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RecruitingNCT06589089Updated Oct 23, 2024

Autologous Hematopoietic Stem Cell Boost Study After CAR-T Therapy

A Phase 2 interventional study of autologous hematopoietic stem cell in Diffuse Large B Cell Lymphoma, sponsored by Ruijin Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-10-23.

Sponsored by Ruijin Hospital · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Aug 2025, 1 year 2 months ago, but the record still lists the study as recruiting.
Phase
Phase 2
Study type
Interventional
Enrollment
18
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a prospective, single-arm, open study to observe the efficacy and safety of the CART-SCB regimen (Clinical Regimen for the Prospective Study of Autologous Hematopoietic Stem Cell Boost for the Improvement of Bone Marrow Suppression in Patients with High-Risk Immunohematologic Toxicity Lymphoma After Chimeric Antigen Receptor T (CAR-T)-Cell Immunotherapy Therapy) . After the patient has completed CAR-T therapy, if the patient has unrelieved hematologic toxicity, consider infusing a reserve of stem cells; if myelosuppression has not been significantly relieved, stem cell infusion can be performed again.

02

Conditions studied

  • Diffuse Large B Cell Lymphoma
03

In context

Lymphoma, Large B-Cell, Diffuse

1,390 studies on the registry are indexed under Lymphoma, Large B-Cell, Diffuse; 349 are open to participants now.

This study's planned enrollment of 18 is below the median of 47 across 1,185 interventional studies indexed under Lymphoma, Large B-Cell, Diffuse.

Browse Lymphoma, Large B-Cell, Diffuse studies →

Lead sponsor

Ruijin Hospital is the lead sponsor of 635 studies on the registry; 359 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 18 years of age or older and gender-neutral;
  • Diagnosis of B-cell non-Hodgkin lymphoma confirmed histologically or cytologically according to World Health Organization 2016 criteria;
  • Prior CAR-T cell immunotherapy;
  • Patients who are at high risk according to the CAR-HEMATOTOX score prior to leukapheresis; or patients who are clinically considered potentially at high risk for hematologic toxicity following immunotherapy (including age ≥60 years; or Eastern Cooperative Oncology Group (ECOG) Performance Status≥ 2 points; or number of prior lines of therapy ≥ 2, etc.);
  • Myelosuppression as determined by the investigator has occurred after CAR-T therapy;
  • Have a storage of stem cell;
  • Stable lymphoma disease status (final investigator-assessed efficacy CR/PR);
  • Bone marrow biopsy to rule out hemophilia/infection/bone marrow infiltration;
  • Adequate organ function;
  • Able to provide written informed consent (ICF) and able to understand and agree to comply with the study requirements and assessment schedule;
  • Patients of childbearing potential must be willing to use highly effective contraception for the duration of the study, and for 120 days after the last dose of treatment.

Exclusion criteria

Exclusion Criteria:

  • History of allogeneic hematopoietic stem cell transplantation;
  • History of epilepsy, cerebrovascular ischemia/hemorrhage, dementia, cerebellar disease, or any autoimmune disease involving the central nervous system;
  • Presence of or current concurrent other malignancies within the past 2 years, with the exception of cured carcinoma in situ of the uterine cervix, non-melanoma skin cancers, and superficial bladder tumors (Ta (non-invasive tumors), Tis (carcinoma in situ), and T1 (tumors infiltrating the basement membrane));
  • Suffering from severe cardiovascular disease: grade II or greater myocardial ischemia or myocardial infarction, poorly controlled arrhythmias; grade III-IV cardiac insufficiency according to New York Heart Association (NYHA) criteria, or cardiac ultrasound suggestive of a left ventricular ejection fraction (LVEF) \<50%;
  • Allergy to any investigational drug or excipient;
  • Presence of any active autoimmune disease (including, but not limited to: autoimmune hepatitis, interstitial pneumonitis, uveitis, enteritis, hepatitis, pituitary gland inflammation, vasculitis, nephritis, hyperthyroidism, hypothyroidism), or known history of allograft transplantation, or patients with prolonged and heavy use of hormones or use of other immune-modulating agents or other patients who, as assessed by the Investigator Patients who are considered to have an impact on study treatment;
  • Have an active infection;
  • History of uncontrolled systemic disease, including diabetes mellitus, hypertension, and acute pulmonary disease;
  • Known human immunodeficiency virus (HIV) infection;
  • Presence of an underlying medical condition or alcohol/substance abuse or dependence that is not conducive to the administration of study medication, or that may interfere with the interpretation of results, or that puts the patient at high risk for developing treatment complications;
  • End-organ damage due to autoimmune disease (e.g., Crohns disease, rheumatoid arthritis, systemic lupus erythematosus) within the past 2 years, or the need for systemic immunosuppression or other systemic disease-control medications.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
18 participants (estimated)

