Digital health program for self-management and remote monitoring during outpatient CAR-T therapy
Official title: Digital Health Intervention for Self-Management and Telemonitoring in Chimeric Antigen Receptor-T Cell (CAR-T)Therapy
Run by City of Hope Medical Center · NCT07186192 · Data updated 2026-11-12
This Phase 3 study tests whether a remote patient-monitoring and education program helps adults with relapsed or refractory blood cancers and their family caregivers manage symptoms during and after outpatient CAR-T therapy.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 380 (estimated) |
| Sponsor | City of Hope Medical Center Academic / other |
| Drugs / interventions | CAR-T |
| Locations | 1 site (Duarte, California) |
| Status | Recruiting |
| Started | January 14, 2026 |
| Main results expected | March 29, 2029 |
| Study ends | March 29, 2029 |
| Registry record updated | August 28, 2026 |
| Trial ID | NCT07186192 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) with relapsed or refractory hematologic malignancy who are scheduled for outpatient standard-of-care CAR-T therapy and have a committed family caregiver who can read English or Spanish are eligible.
✕Probably not a fit
Patients receiving inpatient CAR-T, those without a committed family caregiver, those unable to read English or Spanish, or those unable/unwilling to use remote monitoring are unlikely to benefit from this intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, controlled Phase 3 trial will enroll 190 patients receiving outpatient standard-of-care CAR-T therapy and their family caregivers to compare usual care versus a multilevel intervention enhanced with remote patient monitoring (RPM), educational materials, telemonitoring, and structured questionnaires. The intervention combines real-time symptom telemetry, caregiver engagement, and best-practice clinical pathways to detect and respond to complications earlier. Outcomes will include clinical effects on symptom burden, adverse events, healthcare utilization, and caregiver-reported measures during and after CAR-T. The study is led by City of Hope Medical Center with support from the U.S. Department of Defense.
Why it matters
Potential benefit: If successful, the program could reduce severe side effects, improve symptom control, and provide better support for caregivers during and after outpatient CAR-T therapy.
How similar studies have gone: Remote patient monitoring and digital education have shown promise for symptom management in other oncology settings, but robust randomized Phase 3 evidence specifically in CAR-T recipients is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Patient Inclusion Criteria Informed Consent and Willingness to Participate 1. Documented informed consent of the participant and/or legally authorized representative Age and Language Criteria 2. Age ≥ 18 years old at the time of enrollment 3. Ability to read and understand English or Spanish for Questionnaires Nature of Illness and Treatment Related Criteria 4. Relapsed or refractory hematologic malignancy 5. Scheduled to receive outpatient standard of care (SOC) CAR-T therapy 6. Has a FCG committed to living with the patient for the duration of the study Family Caregiver Inclusion Criteria Informed Consent and Willingness to Participate 1. Documented informed consent of the participant and/or legally authorized representative Age and Language Criteria 2. Age ≥ 18 years old at the time of enrollment 3. Ability to read and understand English or Spanish for Questionnaires Nature of Illness and Treatment Related Criteria 4. Family member or friend identified by the patient and defined as a person who knows the patient well and is involved in the patient's medical care Exclusion Criteria 1. An employee who is under the direct/indirect supervision of the PI/ a co-investigator/ the study manager 2. A direct study team member \-
Where it's running
-
City of Hope Medical Center
Duarte, California, United States Recruiting
Study contacts
- Principal investigator: Virginia Sun, PhD, RN — City of Hope Medical Center
- Study coordinator: Virginia Sun, PhD, RN
- Email: vsun@coh.org
- Phone: 626-218-3122
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
In Vivo CD19/CD20 CAR T-Cell Therapy for Relapsed or Refractory B-Cell Lymphoma
This early-phase trial tests a one-time in vivo CAR T-cell therapy (SL1617) for people with relapsed or refractory B-cell lymphoma to see if it is safe and tolerable.
-
Combining donor-derived anti-CD19 CAR-T cells with haploidentical transplant using post-transplant cyclophosphamide
This trial tests whether giving donor-derived anti-CD19 CAR-T cells together with a haploidentical bone marrow transplant using post-transplant cyclophosphamide can help adults (18–75) with high‑risk CD19+ blood cancers.
-
CD5 CAR T-cell therapy for relapsed or refractory T-cell lymphoma
This trial tries CD5 CAR T-cell therapy, using either the patient's own cells or donor cells, and may bridge to stem-cell transplant for people 14–70 with relapsed or refractory T-cell lymphoma.
-
Glofitamab plus obinutuzumab for mantle cell lymphoma after CAR‑T
This trial tests whether the antibody drug glofitamab given with obinutuzumab can shrink or control mantle cell lymphoma that returned or didn't respond after CD19 CAR‑T therapy in adults.
-
CD7 CAR T-Cell Therapy for T-Cell Lymphomas
This study is testing a new CAR T-cell therapy for people with T-cell lymphomas that haven't responded to regular treatments to see if it is safe and effective.
-
Using golcadomide and rituximab to prepare patients for CAR T-cell therapy in aggressive B-cell lymphoma
This study is testing if a combination of golcadomide and rituximab can help patients with aggressive B-cell lymphoma get ready for CAR T-cell therapy.
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.