ClinicalTrials.gg
RecruitingNCT07763210Updated Oct 2, 2026

Intrathecal Cytarabine and Hydrocortisone for the Early Treatment of ICANS in Patients Undergoing CAR T Therapy for Non Hodgkin Lymphoma

A Phase 2 interventional study of Therapeutic Hydrocortisone and Cytarabine in Non-hodgkin Lymphoma, Recurrent Diffuse Large B-Cell Lymphoma and Recurrent Mantle Cell Lymphoma, sponsored by Vanderbilt-Ingram Cancer Center. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-02.

Sponsored by Vanderbilt-Ingram Cancer Center · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Oct 2, 2026Now RecruitingSite recruiting status changed+6 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
59
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

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.

This phase II trial tests how well giving intrathecal (IT) cytarabine and hydrocortisone works for the early treatment of immune effector cell associated neurotoxicity syndrome (ICANS) in patients undergoing chimeric antigen response (CAR) t cell therapy for the treatment of non Hodgkin Lymphoma that has come back after a period of improvement (recurrent) or that has not responded o previous treatment (refractory). CAR T-cell therapy can sometimes cause an overactive immune response and inflammation. This can cause a side effect called ICANS that affects the rain and may lead to symptoms such as confusion, difficulty speaking, or other neurological problems. Giving cytarabine and hydrocortisone directly into the fluid around the brain and spinal cord (called intrathecal treatment) may help lower the body's immune response and reduce inflammation. Giving IT cytarabine and hydrocortisone may be effective for early treatment of CANS in patients undergoing CAR T cell therapy for relapsed or refractory non Hodgkin Lymphoma.

Read the detailed description

PRIMARY OBJECTIVE:

I. Efficacy of IT therapy to reduce high-grade ICANS in participants who receive axi-cel in NHL compared to historical experience.

SECONDARY OBJECTIVE:

I. Impact of IT therapy on CAR T toxicities. II. Adverse events from IT therapy. III. Feasibility of IT therapy. IV. Impact of IT therapy on standard of care (SOC) manage (CRS) and ICANS. V. Impact of IT therapy on disease outcomes. VI. Impact of IT therapy on participants quality of life (QoL)

OUTLINE:

Patients receive standard of care cyclophosphamide based chemotherapy on day -5 to -3 and receive CAR T on day 0. Patients with grade 1/2 ICANS receive hydrocortisone and cytarabine IT along with standard of care dexamethasone or methylprednisolone. Patients with persistent or recurrent grade 1/2 ICANS receive hydrocortisone and cytarabine IT > 48 hours after initial treatment and patients with ≥ grade 3 ICANS receive hydrocortisone and cytarabine IT > 24 hours since initial treatment. Treatment is given in the absence of disease progression or unacceptable toxicity for a maximum of 2 treatments. Additional standard of care therapies may given if no improvement in 48 hours of IT therapy for grade 2 or 24 hours of IT therapy for grade 3/4 ICANS after discussion with study team. Patients undergo lumbar puncture for cerebrospinal fluid (CSF) collection on study and blood sample collection throughout the study.

02

Conditions studied

  • Non-hodgkin Lymphoma
  • Recurrent Diffuse Large B-Cell Lymphoma
  • Recurrent Mantle Cell Lymphoma
  • Refractory Mantle Cell Lymphoma
  • Refractory Marginal Zone Lymphoma

Keywords

  • relapsed
  • refractory
03

In context

Lymphoma, Non-Hodgkin

2,287 studies on the registry are indexed under Lymphoma, Non-Hodgkin; 287 are open to participants now.

This study's planned enrollment of 59 is above the median of 40 across 1,883 interventional studies indexed under Lymphoma, Non-Hodgkin.

Browse Lymphoma, Non-Hodgkin studies →

Lead sponsor

Vanderbilt-Ingram Cancer Center is the lead sponsor of 223 studies on the registry; 33 are open to participants now.

Of its 23 completed or terminated interventional studies of FDA-regulated products, 18 (78%) have results posted.

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age ≥ 18 years
  2. confirmed non-Hodgkin Lymphoma, including the following types defined by the World Health Organization (2017) or International Consensus Classification (2022):

    • Diffuse large B-cell lymphoma (DLBCL)
    • Primary mediastinal large B-cell lymphoma (PMBCL)
    • Transformed follicular lymphoma (tFL)
    • Transformed marginal zone lymphoma (tMZL)
    • High-grade B-cell lymphoma (HGBL) with MYC and BCL2 and/or BCL6 rearrangements
    • Follicular lymphoma
    • Mantle cell lymphoma
    • Marginal zone lymphoma
  3. Meets institutional eligibility criteria to receive standard of care CD19 CAR T therapy.
  4. The participant (or legally acceptable representative if applicable) has provided documented for the trial.
  5. Participants who are positive are eligible if they have received HBV antiviral therapy for at least 4 weeks and have undetectable HBV viral load prior to allocation.

