Monitoring of toxicity complications in patients undergoing CAR-T: observational, prospective study


Submitted: 9 June 2022
Accepted: 6 July 2022
Published: 30 November 2022
Abstract Views: 323
PDF: 266
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Authors

  • Francesca Palmisano S.C.D.U. Ematologia e Centro Trapianti, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Roberta Di Matteo Department of Research, Training and Innovation, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Chiara Cannici S.C.D.U. Ematologia e Centro Trapianti, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Martina Milioto S.C.D.U. Ematologia e Centro Trapianti, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Martina Riccomagno S.C.D.U. Ematologia e Centro Trapianti, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Rosanna Gaino S.C.D.U. Ematologia e Centro Trapianti, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Ignazio Favata S.C.D.U. Ematologia e Centro Trapianti, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Paolo Rivela S.C.D.U. Ematologia e Centro Trapianti, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Simona Arcidiacono SC Direzione Professioni Sanitarie, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Lorella Gambarini SC Direzione Professioni Sanitarie, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Tatiana Bolgeo Department of Research, Training and Innovation, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Antonio Maconi Department of Research, Training and Innovation, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.

Background: CAR-T therapies are still a new field and toxicity management is in its early stages; targeted research addressing critical issues related to patient outcomes is therefore needed. The study aims to monitor the incidence of toxicity complications due to CAR-T during the period related to hospitalization. Methods: Observational, prospective, monocentric study. The sample will consist of all patients aged ≥18 years who are candidates for treatment with CAR-T from April 2022 to April 2025. The following rating scales will be used for data collection: Numeric Rating Scale for Pain, Adverse Events Sheet, Immune Effector Cell-associated Encephalopathy Score, Grading WHO, EuroQol-5D-3L, Hospital Anxiety Scale, Scored Patient-Generated Subjective Global Assessment, Contentment with Life Assessment Scale. Conclusions: Immunotherapy and CAR-T have shown promise in treating some malignancies. Still, they may be associated with different and not fully understood toxicities that can be fatal if not identified early and treated appropriately. Understanding complications could improve patient outcomes.


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Supporting Agencies

None

Palmisano, F., Di Matteo, R., Cannici, C., Milioto, M., Riccomagno, M., Gaino, R., Favata, I., Rivela, P., Arcidiacono, S., Gambarini, L., Bolgeo, T., & Maconi, A. (2022). Monitoring of toxicity complications in patients undergoing CAR-T: observational, prospective study. Working Paper of Public Health, 10(1). https://doi.org/10.4081/wpph.2022.9543

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