Acute Kidney Injury (AKI), B Cell Lymphoma, Infusion of CD19 CAR T Cell
Conditions
Keywords
Acute kidney injury/ CD19 CAR T cells
Brief summary
The investigators want to describe the incidence of AKI after CAR-T cells therapy in B-cell lymphoma. With the aim of highlight risk factors in AKI occurrence. Then, look at outcomes in the subgroup with chronic kidney disease at baseline. Finally, the investigators will examine long term evolution of kidney function.
Interventions
* Creatinine measurement before lymphodepletion chemotherapy, before CAR-T cells injection (day 0) and at day 1, day 3, day 5, day 7, day 10, day 14, day 21 and day 28. * AKI according to 2012 KDIGO.
Comparison of caracteristics between participants with AKI and participants without AKI : * Baseline caracteristics of participants : age, gender, BMI (Body mass index), medical history… * Caracteristics of hematology disease : severity of lymphoma, previous treatments (chemotherapy, autologous/allogenic stem cell transplant), type of CAR-T cells (axi-cel, tisa-cel) * Other adverse affects : cytokine release syndrome (CRS), immune effector cell-associated neurotoxicity syndrome (ICANS) * Use of nephrotoxic medications Informations found in medical field.
Looking at the subgroup with chronic kidney disease at baseline : are the outcomes different in this population ? Efficacity of CAR-T ? More adverse effects ?
Creatinine measurement 1 year after CAR-T treatment. Informations found in medical field.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients followed in haematology center in Hospices civils de Lyon * For a B-cell lymphoma * Treated by anti-CD19 CAR-T cells
Exclusion criteria
* Less than 18 years old * Patients with legal protection measure * CAR-T cells therapy for another disease : leukemia, autoimmune disease…
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of AKI after CAR-T cell therapy in B-cell lymphoma. In percentage, according to the 2012 KDIGO. | AKI from the day of the injection of CAR-T cells, until 28 days after the injection. |
Countries
France