Status:

WITHDRAWN

Telemedicine for Early Detection of Cytokine Release Syndrome and Neurotoxicity

Lead Sponsor:

Wake Forest University Health Sciences

Conditions:

Large B-cell Lymphoma

Diffuse Large B Cell Lymphoma

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The purpose of this research is to replace one of participants' outpatient chimeric antigen receptor T-cell (CAR-T) therapy follow up visits with a virtual or "telemedicine" visit. The telemedicine vi...

Detailed Description

Primary Objective: To determine feasibility of telemedicine for outpatient cytokine release syndrome and neurotoxicity assessment (how many telemedicine visits successfully completed per patient) Sec...

Eligibility Criteria

Inclusion

  • Patients must have histologically confirmed relapsed or refractory large B-cell lymphoma after two or more lines of systemic therapy, including diffuse large B-cell lymphoma (DLBCL) not otherwise specified, primary mediastinal large B-cell lymphoma, high grade B-cell lymphoma, and DLBCL arising from of follicular lymphoma
  • Age ≥ 18 years
  • ECOG or Karnofsky performance status of ≤ 2
  • Patients must have a caregiver(s) with them 24 hours a day for the first 30 days after CAR-T cell infusion
  • Patients must stay within a 30-minute distance from the cancer center
  • Patients must have access to wifi network or a cellular network
  • Patients and caregiver(s) participating in patient's care must attend the education session for outpatient CAR-T and demonstrate competency to collect vital signs with equipment provided
  • Must have the ability to understand and the willingness to sign an IRB-approved informed consent document (either directly or via a legally authorized representative).

Exclusion

  • Patients who have acute lymphoblastic leukemia/lymphoma
  • Patients who have a high tumor burden (\> 10 cm largest mass) have a high risk of CRS who will receive CAR-T as an inpatient
  • Patient or caregiver unable to understand and follow English language
  • Uncontrolled intercurrent illness including, but not limited to ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.

Key Trial Info

Start Date :

December 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 1 2023

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT04503538

Start Date

December 1 2020

End Date

November 1 2023

Last Update

October 23 2020

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