UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000052420
Receipt number R000059745
Scientific Title Meta-analysis of the safety of Chimeric Antigen Receptor (CAR) T-Cell Therapy for hematological malignancies
Date of disclosure of the study information 2023/10/05
Last modified on 2024/04/04 10:37:39

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Basic information

Public title

Meta-analysis of the safety of Chimeric Antigen Receptor (CAR) T-Cell Therapy for hematological malignancies

Acronym

Meta-analysis of the safety of Chimeric Antigen Receptor (CAR) T-Cell Therapy for hematological malignancies

Scientific Title

Meta-analysis of the safety of Chimeric Antigen Receptor (CAR) T-Cell Therapy for hematological malignancies

Scientific Title:Acronym

Meta-analysis of the safety of Chimeric Antigen Receptor (CAR) T-Cell Therapy for hematological malignancies

Region

Japan


Condition

Condition

Hematological Malignancies

Classification by specialty

Medicine in general Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Chimeric antigen receptor T-cell (CAR-T) therapy is one of the newer forms of cancer treatment, and it is an innovative approach for utilizing immune cells to attack cancer cells. Used specifically to treat multiple myeloma, lymphoma, and acute lymphoblastic leukemia, six products (Tisagenlecleucel, Axicabtagene ciloleucel, Brexucabtagene autoleucel, Lisocabtagene maraleucel, Idecabtagene vicleucel and Ciltacabtagene autoleucel) are currently approved by the US FDA. However, some significant toxicities pose a major challenge to CAR-T therapy. Therefore, in a comprehensive analysis of data from randomized controlled trials (RCTs), we will conduct a systematic review and meta-analysis to examine adverse events among products regarding CAR-T therapy.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary outcome is the frequency of occurrence of cytokine release syndrome and neurotoxicity during the observation period.

Key secondary outcomes

Secondary outcomes are the frequency of infections, hypogammaglobulinemia, infusion reactions, cytopenia, macrophage activation syndrome/hemophagocytic syndrome, coagulopathy, and tumor lysis syndrome over the observation period.


Base

Study type

Others,meta-analysis etc


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Only parallel-group RCTs will be included, and only English-language literature will be included. Include short reports and conference abstracts. Non-inferiority trials are acceptable alongside superiority trials. RCTs of any phase may be included. Exclude trials that do not report safety data.

The main inclusion criteria are as follows.
(1) Trials in adult patients with hematological malignancies.
(2) RCTs including CAR-T therapy and control therapy.
(3) Trials with adverse event results (cytokine release syndrome, neurotoxicity, infection, hypogammaglobulinemia, infusion reaction, cytopenia, macrophage activation syndrome/hemophagocytic lymphohistiocytosis, coagulopathy, tumor lysis syndrome).

Key exclusion criteria

(1) Systematic review or meta-analysis articles.
(2) Retrospective analysis.
(3) Single prospective cohort study without a control group.
(4) Non-RCT.
(5) The republished research literature is excluded unless the research includes new findings related to adverse events listed in inclusion criteria.
(6) Trials with no or insufficient safety outcomes at the time of the literature search.

Target sample size



Research contact person

Name of lead principal investigator

1st name Kaoru
Middle name
Last name Takase-Minegishi

Organization

Yokohama City University Graduate School of Medicine

Division name

Department of Stem Cell and Immune Regulation

Zip code

236-0004

Address

3-9 Fukuura, Kanazawa-ku, Yokohama

TEL

045-787-2630

Email

kaoru_t@yokohama-cu.ac.jp


Public contact

Name of contact person

1st name Kaoru
Middle name
Last name Minegishi

Organization

Yokohama City University Graduate School of Medicine

Division name

Department of Stem Cell and Immune Regulation

Zip code

236-0004

Address

3-9, Kanazawa, Fukuura, Yokohama

TEL

045-787-2630

Homepage URL


Email

kaoru_t@yokohama-cu.ac.jp


Sponsor or person

Institute

Yokohama City University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Yokohama City University Graduate School of Medicine

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Yokohama City University Graduate School of Medicine

Address

Yokohama City University Graduate School of Medicine

Tel

045-787-2630

Email

kaoru_t@yokohama-cu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2023 Year 10 Month 05 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2023 Year 09 Month 28 Day

Date of IRB


Anticipated trial start date

2023 Year 10 Month 01 Day

Last follow-up date

2024 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

We will search for candidate articles using PubMed, Cochrane, EMBASE, and Web of Science Core Collection in October 2023. A hand search will be conducted by two investigators.
RCTs meeting the following criteria will be considered for inclusion:
Participants: Adult patients with hematological malignancies.
Intervention: Treatment with CAR-T therapy.
Comparison: Control treatment.
Outcomes: To collect the overall incidence of adverse events during the observation period.

Quality assessment:
The risk of bias of each study will be assessed by Cochrane risk of bias (RoB) tool for RCTs.

Subgroup analysis:
Subgroup analyses based on products will be performed.


Management information

Registered date

2023 Year 10 Month 05 Day

Last modified on

2024 Year 04 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000059745


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name