei Medical University

Sponsor institution

Jinan Military General Hospital

Collaborator

Changhai Hospital

Collaborator