A Phase II Study of Siltuximab for CRS/ICANs After CAR-T in Multiple Myeloma

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorInstitute of Hematology & Blood Diseases Hospital, China

About this trial

This is a prospective Phase II study evaluating Siltuximab for CRS and ICANS after CAR-T infusion in multiple myeloma patients.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Be informed and voluntarily sign the Informed Consent Form (ICF).

Age ≥18 years old.

Diagnosed with multiple myeloma according to IMWG diagnostic criteria.

Developed CRS (grade ≥1) and/or ICANS (grade ≥1) after CAR-T treatment.

Disqualifiers

Creatinine clearance <30 mL/min.

Platelet count <75,000/μL, absolute neutrophil count <1,000/μL, or hemoglobin <60 g/L at screening.

ALT or AST >3× ULN, or bilirubin >2× ULN.

Known severe cardiac conditions, including NYHA class III/IV heart failure, uncontrolled angina, arrhythmia, or hypertension, myocardial infarction within 6 months, or other uncontrolled/severe cardiovascular diseases, including prior cerebrovascular events with residual deficits.

Trial design

Design model

Single group

Treatments tested in this trial

  • Siltuximab

    Drug

    Siltuximab 11mg/kg

Treatment groups

20 Participants
are divided into 1 treatment group
Group A: SiltuximabExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Complete CRS resolution rate

14-day Complete CRS Resolution Rate: No CRS Symptoms for 24 Consecutive Hours

Time frame
14 days

Secondary outcomes

1

CANS Resolution Rate

28-day ICANS Resolution Rate

Time frame
28 day

Other outcomes

Sponsors and contacts

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