    Note: Participants should remain on anti-viral therapy throughout study intervention and follow local guidelines for HBV anti-viral therapy post completion of study intervention. Hepatitis B screening tests, including HBsAg and anti-HBc, are required for all participants.

  6. Participants with history of infection are eligible if HCV viral load is undetectable at screening.

    • Participants must have completed curative anti-viral therapy at least 4 weeks prior to allocation.
    • Hepatitis C screening tests are not required unless: Known history of HCV infection as mandated by local health authority or institutional requirement for CAR T
  7. Participants with are eligible if they meet ALL of the following criteria:

    • The is ≥ 350 cells/µL at screening
    • The HIV viral load is below the detectable level as per locally available testing
    • Are on a stable ART regimen for at least 4 weeks prior to study entry with good compliance
    • Note: ART includes drugs, which are NOT strong inducers (participants receiving ART that are strong CYP3A4 inducers are not eligible to be included in the study).
    • HIV screening tests are not required unless: Known history of HIV infection as mandated by local health authority or institutional requirement for CAR T
  8. Adequate organ function as defined in the following table. Specimens must be collected within 30 days of LD chemo.

    (ANC) ≥500/µL a ≥25 000/µL a ≥7 g/dL a Renal Creatinine OR Measured or calculated b ( can also be used in place of creatinine or CrCl) ≤1.5 × OR ≥30 mL/min for participant with creatinine levels >1.5 × institutional ULN Total ≤1.5 ×ULN (except known case of Gilbert's) (SGOT) and ALT (SGPT) ≤ 5× ULN Coagulation (INR) OR prothrombin time (PT) Activated partial thromboplastin time (aPTT) ≤1.5 × ULN unless participant is receiving anticoagulant therapy as long as PT or PTT is within therapeutic range of intended use of anticoagulants

  9. Participants Assigned Male Sex at Birth

    If capable of producing sperm, the participant agrees to the following during the intervention period and for at least the time needed to eliminate each study intervention after the last dose of study intervention. The length of time required to continue for each study intervention is:

    • Cytarabine: 1 month
    • Abstains from penile-vaginal intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent basis) and agrees to remain abstinent OR
    • Uses contraception as detailed below unless confirmed to be azoospermic (vasectomized or secondary to medical cause, documented from the site personnel's review of the participant's medical records, medical examination, or medical history interview) as detailed below:
    • Uses a penile/external condom plus nonparticipant of who is not currently pregnant and should also be advised of the benefit for that partner to use an additional method of contraception, as a condom may break or leak.

    Note: Participants capable of producing ejaculate whose partner is pregnant or breastfeeding must agree to use penile/external condom during each episode of sexual activity in which the partner is at risk of drug exposure via ejaculate.

    Contraceptive use by participants capable of producing sperm should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. If the contraception requirements in the local label for any of the study interventions are more stringent than the requirements above, the local label requirements are to be followed.

  10. Participants Assigned Female Sex at Birth

A participant assigned female sex at birth is eligible to participate if not pregnant or breastfeeding, and at least one of the following conditions applies:

Is not a person of childbearing potential (POCBP) OR

Is a POCBP and: Uses a contraceptive method that is highly effective (with a failure rate of \<1% per year), with low user dependency, or is abstinent from penile-vaginal intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent basis), as described in Appendix 3 during the intervention period and for at least the time needed to eliminate each study intervention after the last dose of study intervention. The length of time required to continue contraception for each study intervention is:

  • Cytarabine: 1 month- The investigator should evaluate the potential for contraceptive method failure (ie, noncompliance, recently initiated) in relationship to the first dose of study intervention. Contraceptive use by POCBPs should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. If the contraception requirements in the local label for any of the study interventions are more stringent than the requirements above, the local label requirements are to be followed. Has a negative highly sensitive pregnancy test (urine or serum) as required by local regulations within 24 hours (for urine test) or 72 hours (for serum test) before the first dose of study intervention. If a urine test cannot be confirmed as negative (eg, an ambiguous result), a serum pregnancy test is required. In such cases, the participant must be excluded from participation if the serum pregnancy result is positive. Additional requirements for pregnancy testing during and after study intervention are in Section X. Abstains from breastfeeding during the study intervention period and for at least 30 days after study intervention with IT therapy. Medical history, menstrual history, and recent sexual activity has been reviewed by the investigator to decrease the risk for inclusion of a POCBP with an early undetected pregnancy.

Exclusion criteria

Exclusion Criteria:

  1. Active / infection. See Inclusion Criteria 7 (HBV) and 8 (HCV) for requirements.
  2. Patients with uncontrolled systemic infection despite appropriate antibiotics or other treatment.
  3. 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.
  4. History of transfusion refractoriness or participant declining transfusion support (i.e. Jehovah's witness).
  5. Participant requiring anti-platelets (aspirin, clopidogrel, ticagrelor) or systemic anticoagulants (coumadin, DOACs) which cannot be safely held at start of LD chemotherapy through Day+28. This is required to avoid delays in rapidly getting IT therapy.
  6. Active (ie, progressing or requiring treatment change in the last 24 months) other than high-grade B cell lymphoma. The only exceptions allowed are:

    • Prior or concurrent indolent B cell lymphoma (follicular or marginal zone or lymphoplasmacytic lymphoma) with subsequent high-grade transformation
    • Non-muscle invasive bladder cancer treated within the last 24 months that is considered completely cured
    • Skin cancer (non-melanoma or melanoma) treated within the last 24 months that is considered completely cured.
    • Noninvasive cervical cancer treated within the last 24 months that is considered completely cured
    • Localized prostate cancer (N0M0):

      1. With a Gleason score of ≤6, treated within the last 24 months, or untreated and under surveillance
      2. With a Gleason score of 3+4 that has been treated >6 months prior to full study screening and considered to have a very low risk of recurrence; or history of localized prostate cancer and receiving androgen deprivation therapy and considered to have a very low risk of recurrence.
    • Breast cancer: adequately treated lobular carcinoma in situ or ductal carcinoma in situ, or history of localized breast cancer and receiving antihormonal agents and considered to have a very low risk of recurrence
    • Other malignancy that is considered cured with minimal risk of recurrence.
    • Known indolent bone marrow disorders such as monoclonal gammopathy of undetermined significance, clonal hematopoiesis of indeterminate potential that in the opinion of the Investigator or Sponsor do not present an increased risk of developing a secondary hematopoietic malignancy.
  7. A POCBP who has a positive urine pregnancy test within 72 hours prior to allocation (see Appendix 3). If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required.

    Note: In the event that 72 hours have elapsed between the screening pregnancy test and the first dose of study treatment, another pregnancy test (urine or serum) must be performed and must be negative in order for participant to start receiving study medication.

  8. Primary CNS lymphoma, post-transplant lymphoproliferative disorder (PTLD)
  9. Any history of active CNS involvement with lymphoma. Previously treated secondary CNS disease allowed as long as confirmed disease control based on imaging and negative CSF cytology.
  10. Has received a or live-attenuated vaccine within 30 days before the first dose of study intervention. Administration of killed vaccines are allowed.
  11. Is currently enrolled on another interventional therapeutic clinical trial which may impact the safety and/or efficacy of CAR T therapy.
  12. Diagnosis of immunodeficiency or is receiving chronic systemic therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of therapy within 7 days prior the first dose of study medication.
  13. Has active disease on active therapy with systemic biologics and/or prednisone ≥ 20mg/day equivalent. Vitiligo, type I diabetes, and prior autoimmune thyroiditis that is currently euthyroid based on clinical symptoms and laboratory testing are allowed to enroll.
  14. Has not adequately recovered after 4 weeks from major surgery or has ongoing surgical complications.

    Note: Tumor and placement of central venous access devices are not considered major surgery.

  15. Has a history or current evidence of any condition, therapy, or laboratory abnormality or other circumstance that might confound the results of the study, interfere with the participant's participation for the full duration of the study, such that it is not in the best interest of the participant to participate, in the opinion of the treating investigator.
  16. Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial.
Terms in these criteria, in plain language(24)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
59 participants (estimated)

Study arms

  • Experimental
    Hydrocortisone + Cytarabine + Dexamethasone or Methylprednisolone

    Drugs will be given at onset of grade 1/2 ICANS after Axi-cel or Brexu-cel

    Drug: Therapeutic Hydrocortisone · Drug: Cytarabine · Drug: Dexamethasone · Drug: Methylprednisolone · Drug: Cyclophosphamide · Biological: Axicabtagene Ciloleucel · Biological: Brexucabtagene Autoleucel

  • Active comparator
    Prophylactic corticosteroids with Dexamethasone

    Drugs will be given at onset of grade 1/2 ICANS after Axi-cel or Brexu-cel

    Drug: Dexamethasone · Drug: Cyclophosphamide · Biological: Axicabtagene Ciloleucel · Biological: Brexucabtagene Autoleucel

Interventions

  • 100 mg IT with onset of grade 1/2 ICANS

    Also known as: (11beta)-11,17,21-Trihydroxypregn-4-ene-3,20-dione, Dermacort

  • 100 mg IT with onset of grade 1/2 ICANS

    Also known as: ARA-cell, Beta-Cytosine Arabinoside

  • IV 10mg

  • 1g daily until adverse events resolves

  • Given as standard of care

    Also known as: (-)-Cyclophosphamide, 1-bis(2-chloroethyl)-amino-1-oxo-2-aza-5-oxaphosphoridin monohydrate

  • Given as standard of care

    Also known as: Axi-cel, AXICABTAGENE CILOLEUCEL

  • Given as standard of care

    Also known as: Brexu-cel, Anti-CD19 Autologous CAR-CD28 T-cells KTE-X19,

06

What researchers measure

Primary outcomes

  1. Efficacy of IT therapy to reduce high-grade ICANS in participants who receive axi-cel in NHL compared to historical experience

    Incidence of \> Grade 3 ICANS after IT therapy in subjects with grade 1-2 ICANS

    Time frame: From first IT therapy through 14 days from last IT therapy (Up to 3 months)

  2. Progression free survival

    Will be analyzed using the Kaplan-Meier method to estimate the survival distribution.

    Time frame: From the day of CAR T therapy infusion to objective disease progression, initiation of any non-protocol anti-lymphoma therapy, or death from any cause, up to 3 months.

Secondary outcomes

  1. Impact of IT therapy on CAR T toxicities

    Incidence, grade, duration of CRS and ICANS

    Time frame: From first IT therapy through 14 days from last IT therapy (Up to 3 months)

  2. Adverse events from IT therapy

    Incidence of AE resulting from IT therapy

    Time frame: From first IT therapy tthrough 14 days from last IT therapy (Up to 3 months)

  3. Feasibility of IT therapy

    total number of IT therapy cycles per participant

    Time frame: time from onset of ICANS to administration of first IT therapy

  4. Impact of IT therapy on SOC management of CRS and ICANS

    Number of inpatient hospital days among planned outpatient CAR T infusions. Number and type of systemic therapies for ICANS beyond steroids and IT therapy

    Time frame: time from CAR T infusion (day 0) through Post treatment Day +28

  5. Impact of IT therapy on disease outcome

    ORR/CR rates; non-relapse mortality; cumulative incidence of G3 or higher infections

    Time frame: time from CAR T infusion (day 0) through Post treatment Day +90

  6. Impact of IT therapy on participants QOL

    Completion of FACT-G (Functional Assessment of Cancer Therapy - General), a 27-item questionnaire used to measure the quality of life in cancer patients. Not at all 0 A little bit 1 Somewhat 2 Quite a bit 3 Very much 4

    Time frame: time from screening through Post treatment Day +90

07

Study locations

1 of 1 sites recruiting
  • Vanderbilt University/Ingram Cancer Center
    Nashville, Tennessee 37203, United States
    Recruiting
    • Vanderbilt-Ingram Service Services for Timely Access · Contactcip@vumc.org · 800-811-8480
    • Bhagirathbhai Dholaria · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2026 (actual). Primary completion is estimated for Mar 2028, 17 months after the start.

Of 173 non-industry phase 2 interventional studies under Lymphoma, Non-Hodgkin, half reached primary completion within 67 months of starting (the median), counting those still running; a quarter within 43 and three quarters within 111. This study's planned 17 months is below that.

