RecruitingPhase 2NCT06052826

Geriatric Assessment Guided Interventions to Accelerate Functional Recovery After CAR-T Therapy for Patients 60 Years and Older With B-cell Non-Hodgkin Lymphoma or Multiple Myeloma, GOCART Study

Geriatric (G) Assessment Guided Optimization (O) to Accelerate Functional Recovery After Chimeric Antigen Receptor T-Cell (CAR-T) Therapy for Patients 60 Years and Older With B-Cell Non-Hodgkin Lymphoma or Multiple Myeloma (GOCART)


Sponsor

City of Hope Medical Center

Enrollment

164 participants

Start Date

Jun 23, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This clinical trial compares the effectiveness of geriatric assessment (GA) guided interventions to accelerate functional recovery after chimeric antigen receptor T-cell (CAR-T) therapy compared to standard of care (SOC) in patients 60 years and older with B-cell non-Hodgkin lymphoma (NHL) or multiple myeloma (MM). A large number of patients diagnosed with cancer are over the age of 60, yet most cancer treatments are developed for younger patients. Therefore, older patients may be less likely to be offered stronger treatments, such as CAR-T therapy, due to possible side effects. Geriatric assessment is a multi-dimensional health assessment tool combining patient reported and objective measures covering physical function, mental processes (cognitive), and nutrition. Pre-treatment assessments may identify weaknesses in older adults and may guide interventions for physical therapy, cognitive changes and nutrition to decrease CAR-T therapy side effects and improve care in older adults with NHL or MM.


Eligibility

Min Age: 60 Years

Plain Language Summary

Simplified for easier understanding

This study (GOCART) tests a geriatric assessment-guided support program to help older adults (60+) recover faster and better after CAR-T cell therapy — a powerful immune treatment for blood cancers. The program identifies physical, cognitive, and nutritional needs before treatment and provides targeted support. **You may be eligible if...** - You are 60 or older - You are scheduled to receive an FDA-approved CAR-T cell therapy for multiple myeloma or B-cell non-Hodgkin lymphoma - You can read English or Spanish (other languages may be accepted) - You are willing and able to complete the program requirements **You may NOT be eligible if...** - You cannot provide informed consent - You are unable to complete study visits before lymphodepletion (the preparatory step before CAR-T therapy) - Your treating physician does not approve your participation Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

OTHERBest Practice

Undergo standard of care

OTHERCognitive Intervention

Receive delirium prevention education

OTHERComprehensive Geriatric Assessment

Undergo geriatric assessment

OTHERNutritional Intervention

Undergo nutritional optimization

PROCEDUREPhysical Therapy

Undergo physical function optimization

OTHERQuestionnaire Administration

Ancillary studies


Locations(1)

City of Hope Medical Center

Duarte, California, United States

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NCT06052826


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