Assessing pupil changes to predict neurotoxicity after CAR-T therapy
Official title: A Pilot Study for Pupillary Assessment to Predict CAR-T Related Neurotoxicity
Run by M.D. Anderson Cancer Center · NCT06144151 · Data updated 2026-11-12
This study is testing if changes in pupil size can help predict neurological side effects in patients receiving CAR-T therapy.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | M.D. Anderson Cancer Center Academic / other |
| Drugs / interventions | CAR-T, CAR T |
| Locations | 1 site (Houston, Texas) |
| Status | Recruiting |
| Started | February 8, 2024 |
| Main results expected | April 1, 2027 |
| Study ends | April 1, 2027 |
| Registry record updated | July 16, 2026 |
| Trial ID | NCT06144151 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include adults aged 18 and older with specific types of lymphoma receiving Axi-cel CAR-T cell therapy at MD Anderson Cancer Center.
✕Probably not a fit
Patients who have previously received CAR-T therapy or those unable to comply with study requirements may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to investigate the relationship between changes in pupil size and reactivity and the onset of neurological side effects in patients receiving CAR-T cell therapy. The primary objective is to evaluate the association between baseline and post-infusion pupil metrics and the development of neurotoxicity within ten days after treatment. Secondary objectives include assessing the difference in pupil size between eyes and its correlation with clinical symptoms and imaging findings. The study also explores the feasibility and safety of using a pupillometer in this patient population.
Why it matters
Potential benefit: If successful, this study could provide a non-invasive method to predict neurotoxicity in patients undergoing CAR-T therapy, potentially improving patient monitoring and outcomes.
How similar studies have gone: While the approach of using pupillary assessment in this context is novel, similar studies have explored neurotoxicity monitoring in cancer therapies, indicating potential for success.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: To be considered eligible for study participation, patient will satisfy all relevant inclusion criteria and none of the exclusion criteria. Inclusion Criteria: 1. Ages Eligible for Study: 18 Years and above (Adult, Older Adult) 2. Sexes Eligible for Study: All 3. Patient with histologically proven DLBCL, PMBCL or tFL, or follicular Lymphoma receiving axi-cel CAR-T cell therapy in the inpatient setting at MD Anderson Cancer Center 4. Ability to understand and the willingness to sign a written informed consent document. Exclusion Criteria: 1. Patients who have already been administered CAR-T cell therapy. 2. The patient who is unwilling or unable to comply with the requirements of the study including being able to be assessed with pupillometer 3. Patient has a condition which places him at an unacceptable risk as determined by the investigator
Where it's running
-
MD Anderson Cancer Center
Houston, Texas, United States Recruiting
Study contacts
- Principal investigator: Ranjit Nair, MD — M.D. Anderson Cancer Center
- Study coordinator: Ranjit Nair, MD
- Email: rnair@mdanderson.org
- Phone: (713) 563-4354
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.