Using exercise and nutrition to reduce CAR‑T neurotoxicity in adults with blood cancers
Official title: Randomized, Multicenter, Controlled Clinical Trial to Evaluate the Efficacy of Non-Pharmacological Interventions on Neurotoxicity Associated With CAR-T Therapy in Hematologic Patients
Run by Instituto de Investigacion Sanitaria INCLIVA · NCT07173166 · Data updated 2026-11-12
This test will try whether a structured exercise program alone or combined with nutrition advice can lower the risk or severity of neurotoxicity after CAR‑T therapy in adults (18–80) with hematologic cancer.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 338 (estimated) |
| Sponsor | Instituto de Investigacion Sanitaria INCLIVA Academic / other |
| Drugs / interventions | CAR-T |
| Locations | 2 sites (Valencia, Valencia and 1 other locations) |
| Status | Recruiting |
| Started | September 30, 2025 |
| Main results expected | July 2027 |
| Study ends | September 2028 |
| Registry record updated | July 28, 2026 |
| Trial ID | NCT07173166 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–80 with a hematologic malignancy who are scheduled to receive CAR‑T cell therapy and who can participate in exercise and follow nutritional guidance are ideal candidates.
✕Probably not a fit
Patients with language barriers, significant physical or cognitive impairments, pre‑existing neurological or psychiatric conditions, concurrent neurotoxic medications, or a history of abusive neurotoxic substance use may not be able to participate or benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a multicenter, randomized, parallel‑group trial in Valencia that will enroll 100 adults receiving CAR‑T therapy and assign them to structured physical activity, physical activity plus nutritional recommendations, or no intervention. Interventions begin at least one month before CAR‑T infusion and participants are followed weekly before, during, and for four weeks after treatment. Stratified randomization performed by an external individual will ensure balanced clinical and demographic characteristics across the three groups, and the same multidisciplinary team at each treating hospital will deliver the interventions and assessments. Neurotoxicity and recovery outcomes will be measured at baseline, during treatment, and in the post‑treatment follow‑up period.
Why it matters
Potential benefit: If successful, these non‑drug approaches could reduce the incidence or severity of CAR‑T–related neurotoxicity and speed recovery, improving patient function and quality of life.
How similar studies have gone: Exercise and nutrition programs have shown benefits for some chemotherapy‑related side effects in other cancer populations, but applying these interventions specifically to CAR‑T–related neurotoxicity is novel and not yet well tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male and female patients, aged 18 to 80 years. * Diagnosed with a hematological condition. * Initiating antineoplastic treatment with CAR-T cell therapy. Exclusion Criteria: * Presence of language barriers or physical and/or cognitive impairments that hinder the understanding of the interventions or prevent proper completion of the assessment tools used in the study. * Pre-existing neurological or psychiatric comorbidities that may interfere with the evaluation of neurotoxic effects of the hematologic treatment. * Concomitant treatment with additional neurotoxic drugs not related to the study protocol. * History of abusive consumption of neurotoxic substances.
Where it's running
-
Hospital Clínico Universitario de Valencia
Valencia, Valencia, Spain Recruiting -
Hospital Universitario y Politécnico La Fe
Valencia, Valencia, Spain Recruiting
Study contacts
- Principal investigator: Marina Hernandez Aliaga, RN, MSc, PhD(c) — Instituto de Investigacion Sanitaria INCLIVA
- Study coordinator: Marina Hernandez Aliaga, RN, MSc, PhD(c)
- Email: marinaheral27@gmail.com
- Phone: +34 655707385
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.
-
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.
-
Loncastuximab tesirine plus rituximab as bridging therapy before CAR-T for relapsed or refractory large B‑cell lymphoma
This trial tries loncastuximab tesirine with rituximab as a bridge before commercial CD19 CAR‑T therapy for adults with relapsed or refractory large B‑cell lymphoma to see if it is safe and helps control disease before CAR‑T.
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.