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RecruitingNCT06579469Updated Jun 18, 2026

Prospective Evaluation Of Delayed Effects Of Pediatric Car T Cell Therapy

An observational study in B-ALL, Hematologic Malignancy and Solid Tumor, sponsored by St. Jude Children's Research Hospital. Recruiting at 6 sites in United States. Open to participants aged Up to 30 Years. Per ClinicalTrials.gov, last updated 2026-06-18.

Sponsored by St. Jude Children's Research Hospital · Observational

From the registry’s dates

  • Started Jan 2026; still recruiting 8 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
100
Ages
Up to 30 Years
Sex
All
01

Study summary

This study is being done to learn more about the short-term and long-term side effects of CAR-T cell therapy. Specifically, researchers want to know how often patients get infections, have delays in recovering blood cell counts and/or have damage to the nervous system.

Read the detailed description

Primary Objectives

  • Bone Marrow Function: To report on the incidence, timing, severity of, and risk factors for bone marrow dysfunction in participants in remission or without bone marrow involvement of disease at 3- and 6-months following CAR T cell therapy. (B-ALL cohort)
  • Infection/Immune Reconstitution: To evaluate the incidence, timing, severity of and risk factors for clinically significant infections following CAR T cell therapy at 3- and 6-months following CAR T cell therapy. (B-ALL cohort)
  • Neurotoxicity: To evaluate the incidence, timing, severity of, and risk factors for persistent ICANS at 3- and 6-months post CAR T cell therapy. (B-ALL cohort)

Secondary Objectives

  • To evaluate bone marrow function, infection/immune reconstitution, and neurotoxicity at 12 months and 24 months post CAR T cell therapy in participants with B-ALL.
  • To characterize bone marrow function, infection/immune reconstitution, and neurotoxicity between 3 and 24 months after CAR T cell therapy in other hematologic malignancies and solid tumor cohorts.

Participants will have an assessment of preexisting morbidity and potential risk factors, collection of specimens for banking, scheduled late effects monitoring, laboratory analysis, and screening studies. Data and biospecimens will be collected at 3 months, 6 months, 1 year and 2 years after CAR T cell infusion.

02

Conditions studied

  • B-ALL
  • Hematologic Malignancy
  • Solid Tumor

Keywords

  • CAR T cell infusion
  • Late Effects
03

In context

Hematologic Neoplasms

1,464 studies on the registry are indexed under Hematologic Neoplasms; 433 are open to participants now.

This study's planned enrollment of 100 is below the median of 186 across 326 observational studies indexed under Hematologic Neoplasms.

Browse Hematologic Neoplasms studies →

Lead sponsor

St. Jude Children's Research Hospital is the lead sponsor of 434 studies on the registry; 99 are open to participants now.

Of its 60 completed or terminated interventional studies of FDA-regulated products, 35 (58%) have results posted.

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

04

Who can participate

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

Study population

Participants who have received CAR T cell therapy

Inclusion criteria

  • Participants must have received an initial systemically-administered CAR T cell infusion within the last 1-3 months (+/- 14 days).

    • Initial infusion is defined as the first administration of a CAR T cell product the participant has not previously received OR receipt of a CAR T cell product previously received after an interval allogeneic HSCT.
  • Age ≤ 30 years at CAR T cell infusion.

Exclusion criteria

Exclusion Criteria:

  • Active malignancy other than the disease under study.
  • Planned consolidative HSCT within 3 months post CAR T cell infusion.
  • Received or planned additional disease directed therapy post CAR T cell infusion.
  • Inability or unwillingness of research participant or legal guardian/representative to give written informed consent.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
100 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • B cell acute lymphoblastic leukemia (B cell acute lymphoblastic leukemia (B-ALL) ) cohort

    B-ALL participants who have received initial CAR T cell therapy within the last 1-3 months.

  • Other hematologic malignancy

    Other hematologic malignancy participants who have received initial CAR T cell therapy within the last 1-3 months.

  • Solid tumor (ST)

    ST participants who have received initial CAR T cell therapy within the last 1-3 months.

06

What researchers measure

Primary outcomes

  1. Presence of bone marrow dysfunction (BMD)

    Among patients in remission or without bone marrow involvement of disease in the B-ALL cohort, we will summarize the rates of prevalent BMD at 3- and 6-months post-infusion and estimate the cumulative incidence of new BMD and BMD recovery for patients with prevalent BMD at 3- and 6-months.

    Time frame: Within 6 months post CAR T-cell therapy

  2. Occurrence of clinically significant infections

    The infection density of clinically significant infections in 3-6 months will be summarized in the B-ALL cohort.

