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CompletedNCT05349201Updated Jul 1, 2022

CAR T Cells Real World Evidence Study Based on the French Hospital Claims Data Source (PMSI)

An observational study in Diffuse Large B-Cell Lymphoma (DLBCL) and Acute Lymphoblastic Leukemia (ALL), sponsored by Novartis Pharmaceuticals. Completed at 1 site in United States. Open to participants aged 18 Years to 30 Years. Per ClinicalTrials.gov, last updated 2022-07-01.

Sponsored by Novartis Pharmaceuticals · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
273
Ages
18 Years to 30 Years
Sex
All
01

Study summary

This was a Retrospective cohort study based on the PMSI data source

Read the detailed description

A retrospective database analysis was performed using the French national hospital claims database (Medicalized Information System Program - PMSI, 2015-2019), which includes discharge summaries for all hospital admissions in France (\~99% of French residents).

The patients were identified based on the CAR-T administration hospital stay, between 2017 and 2019. Based on the exhaustivity of the database, all patients treated with CAR-T (since 2018) were identified.

The study design included multiple periods of analysis based on the CAR-T process. Three main periods were defined: the historical period, the CAR-T period, and the post CAR-T period. The CAR-T period was divided in 2 sub-periods: pre CAR-T (including the apheresis procedure and 15 days before this procedure) and per CAR-T (including the lymphodepletion and CAR-T cell injection hospital stay until the end at the discharge date related to CAR-T cell injection hospital stay). The follow-up period started at the end of CAR-T hospital stay.

CAR-T populations:

KYMRIAH® DLBCL cohort:

  • Adult patients (≥18 years of age) with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) after two or more lines of systemic therapy.
  • Patient with a CAR-T administration hospital stay of Kymriah between 2017 and 2019

YESCARTA®DLBCL cohort:

  • Adult patients (≥18 years of age) with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) after two or more lines of systemic therapy:
  • Patient with a CAR-T administration hospital stay of Yescarta between 2017 and 2019

KYMRIAH® ALL cohort:

  • Pediatric and young adult patients (≤ 25 years of age) with B-cell acute lymphoblastic leukemia (ALL) that is refractory, in relapse post-transplant or in second or later relapse:
  • Patient with a CAR-T administration hospital stay of Kymriah between 2017 and 2019
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Conditions studied

  • Diffuse Large B-Cell Lymphoma (DLBCL)
  • Acute Lymphoblastic Leukemia (ALL)
03

In context

Precursor Cell Lymphoblastic Leukemia-Lymphoma

2,061 studies on the registry are indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma; 490 are open to participants now.

This study's enrollment of 273 is above the median of 120 across 300 observational studies indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma.

Browse Precursor Cell Lymphoblastic Leukemia-Lymphoma studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.

Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 30 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients ( ≥18 years of age) with (relapsed/refractory diffuse large B cell lymphoma [R/R DLBCL]), currently being treated in third line or more with

  • KYMRIAH
  • YESCARTA

Pediatric and young adult patients (≤25 years of age) with B cell acute lymphoblastic leukemia ( refractory, in relapse post transplant or in second or later relapse, currently being treated in third line or higher with

  • KYMRIAH

Inclusion criteria

  • Patients treated with CAR-T cells from 2017 to 2019 and informed as such in the PMSI And
  • Patients diagnosed with ALL or DLBCL when administering CAR-T cells and
  • up to 25 years for patients with ALL

Exclusion criteria

Exclusion Criteria:

  • All patients treated outside the two types of indications presented in the inclusion criteria will be excluded
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
273 participants (actual)
Patient registry
No

Groups and cohorts

  • Adult R/R DLBCL cohort: KYMRIAH

    Patients (≥18 years of age) with (relapsed/refractory diffuse large B cell lymphoma \[R/R DLBCL\])

    Other: KYMRIAH

  • Adult R/R DLBCL cohort: YESCARTA

    Patients (≥18 years of age) with (relapsed/refractory diffuse large B cell lymphoma \[R/R DLBCL\])

    Other: YESCARTA

  • ALL pediatric and young adult cohort: KYMRIAH

    Pediatric and young adult patients (≤25 years of age) with B cell acute lymphoblastic leukemia (ALL) ( refractory, in relapse post transplant or in second or later relapse

    Other: KYMRIAH

Interventions

  • OtherKYMRIAH

    Patients (≥18 years of age) with (relapsed/refractory diffuse large B cell lymphoma \[R/R DLBCL\]) or Pediatric and young adult patients (≤25 years of age) with B cell acute lymphoblastic leukemia (ALL) refractory, in relapse post transplant or in second or later relapse

  • OtherYESCARTA

    Patients (≥18 years of age) with (relapsed/refractory diffuse large B cell lymphoma \[R/R DLBCL\])

06

What researchers measure

Primary outcomes

  1. Overall survival: number of events

    Overall survival indicator was defined as all cause death recorded at the hospital (MSO, HAD, SSR). Patients were censored at the date of last hospitalization observed (MSO/HAD/SSR/ACE).

    Time frame: through study completion, approximately 2 years (January 2017 to December 2019)

  2. Time to next treatment (TTNT) analysis: number of events

    Time to next treatment indicator was defined as the time between CAR-T injection and the date of the hospitalization or palliative care.

    Time frame: through study completion, approximately 2 years (January 2017 to December 2019)

  3. Time to next treatment (TTNT) or death analysis: number of events

    Time to next treatment or death indicator was defined as the first event occurring between TNTT or death presented during the hospitalization or palliative care.

    Time frame: through study completion, approximately 2 years (January 2017 to December 2019)

  4. Follow-up time between the CAR-T injection and the last hospital stay observed

    Follow-up is the time between the CAR-T injection (index date) and the last hospital stay observed.

    Time frame: through study completion, approximately 2 years (January 2017 to December 2019)

  5. Overall cost for CAR-T hospitalization

    The CAR-T hospitalization included Medical, Surgical, Obstetrics (MSO) hospitalization tariff and extra tariff linked to CAR-T treatment reimbursed by the health care insurance

    Time frame: through study completion, approximately 2 years (January 2017 to December 2019)

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Study locations

1 site
  • Novartis Investigative Site
    East Hanover, New Jersey 07936-1080, United States
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References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 1, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05349201
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Apr 27, 2022
Start date
Dec 9, 2020
Primary completion
May 28, 2021
Completion
May 28, 2021
Last update
Jul 1, 2022

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2022. You cannot join it, but the record below documents what was studied.

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