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Investigations into the influence of fludarabine exposure on the outcomeof patients after CAR-T cell therapy

Not Applicable
Recruiting
Conditions
C90
C83
Multiple myeloma and malignant plasma cell neoplasms
Non-follicular lymphoma
Registration Number
DRKS00033974
Lead Sponsor
niversitätsklinikum Hamburg Eppendorf
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
200
Inclusion Criteria

•Adult, hospitalized patients of the participating clinics receiving CAR T-
cell therapy according to indication and whose conditioning plan
includes fludarabine
•Diagnosis of multiple myeloma or aggressive B-cell lymphoma
•Written consent of the patients

Exclusion Criteria

- Age < 18 years
- Lack of written consent of the patient

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Correlation of fludarabine exposure, measured as F-ara-A AUC, with CAR-T cell expansion (maximum value measured within the first 4 weeks after CAR-T cell infusion)
Secondary Outcome Measures
NameTimeMethod
•Correlation of fludarabine exposure with malignant disease response at <br> day 30 and 90 after CAR-T cell therapy<br>•Correlation of fludarabine <br> exposure with progression-free survival 12 months after CAR-T cell <br> therapy<br>•Correlation of fludarabine exposure with incidence of CRS (Cytokine <br> release syndrom)<br>•Correlation of fludarabine exposure with incidence of ICANS (immune <br> effector cell-associated neurotoxicity syndrome)<br>•Correlation of fludarabine exposure with cytopenia on day 30 after CAR-T <br> cell therapy<br>•Correlation of fludarabine exposure with biomarker-based estimated renal <br> function<br>•Evaluation of possible influencing factors such as comedication on the <br> correlation between fludarabine exposure and biomarker-based estimated <br> renal function
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