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 |
Meta-analysis of the safety of Chimeric Antigen Receptor (CAR) T-Cell Therapy for hematological malignancies
Meta-analysis of the safety of Chimeric Antigen Receptor (CAR) T-Cell Therapy for hematological malignancies
Meta-analysis of the safety of Chimeric Antigen Receptor (CAR) T-Cell Therapy for hematological malignancies
Meta-analysis of the safety of Chimeric Antigen Receptor (CAR) T-Cell Therapy for hematological malignancies
Japan |
Hematological Malignancies
Medicine in general | Hematology and clinical oncology |
Malignancy
NO
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.
Safety
The primary outcome is the frequency of occurrence of cytokine release syndrome and neurotoxicity during the observation period.
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.
Others,meta-analysis etc
18 | years-old | <= |
Not applicable |
Male and Female
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).
(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.
1st name | Kaoru |
Middle name | |
Last name | Takase-Minegishi |
Yokohama City University Graduate School of Medicine
Department of Stem Cell and Immune Regulation
236-0004
3-9 Fukuura, Kanazawa-ku, Yokohama
045-787-2630
kaoru_t@yokohama-cu.ac.jp
1st name | Kaoru |
Middle name | |
Last name | Minegishi |
Yokohama City University Graduate School of Medicine
Department of Stem Cell and Immune Regulation
236-0004
3-9, Kanazawa, Fukuura, Yokohama
045-787-2630
kaoru_t@yokohama-cu.ac.jp
Yokohama City University Graduate School of Medicine
Yokohama City University Graduate School of Medicine
Self funding
Yokohama City University Graduate School of Medicine
Yokohama City University Graduate School of Medicine
045-787-2630
kaoru_t@yokohama-cu.ac.jp
NO
2023 | Year | 10 | Month | 05 | Day |
Unpublished
Preinitiation
2023 | Year | 09 | Month | 28 | Day |
2023 | Year | 10 | Month | 01 | Day |
2024 | Year | 12 | Month | 31 | Day |
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.
2023 | Year | 10 | Month | 05 | Day |
2024 | Year | 04 | Month | 04 | Day |
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 |