Occurrence of Acute Kidney Injury After CAR-T Cells Treatments in B-cell Lymphoma.

NCT ID: NCT07101913

Last Updated: 2025-08-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-04-01

Study Completion Date

2026-04-01

Brief Summary

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The investigators want to describe the incidence of AKI after CAR-T cells therapy in B-cell lymphoma. With the aim of highlight risk factors in AKI occurrence. Then, look at outcomes in the subgroup with chronic kidney disease at baseline. Finally, the investigators will examine long term evolution of kidney function.

Detailed Description

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Conditions

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Acute Kidney Injury (AKI) Infusion of CD19 CAR T Cell B Cell Lymphoma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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CAR-T cells treatment

All patients followed in haematology center in "Hospices civils de Lyon" for a B-cell lymphoma and treated by anti-CD19 CAR-T cells.

Incidence of acute kidney injury

Intervention Type BIOLOGICAL

* Creatinine measurement before lymphodepletion chemotherapy, before CAR-T cells injection (day 0) and at day 1, day 3, day 5, day 7, day 10, day 14, day 21 and day 28.
* AKI according to 2012 KDIGO.

Describe risk factors in AKI occurrence.

Intervention Type OTHER

Comparison of caracteristics between participants with AKI and participants without AKI :

* Baseline caracteristics of participants : age, gender, BMI (Body mass index), medical history…
* Caracteristics of hematology disease : severity of lymphoma, previous treatments (chemotherapy, autologous/allogenic stem cell transplant), type of CAR-T cells (axi-cel, tisa-cel)
* Other adverse affects : cytokine release syndrome (CRS), immune effector cell-associated neurotoxicity syndrome (ICANS)
* Use of nephrotoxic medications Informations found in medical field.

Focus on patient with chronic kidney disease at baseline

Intervention Type OTHER

Looking at the subgroup with chronic kidney disease at baseline : are the outcomes different in this population ? Efficacity of CAR-T ? More adverse effects ?

Long term evolution after treatment by CAR-T cells

Intervention Type OTHER

Creatinine measurement 1 year after CAR-T treatment. Informations found in medical field.

Interventions

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Incidence of acute kidney injury

* Creatinine measurement before lymphodepletion chemotherapy, before CAR-T cells injection (day 0) and at day 1, day 3, day 5, day 7, day 10, day 14, day 21 and day 28.
* AKI according to 2012 KDIGO.

Intervention Type BIOLOGICAL

Describe risk factors in AKI occurrence.

Comparison of caracteristics between participants with AKI and participants without AKI :

* Baseline caracteristics of participants : age, gender, BMI (Body mass index), medical history…
* Caracteristics of hematology disease : severity of lymphoma, previous treatments (chemotherapy, autologous/allogenic stem cell transplant), type of CAR-T cells (axi-cel, tisa-cel)
* Other adverse affects : cytokine release syndrome (CRS), immune effector cell-associated neurotoxicity syndrome (ICANS)
* Use of nephrotoxic medications Informations found in medical field.

Intervention Type OTHER

Focus on patient with chronic kidney disease at baseline

Looking at the subgroup with chronic kidney disease at baseline : are the outcomes different in this population ? Efficacity of CAR-T ? More adverse effects ?

Intervention Type OTHER

Long term evolution after treatment by CAR-T cells

Creatinine measurement 1 year after CAR-T treatment. Informations found in medical field.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients followed in haematology center in "Hospices civils de Lyon"
* For a B-cell lymphoma
* Treated by anti-CD19 CAR-T cells

Exclusion Criteria

* Less than 18 years old
* Patients with legal protection measure
* CAR-T cells therapy for another disease : leukemia, autoimmune disease…
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospices Civils de Lyon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Nephrology department, Centre hospitalier Lyon Sud

Pierre-Bénite, France, France

Site Status

Countries

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France

Other Identifiers

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24-5297

Identifier Type: -

Identifier Source: org_study_id

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