    Time frame: Within 6 months post CAR T-cell therapy

  3. Presence of persistent ICANS

    We will summarize the rates of persistent ICANS at 3- and 6-months post-infusion and estimate the cumulative incidence and timing of new ICANS and ICANS recovery for patients with persistent ICANS at 3- and 6-months in the B-ALL cohort.

    Time frame: Within 6 months post CAR T-cell therapy

Secondary outcomes

  1. Presence of bone marrow dysfunction (BMD)

    Among patients in remission or without bone marrow involvement of disease in the B-ALL cohort, we will summarize the rates of prevalent BMD at 12- and 24-months post-infusion and estimate the cumulative incidence of new BMD and BMD recovery for patients with prevalent BMD at 12- and 24-months. Analyses will be replicated in the other hematologic malignancies and solid tumor cohorts.

    Time frame: Within 24 months post CAR T-cell therapy

  2. Severity of BMD

    The highest severity BMD for each patient will be recorded. The severity of BMD in the B-ALL cohort will be described using descriptive statistics. Analyses will be replicated in the other hematologic malignancies and solid tumor cohorts.

    Time frame: Within 24 months post CAR T-cell therapy

  3. Occurrence of clinically significant infections

    The infection density of clinically significant infections within 24 months will be summarized in the B-ALL cohort. Analyses will be replicated in the other hematologic malignancies and solid tumor cohorts.

    Time frame: Within 24 months post CAR T-cell therapy

  4. Time to the earliest clinically significant infection

    The time from 3 months post-infusion to the first clinically significant post-infusion within 24 months post-infusion will be summarized in the B-ALL cohort. The cumulative incidence of the first clinically significant infection post-infusion within 24 months will be estimated in B-ALL cohort. Analyses will be replicated in the other hematologic malignancies and solid tumor cohorts.

    Time frame: Within 24 months post CAR T-cell therapy

  5. Severity of clinically significant infections

    The highest severity among all clinically significant infections for each patient will be summarized. The severity of clinically significant infections in the B-ALL cohort will be described. Analyses will be replicated in the other hematologic malignancies and solid tumor cohorts.

    Time frame: Within 24 months post CAR T-cell therapy

  6. Presence of persistent ICANS

    We will summarize the rates of persistent ICANS at 12- and 24-months post-infusion and estimate the cumulative incidence and timing of new ICANS and ICANS recovery for patients with persistent ICANS at 12- and 24-months in B-ALL cohort. Analyses will be replicated in the other hematologic malignancies and solid tumor cohorts.

    Time frame: Within 24 months post CAR T-cell therapy

  7. Severity of persistent ICANS

    The highest severity of ICANS for each patient will be recorded. The severity of ICANS in the B-ALL cohort will be described using descriptive statistics. Analyses will be replicated in the other hematologic malignancies and solid tumor cohorts.

    Time frame: Within 24 months post CAR T-cell therapy

07

Study locations

6 of 6 sites recruiting
  • Childrens Hospital of Colorado
    Aurora, Colorado 80045, United States
    Recruiting
  • Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania 19104, United States
    • Regina Myers, MD · Contact · Myersm@chop.edu · 215-590-1000
    • Regina Myers, MD · Principal investigator
    Recruiting
  • St. Jude Children's Research Hospital
    Memphis, Tennessee 38105, United States
    • Rebecca Epperly, MD · Contact · referralinfo@stjude.org · 888-226-4343
    • Rebecca Epperly, MD · Principal investigator
    Recruiting
  • Primary Children's Hospital
    Salt Lake City, Utah 84113, United States
    Recruiting
  • Seattle Childrens Hospital
    Seattle, Washington 98105, United States
    Recruiting
  • Children's Hospital of Wisconsin.
    Milwaukee, Wisconsin 53226, United States
    • Amy Moskop, MD · Contact · amoskop@mcw.edu · 414-955-4142
    • Amy Moskop, MD · Principal investigator
    Recruiting
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06579469
Lead sponsor
St. Jude Children's Research Hospital
Collaborators
Rally Foundation for Childhood Cancer Research
Responsible party
Sponsor
First posted
Aug 30, 2024
Start date
Jan 20, 2026
Primary completion
Mar 2027 (estimated)
Completion
Mar 2029 (estimated)
Last update
Jun 18, 2026

Study contacts

Rebecca Epperly, MD
Contact
referralinfo@stjude.org
888-226-4343
Rebecca Epperly, MD
principal investigator · St. Jude Children's Research Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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