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NCT05108805

Chimeric Antigen Receptor (CAR) T Cell Therapy With YESCARTA in the Outpatient Setting

Completed Phase 4 Results posted Last updated 27 March 2025
What this trial tests

Phase 4 trial testing Telemedicine Visit in Large B-cell Lymphoma in 25 participants. Completed in 8 December 2023.

Timeline
2 December 2021
Primary endpoint
8 December 2023
8 December 2023

Quick facts

Lead sponsorVanderbilt-Ingram Cancer Center
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposesupportive care
Enrollment25
Start date2 December 2021
Primary completion8 December 2023
Estimated completion8 December 2023
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Vanderbilt-Ingram Cancer Center — full company profile →

Who can join

18 and older, any sex, with Large B-cell Lymphoma or Diffuse Large B-cell Lymphoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants That Received YESCARTA Primary · Approximately 6 weeks

The number of participants that received YESCARTA as outpatient therapy

GroupValue95% CI
YESCARTA (Axicabtagene Ciloleucel) in the Outpatient Setting20
Participants That Required Hospitalization at 72 Hours Post Infusion Primary · at 72 hours

Number of subjects that were admitted to hospital at 72 hours post infusion

GroupValue95% CI
YESCARTA (Axicabtagene Ciloleucel) in the Outpatient Setting2
Participants That Required Hospitalization at 7 Days Post Infusion Primary · at 7 days

Number of subjects that were admitted to the hospital at 7 days post infusion

GroupValue95% CI
YESCARTA (Axicabtagene Ciloleucel) in the Outpatient Setting19
Participants That Required Hospitalization at 14 Days Post Infusion Primary · at 14 days

Number of subjects that were admitted to the hospital at 14 days post infusion

GroupValue95% CI
YESCARTA (Axicabtagene Ciloleucel) in the Outpatient Setting19
Participants That Required Hospitalization at 30 Days Post Infusion Primary · at 30 days

Number of subjects that were admitted to hospital at 30 days post infusion

GroupValue95% CI
YESCARTA (Axicabtagene Ciloleucel) in the Outpatient Setting19
Count of Risk Factors That Preclude Out-patient Administration of YESCARTA Secondary · Approximately 30 days

Reasons as to why a participant did not receive YESCARTA in the out-patient setting

GroupValue95% CI
YESCARTA (Axicabtagene Ciloleucel) in the Outpatient Setting3
YESCARTA (Axicabtagene Ciloleucel) in the Outpatient Setting1
YESCARTA (Axicabtagene Ciloleucel) in the Outpatient Setting1
Participants That Experienced Cytokine Release Syndrome Events Secondary · Approximately 30 days

Count of participants that had cytokine release syndrome events

GroupValue95% CI
YESCARTA (Axicabtagene Ciloleucel) in the Outpatient Setting19
Participants That Experienced Immune Effector Cell-associated Neurotoxicity Syndrome Events Secondary · Approximately 30 days

Count of participants that had an immune effector cell-associated neurotoxicity syndrome event

GroupValue95% CI
YESCARTA (Axicabtagene Ciloleucel) in the Outpatient Setting8
Incidence of Steroid Administration During YESCARTA Secondary · Approximately 30 days

Count of participants that were administered steroids during treatment

GroupValue95% CI
YESCARTA (Axicabtagene Ciloleucel) in the Outpatient Setting20
Cost Per Patient of Administering YESCARTA in the Out-patient Setting Secondary · Approximately 30 days

Cost includes hospital clinic charges and CAR-T acquisition. It was pre-specified to report a single dollar amount that every participant was changed. The amount entered was the amount that each patient was charged. It was not planned to assess this amount separately for each participant.

GroupValue95% CI
YESCARTA (Axicabtagene Ciloleucel) in the Outpatient Setting392,237.75

Adverse events — posted to ClinicalTrials.gov

Time frame: From initiation of protocol-indicated treatment up to approximately 12 months.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

YESCARTA (Axicabtagene Ciloleucel) in the Outpatient Setting
Serious: 6/25 (24%)
Deaths: 6/25

Serious adverse events (7 terms)

ReactionSystemYESCARTA (Axicabtagene Cil…
FeverGeneral disorders
Supraventricular tachycardiaCardiac disorders
EncephalopathyNervous system disorders
Febrile neutropeniaBlood and lymphatic system disorders
Cytokine release syndromeImmune system disorders
SyncopeNervous system disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Other adverse events (16 terms — click to expand)

ReactionSystemYESCARTA (Axicabtagene Cil…
FeverGeneral disorders
Cytokine Release SyndromeImmune system disorders
Neutrophil Count DecreaseInvestigations
FatiqueGeneral disorders
HypotensionVascular disorders
NauseaGastrointestinal disorders
EncephalopathyNervous system disorders
AnemiaBlood and lymphatic system disorders
White Blood Cell DecreaseBlood and lymphatic system disorders
Platelet Count DecreasedInvestigations
HeadacheNervous system disorders
Sinus TachycardiaCardiac disorders
HypokalemiaMetabolism and nutrition disorders
Cognitive DisturbanceNervous system disorders
ConstipationGastrointestinal disorders
Non-Cardiac Chest PainGeneral disorders

Most-reported serious reactions: Fever, Supraventricular tachycardia, Encephalopathy, Febrile neutropenia, Cytokine release syndrome, Syncope, Respiratory failure.

Data from ClinicalTrials.gov NCT05108805 adverse events section.

Sponsor's own description

We hope to demonstrate that YESCARTA can be safely administered in the outpatient setting if we closely monitor subjects with physical exams, wearable devices, and telemedicine visits and only admit those who meet specified criteria

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Nanodelivery of nucleic acids.
    Mendes BB, Conniot J, Avital A, Yao D, et al · · 2022 · cited 401× · PMID 35480987 · DOI 10.1038/s43586-022-00104-y
  2. CAR T-cell therapy in large B cell lymphoma.
    Boardman AP, Salles G. · · 2023 · cited 39× · PMID 37294963 · DOI 10.1002/hon.3153
  3. Telemedicine in Hematopoietic Cell Transplantation and Chimeric Antigen Receptor-T Cell Therapy.
    Gandhi AP, Lee CJ. · · 2023 · cited 13× · PMID 37627136 · DOI 10.3390/cancers15164108
  4. Feasibility of axicabtagene ciloleucel in the outpatient setting: primary analysis of prospective trial.
    Dholaria B, Bhaskar ST, Patel VG, Biltibo E, et al · · 2025 · cited 4× · PMID 40128603 · DOI 10.1038/s41409-025-02551-z

Verify or expand the search:

Other trials of Telemedicine Visit

Trials testing the same drug.

Other recruiting trials for Large B-cell Lymphoma

Currently open trials in the same condition.

Other Vanderbilt-Ingram Cancer Center trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing