Retrospective Study to Evaluate the Impact of Prior Blinatumomab on Subsequent CD19 CAR Outcomes and Evaluation of Other CAR T-cell Related Toxicities

Sponsor
National Cancer Institute (NCI) (NIH)
Overall Status
Active, not recruiting
CT.gov ID
NCT05440409
Collaborator
(none)
57
1
21.6
2.6

Study Details

Study Description

Brief Summary

PROTOCOL SUMMARY

Title: Retrospective Study to Evaluate the Impact of Prior Blinatumomab on Subsequent CD19 CAR Outcomes and Evaluation of Other CAR T-cell related Toxicities

Study Description: This retrospective protocol focuses on evaluating response following CD19 CAR stratified by prior blinatumomab vs no prior blinatumomab.

Objective: Primary

To evaluate the Response Free Survival (RFS) at 6 months following CD19 CAR stratified by prior blinatumomab vs no prior blinatumomab.

Secondary

To evaluate the RFS at 12 months following CD19 CAR stratified by prior blinatumomab vs no prior blinatumomab.

To evaluate the incidence of CD19 negative versus CD19 positive relapse following CD19 CAR stratified by prior blinatumomab vs no prior blinatumomab.

To evaluate the Complete Response (CR) rate following CD19 CAR stratified by prior blinatumomab vs no prior blinatumomab.

To evaluate the Minimal Residual Disease (MRD) negative remission rate following CD19 CAR stratified by prior blinatumomab vs no prior blinatumomab.

Study Population and Source of Data: Subjects who were less than <= 25 years of age at the time of diagnosis and received a CD19 CAR T-cell product between the dates 01/01/2012 to 12/31/2019.

Description of Sites/Facilities conducting research: This is a limited, multi-site collaboration between the Pediatric Oncology Branch at the National Cancer Institute, Children s Hospital Los Angeles (CHLA), Seattle Children s Hospital (SCH), Colorado Children s Hospital (CHC), Children s Hospital of Philadelphia (CHOP), Johns Hopkins Hospital (JHH) and University of Texas Southwestern Medical Center (UTSWMC).

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    PROTOCOL SUMMARY

    Title: Retrospective Study to Evaluate the Impact of Prior Blinatumomab on Subsequent CD19 CAR Outcomes and Evaluation of Other CAR T-cell related Toxicities

    Study Description: This retrospective protocol focuses on evaluating response following CD19 CAR stratified by prior blinatumomab vs no prior blinatumomab.

    Objective: Primary

    To evaluate the Response Free Survival (RFS) at 6 months following CD19 CAR stratified by prior blinatumomab vs no prior blinatumomab.

    Secondary

    To evaluate the RFS at 12 months following CD19 CAR stratified by prior blinatumomab vs no prior blinatumomab.

    To evaluate the incidence of CD19 negative versus CD19 positive relapse following CD19 CAR stratified by prior blinatumomab vs no prior blinatumomab.

    To evaluate the Complete Response (CR) rate following CD19 CAR stratified by prior blinatumomab vs no prior blinatumomab.

    To evaluate the Minimal Residual Disease (MRD) negative remission rate following CD19 CAR stratified by prior blinatumomab vs no prior blinatumomab.

    Study Population and Source of Data: Subjects who were less than <= 25 years of age at the time of diagnosis and received a CD19 CAR T-cell product between the dates 01/01/2012 to 12/31/2019.

    Description of Sites/Facilities conducting research: This is a limited, multi-site collaboration between the Pediatric Oncology Branch at the National Cancer Institute, Children s Hospital Los Angeles (CHLA), Seattle Children s Hospital (SCH), Colorado Children s Hospital (CHC), Children s Hospital of Philadelphia (CHOP), Johns Hopkins Hospital (JHH) and University of Texas Southwestern Medical Center (UTSWMC).

    Study Design

    Study Type:
    Observational
    Anticipated Enrollment :
    57 participants
    Observational Model:
    Cohort
    Time Perspective:
    Retrospective
    Official Title:
    Retrospective Study to Evaluate the Impact of Prior Blinatumomab on Subsequent CD19 CAR Outcomes and Evaluation of Other CAR T-cell Related Toxicities
    Actual Study Start Date :
    Oct 14, 2021
    Anticipated Primary Completion Date :
    Aug 1, 2023
    Anticipated Study Completion Date :
    Aug 1, 2023

    Arms and Interventions

    Arm Intervention/Treatment
    1

    Retrospective chart review of children and adults with cancer enrolled on immunotherapy treatment protocols

    Outcome Measures

    Primary Outcome Measures

    1. Response free survival [6 months]

      To evaluate the RFS at 6 months following CD19 CAR stratified by prior blinatumomab vs no prior blinatumomab.

    Secondary Outcome Measures

    1. Minimal Residual Disease detection [12 months]

      To evaluate the MRD negative remission rate following CD19 CAR stratified by prior blinatumomab vs no prior blinatumomab

    2. Response free survival [12 months]

      To evaluate the RFS at 12 months following CD19 CAR stratified by prior blinatumomab vs no prior blinatumomab

    3. Relapse Rate [12 months]

      To evaluate the incidence of CD19 negative versus CD19 positive relapse following CD19 CAR stratified by prior blinatumomab vs no prior blinatumomab

    4. Complete Remission Rate [12 months]

      To evaluate the CR rate following CD19 CAR stratified by prior blinatumomab vs no prior blinatumomab

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    3 Years to 25 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    • Subjects will not be recruited for this study; however, subjects records will be selected from treatment protocols who initiated CAR therapy between the dates of 01/01/2012 and 12/31/2019 Subject who opted out of the future use of his/her data will be excluded.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 National Cancer Institute (NCI) Bethesda Maryland United States 20892

    Sponsors and Collaborators

    • National Cancer Institute (NCI)

    Investigators

    • Principal Investigator: Nirali N Shah, M.D., National Cancer Institute (NCI)

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    National Cancer Institute (NCI)
    ClinicalTrials.gov Identifier:
    NCT05440409
    Other Study ID Numbers:
    • 10000651
    • 000651-C
    First Posted:
    Jun 30, 2022
    Last Update Posted:
    Aug 16, 2022
    Last Verified:
    Jul 18, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by National Cancer Institute (NCI)
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Aug 16, 2022