Pragmatic Geriatric Assessment Before CAR-T or Bispecific Antibody Therapy to Predict Side Effects and Outcomes in Older Patients (GA-ACT Trial)

NCT ID: NCT07309497

Last Updated: 2025-12-30

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

RECRUITING

Total Enrollment

208 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-12-12

Study Completion Date

2028-02-01

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

CAR-T cell or bispecific antibody therapies are a new treatment option for adult patients with aggressive forms of lymphoma or so-called plasma cell diseases ('multiple myeloma', 'plasma cell myeloma') that could not be cured with other, less intensive approaches. However, these are intensive therapies that can be associated with severe and potentially life-threatening side effects. Although there is no age limit for these therapies, we know little about the short- and long-term side effects of these treatments in people of advanced age.

Although a small number of patients in the pivotal studies were even over 80 years old, their number was too small to be able to assess the tolerability and success specifically in people over 65. At present, the treating physicians decide whether and, if so, which patients are considered 'fit' enough for this therapy. An objective assessment of the kind we want to investigate in our study does not currently exist on a regular basis. In this study, we therefore want to use simple clinical methods to investigate the effects of these forms of therapy in different areas of everyday function that are important for people in older age (mobility, memory, self-care skills, nutrition). We want to find out whether these investigations help to predict the risk of severe and/or long-term side effects. Based on the results, a pragmatic geriatric assessment could be introduced as standard before these therapies. Older patients could thus expect an improvement in their quality of life thanks to more predictable risks and side effects. Standardized screening could lead to lower healthcare costs for treatment and aftercare for both forms of therapy.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Multiple Myeloma (MM), Lymphoma, Large B-Cell, Diffuse (DLBCL), Lymphoma CART Therapy Bispecific Antibody Geriatric Hematology

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

geriatric assessment lymphoma multiple myeloma bispecific antibodies chimeric antigen receptor outcome assessment toxicity health related quality of life

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

geriatric assessment group

pragmatic geriatric assessment

Intervention Type OTHER

observational study

pragmatic geriatric assessment

Intervention Type OTHER

pragmatic geriatric assessment

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

pragmatic geriatric assessment

observational study

Intervention Type OTHER

pragmatic geriatric assessment

pragmatic geriatric assessment

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* male or female patients age ≥ 65 years,
* scheduled for CAR-T-cell or bsAB treatments
* signed informed consent
* sufficient knowledge of the German or French language

Exclusion Criteria

* inability to understand or sign informed consent
* refuse to consent
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

University Hospital, Zürich

OTHER

Sponsor Role collaborator

Insel Gruppe AG, University Hospital Bern

OTHER

Sponsor Role collaborator

Swiss Cancer Institute

OTHER

Sponsor Role collaborator

University of Zurich

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Wiebke Rösler, Dr. med.

Role: PRINCIPAL_INVESTIGATOR

Universitätsspital Zürich

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Inselspital Bern

Bern, , Switzerland

Site Status RECRUITING

Universitätsspital Zürich

Zurich, , Switzerland

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

Switzerland

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Wiebke Rösler, Dr. med.

Role: CONTACT

Phone: +4144 255 11 11

Email: [email protected]

Wiebke Gagesch, PD Dr. med.

Role: CONTACT

Phone: +4144 417 11 11

Email: [email protected]

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Anna Eggimann, PD Dr. med.

Role: primary

Urban Novak, Prof. Dr. med

Role: backup

Wiebke Rösler, Dr. med.

Role: primary

Stricker Helena, Dr. med.

Role: backup

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

KLS-6127-08-2024-R

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

BASEC-No 2025-01228

Identifier Type: -

Identifier Source: org_study_id