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Trial Title: Role of the Gut Microbiome in the Outcome of Diffuse Large B-Cell Lymphoma Patients Treated With CAR-T Cell Therapy

NCT ID: NCT05725720

Condition: Diffuse Large B Cell Lymphoma

Conditions: Official terms:
Lymphoma
Lymphoma, B-Cell
Lymphoma, Large B-Cell, Diffuse

Conditions: Keywords:
Gut microbiome
CAR T-cell therapy

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Other
Intervention name: Gut microbiome analysis
Description: Characterization of the compositional and functional modifications of gut microbiome in patients affected by lymphoma undergoing therapy with CAR-T cells from baseline until the restaging after 18 months from the CAR-T cell infusion

Summary: Despite impressive outcomes in selected patients, significant heterogeneity in clinical response to CAR-T cell therapy remains. The gut microbiome (GM) has recently emerged as one of the key modifiable factors of prognosis and response to treatment in cancer patients, with high-diversity profiles rich in health-associated taxa while poor in pathobionts generally associated with better response and longer survival. Currently, it is unknown if GM also modulates anti-tumor responses to CAR-T cells and related toxicities in lymphomas.

Criteria for eligibility:

Study pop:
Up to 90 relapsed/refractory diffuse large B-cell lymphoma adult (≥18 years) patients undergoing CAR-T cell therapy will be enrolled over 3 years, treated and followed up with fecal sample collection until 18 months after CAR-T cell infusion.

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: 1. Age ≥18 years. 2. Patients affected by histologically confirmed DLBCL. 3. Patients amenable for CAR-T cell therapy as for clinical approved indication (commercial products). 4. Patients must provide written informed consent. Exclusion Criteria: 1. Evidence of significant, uncontrolled concomitant diseases that could affect compliance with the protocol or interpretation of results. 2. Concurrent second malignancy.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Locations:

Facility:
Name: Institute Of Hematology "Seràgnoli"

Address:
City: Bologna
Zip: 40138
Country: Italy

Status: Recruiting

Contact:
Last name: Pier Luigi Zinzani, MD

Phone: +39 051 636

Phone ext: 4042
Email: pierluigi.zinzani@unibo.it

Investigator:
Last name: Pier Luigi Zinzani, MD
Email: Principal Investigator

Start date: March 23, 2023

Completion date: December 2027

Lead sponsor:
Agency: University of Bologna
Agency class: Other

Collaborator:
Agency: Associazione Italiana per la Ricerca sul Cancro
Agency class: Other

Collaborator:
Agency: IRCCS Azienda Ospedaliero-Universitaria di Bologna
Agency class: Other

Source: University of Bologna

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05725720

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