Counting every sponsor, half of 223 studies reached it within 65 months; a quarter within 41 and three quarters within 104.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 2, 2026: start Oct 2026 → Sep 2026, primary completion Oct 2029 → Mar 2028 and completion Oct 2030 → Oct 2029.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Aug 4, 2026
First posted
Aug 13, 2026
StartActual
Sep 25, 2026was Oct 2026
Primary completionEst.
Mar 1, 2028was Oct 2029
CompletionEst.
Oct 1, 2029was Oct 2030
Last update
Oct 2, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Recruiting
changed Oct 2, 2026
Sites
Vanderbilt University/Ingram Cancer Center is now Recruiting
Oct 2, 2026
Start date
Oct 1, 2026→Sep 25, 2026 (actual)
Oct 2, 2026
Primary completion
Oct 1, 2029→Mar 1, 2028
Oct 2, 2026
Study completion
Oct 1, 2030→Oct 1, 2029
Oct 2, 2026
Interventions
Changed Hydrocortisone→Therapeutic Hydrocortisone; Cytarabine 100 MG/ML→Cytarabine. Added Drug: Cyclophosphamide·Biological: Axicabtagene Ciloleucel·Biological: Brexucabtagene Autoleucel
Oct 2, 2026
Primary outcomes
1 time frame changed, 1 added
What changed in the outcomes
  • AddedProgression free survivalTime frame: From the day of CAR T therapy infusion to objective disease progression, initiation of any non-protocol anti-lymphoma therapy, or death from any cause, up to 3 months.
  • Time frameEfficacy of IT therapy to reduce high-grade ICANS in participants who receive axi-cel in NHL compared to historical experienceFrom first IT therapy through 14 days from last IT therapy → From first IT therapy through 14 days from last IT therapy (Up to 3 months)
Oct 2, 2026
Secondary outcomes
2 time frame changed
What changed in the outcomes
  • Time frameImpact of IT therapy on CAR T toxicitiesFrom first IT therapy through 14 days from last IT therapy → From first IT therapy through 14 days from last IT therapy (Up to 3 months)
  • Time frameAdverse events from IT therapyFrom first IT therapy tthrough 14 days from last IT therapy → From first IT therapy tthrough 14 days from last IT therapy (Up to 3 months)
Oct 2, 2026
Title
Lazarus: IT Therapy for ICANS→Intrathecal Cytarabine and Hydrocortisone for the Early Treatment of ICANS in Patients Undergoing CAR T Therapy for Non Hodgkin Lymphoma
Oct 2, 2026
Show all 1 update
  1. Oct 2, 2026
    Not yet recruiting→Recruiting
    Vanderbilt University/Ingram Cancer Center is now Recruiting
    Start date Oct 1, 2026→Sep 25, 2026 (now actual)
    Primary completion Oct 1, 2029→Mar 1, 2028
    Study completion Oct 1, 2030→Oct 1, 2029
    Primary outcomes 1 time frame changed, 1 added
    What changed in the outcomes
    • AddedProgression free survivalTime frame: From the day of CAR T therapy infusion to objective disease progression, initiation of any non-protocol anti-lymphoma therapy, or death from any cause, up to 3 months.
    • Time frameEfficacy of IT therapy to reduce high-grade ICANS in participants who receive axi-cel in NHL compared to historical experienceFrom first IT therapy through 14 days from last IT therapy → From first IT therapy through 14 days from last IT therapy (Up to 3 months)
    Secondary outcomes 2 time frame changed
    What changed in the outcomes
    • Time frameImpact of IT therapy on CAR T toxicitiesFrom first IT therapy through 14 days from last IT therapy → From first IT therapy through 14 days from last IT therapy (Up to 3 months)
    • Time frameAdverse events from IT therapyFrom first IT therapy tthrough 14 days from last IT therapy → From first IT therapy tthrough 14 days from last IT therapy (Up to 3 months)
    Interventions Changed Hydrocortisone→Therapeutic Hydrocortisone; Cytarabine 100 MG/ML→Cytarabine. Added Drug: Cyclophosphamide·Biological: Axicabtagene Ciloleucel·Biological: Brexucabtagene Autoleucel
    Title Lazarus: IT Therapy for ICANS→Intrathecal Cytarabine and Hydrocortisone for the Early Treatment of ICANS in Patients Undergoing CAR T Therapy for Non Hodgkin Lymphoma
    + 5 other changes: index terms, verification date, description, conditions and design details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07763210
Collaborators
Gilead Sciences
Responsible party
Bhagirathbhai Dholaria (Principal Investigator, Vanderbilt-Ingram Cancer Center) — Principal investigator
First posted
Aug 13, 2026
Start date
Sep 25, 2026
Primary completion
Mar 1, 2028 (estimated)
Completion
Oct 1, 2029 (estimated)
Last update
Oct 2, 2026

Study contacts

Vanderbilt-Ingram Services for Timely Access
Contact
cip@vumc.org
800-811-8480
Bhagirathbhai Dholaria
principal investigator · Vanderbilt University/Ingram Cancer Center

Oversight

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

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Studies of the drug tested here: Cytarabine

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