Study arms

  • Experimental
    Patients treated with stem cell boost

    If the patient continues to have unrelieved hematologic toxicity after CAR-T cell therapy, consider infusing a reserve of stem cells; If there is no significant recovery from myelosuppression, another stem cell infusion can be performed.

    Drug: autologous hematopoietic stem cell

Interventions

  • Drugautologous hematopoietic stem cell

    Intervention were given myelosuppression occurring that cannot be controlled with other drugs as judged by the investigators

06

What researchers measure

Primary outcomes

  1. 1-year overall survival

    Overall survival was defined as the time from the date of leukapheresis to the date of death from any cause.

    Time frame: 1 year after CAR-T cell infusion

Secondary outcomes

  1. Number of Participants With Treatment-Related Adverse Events as Assessed by CTCAE v5.0

    An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.

    Time frame: End of treatment visit (1 years after stem cell infusion)

  2. Best objective response rate

    Defined as the proportion of patients with an efficacy evaluation of complete response (CR) or partial response (PR) at any time point after infusing back CAR-T cells as a percentage of all patients, with efficacy assessed by the investigators according to the 2014 Lugano efficacy criteria

    Time frame: End of treatment visit (1 years after stem cell infusion)

  3. Best complete response rate

    Defined as the proportion of patients with an efficacy evaluation of CR at any time point after infusing back CAR-T cells as a percentage of all patients, with efficacy assessed by the investigators according to the 2014 Lugano efficacy criteria

    Time frame: End of treatment visit (1 years after stem cell infusion)

  4. Time to reponse

    Time from CAR-T cell infusion to the first assessment of CR or PR on the basis of investigator assessments according to 2014 Lugano criteria.

    Time frame: End of treatment visit (1 years after stem cell infusion)

  5. Duration of response

    Time from the first efficacy assessment of CR or PR to the time of first disease progression on the basis of investigator assessments according to 2014 Lugano criteria.

    Time frame: End of treatment visit (1 years after stem cell infusion)

  6. Progression-free survival

    Progression-free survival was defined as the time from the date of leukapheresis until the date of the first documented day of disease progression or relapse, using 2014 Lugano criteria, or death from any cause, whichever occurred first.

    Time frame: End of treatment visit (1 years after stem cell infusion)

  7. Overall survival

    Overall survival was defined as the time from the date of leukapheresis to the date of death from any cause.

    Time frame: End of treatment visit (1 years after stem cell infusion)

  8. Overall days of hospitalization

    Defined as total number of days admitted to the hospital since being infused back for CAR-T, including days of readmission for supportive care for myelosuppression

    Time frame: End of treatment visit (1 years after stem cell infusion)

07

Study locations

1 of 1 sites recruiting
  • Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
    Shanghai, China
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 23, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06589089
Lead sponsor
Ruijin Hospital
Responsible party
Zhao Weili (Prof., Ruijin Hospital) — Principal investigator
First posted
Sep 19, 2024
Start date
Oct 15, 2024 (estimated)
Primary completion
Aug 2025 (estimated)
Completion
Dec 2025 (estimated)
Last update
Oct 23, 2024

Study contacts

Weili Zhao, Doctor
Contact
zhao.weili@yahoo.com
+862164370045 ext. 610707
Lingshuang Sheng, Doctor
Contact
lssheng1122@163.com
+862164370045 ext. 610707

Oversight

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

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