Lazarus: IT Therapy for ICANS

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorVanderbilt-Ingram Cancer Center

About this trial

The goal of this clinical trial is to reduce the duration of ICANS and incidence of G3 or great ICANS in participants who receive axi-cel. The main questions the study aims to answer are: Efficacy of IT therapy to reduce high-grade ICANS in participants who receive axi-cel in NHL compared to historical experience.

Researchers will compare Axi-cel to Brexu-cel see if there will be a reduction in ICANS when compared to historical experience.

Eligibility criteria

Qualifiers

Age ≥ 18 years

Diffuse large B-cell lymphoma (DLBCL)

Primary mediastinal large B-cell lymphoma (PMBCL)

Transformed follicular lymphoma (tFL)

Disqualifiers

Active HBV/HCV infection. See Inclusion Criteria 7 (HBV) and 8 (HCV) for requirements.

Patients with uncontrolled systemic infection despite appropriate antibiotics or other treatment.

History or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the participant's participation for the full duration of the study, or is not in the best interest of the participant to participate, in the opinion of the treating investigator.

History of platelet transfusion refractoriness or participant declining transfusion support (i.e. Jehovah's witness).

Trial design

Treatments tested in this trial

  • Hydrocortisone
  • Cytarabine 100 MG/ML
  • Dexamethasone
  • Methylprednisolone

Treatment groups

59 Participants
are divided into 2 treatment groups

Sponsors and collaborators