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Diffuse Large B-cell Lymphoma (DLBCL)NCT05366257

Real-world Resource Use and Costs of CAR-T Therapies in Diffuse Large B-cell Lymphoma (DLBCL)

An observational study of Diffuse Large B-cell Lymphoma (DLBCL), run by Novartis Pharmaceuticals at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A retrospective, non-interventional cohort study was used to address the study objectives. This study aimed to provide a better understanding of real-world healthcare resource utilization (HRU) and healthcare reimbursement costs associated with CAR-T therapy among patients with r/r Diffuse Large B-cell Lymphoma… Read more about this study

Who is it for?
Ages 18 to 85 years
Conditions the study is for
Diffuse Large B-cell Lymphoma (DLBCL)
What is being tested?
CAR-T and Allo-HSCT cohort
Type of treatment
Injection or infusion
How many people
160,602 participants
Where
1 siteUnited States
Study dates
17 Aug 2020to 10 May 2021
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Adult patients with DLBCL who received CAR-T therapy or allo-HSCT procedure between January 1, 2017 to September 31, 2019

Who may be able to join

  • CAR-T cohort:
  • Patients had at least one International Classification of Diseases, Tenth Revision (ICD- 10) diagnosis code for DLBCL.
  • Patients received CAR-T therapy following DLBCL diagnosis. The administration date of CAR-T therapy was defined as the index date. Patients who received both CAR-T therapy and allo-HSCT were classified based on the first treatment that the patient received
  • Patients were at least 18 years of age as of the index date
  • Patients had at least three months of continuous eligibility in the Medicare Part A and Part B data before the index date. Since 2019 Part D data is not available in the current data cut, eligibility requirement in the Part D data was not required
  • Patients were further classified into CAR-T IP and CAR-T OP cohorts depending on where the administration occurred.
Show all 11Show fewer
  • Allo-HSCT cohort:
  • Patients had at least one ICD-10 diagnosis code for DLBCL.
  • Patients received allo-HSCT following DLBCL diagnosis. The date of allo-HSCT procedure was defined as the index date. Patients who received both CAR-T therapy and allo-HSCT were classified based on the first treatment the patient received
  • Patients were at least 18 years of age as of the index date
  • Patients had at least three months of continuous eligibility in the Medicare Part A and Part B data before the index date. Since 2019 Part D data is not available in the current data cut, eligibility requirement in the Part D data was not required

Who cannot join

  • Patients had a medical claim associated with a clinical trial (ICD-9 CM code V70.7; ICD-10 CM code Z00.6) during one month before and after the index date

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Novartis Investigative Site

    East Hanover, New Jersey, 07936-1080

Other trials in United States

About this study

Official title: Real-world Resource Use and Costs of CAR-T Therapies in Diffuse Large B-cell Lymphoma (DLBCL): Inpatient and Outpatient Settings

A retrospective, non-interventional cohort study was used to address the study objectives. This study aimed to provide a better understanding of real-world healthcare resource utilization (HRU) and healthcare reimbursement costs associated with CAR-T therapy among patients with r/r Diffuse Large B-cell Lymphoma (DLBCL).

Read the detailed description

A retrospective, non-interventional cohort study was used to address the study objectives. This study aimed to provide a better understanding of real-world HRU and healthcare reimbursement costs associated with CAR-T therapy among patients with r/r DLBCL.

Eligible adult patients with r/r DLBCL who were treated with CAR-T therapy or allo-HSCT between January 1, 2017 to September 31, 2019 were identified from the Centers for Medicare \& Medicaid Services (CMS) 100% Medicare Database. The CAR-T cohort was further classified into CAR-T IP and CAR-T OP cohorts based on the infusion setting.

The index date was defined as the date of CAR-T therapy administration or allo-HSCT. Baseline period was defined as three months prior to the index date. Study period was defined from the index date to the end of health plan coverage based on insurance enrollment file or death, whichever occurred earlier.

Two sets of comparisons on HRU and healthcare reimbursement costs were conducted, one between IP vs. OP infusion of CAR-T, and the other between patients who received CAR-T therapy vs. allo-HSCT.

Being tested
CAR-T, Allo-HSCT cohort
Keywords
CAR-T,, DLBCL,, Inpatient,, Outpatient
Medical subject headings
Lymphoma, Large B-Cell, Diffuse

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CAR-TOther

    infusion of CAR-T therapy among patients with r/r DLBCL

  • Allo-HSCT cohortOther

    Patients received allogeneic hematopoietic stem cell transplant

Study groups in NCT05366257
Study groupRoleWhat they receive
CAR-T: Inpatient (IP) CohortPatients received CAR-T infusion in IP setting
Receives: Other: CAR-T
CAR-T: Outpatient (OP) CohortPatients received CAR-T infusion in OP setting
Receives: Other: CAR-T
Allo-HSCT cohortPatients received allogeneic hematopoietic stem cell transplant
Receives: Other: Allo-HSCT cohort

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean length of follow-up in CAR-T cohorts

    Mean length of follow up was reported to compare Health Resource Use (HRU) between IP vs. OP infusion of CAR-T therapy among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  2. Number of patients with IP visit in CAR-T cohorts

    Number of patients with IP visit were reported to compare Health Resource Use (HRU) between IP vs. OP infusion of CAR-T therapy among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  3. Number of IP admissions in CAR-T cohorts

    Number of IP admissions were reported to compare Health Resource Use (HRU) between IP vs. OP infusion of CAR-T therapy among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  4. Number of IP days in CAR-T cohorts

    Number of patients with IP visit were reported to compare Health Resource Use (HRU) between IP vs. OP infusion of CAR-T therapy among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  5. Number of ICU stays in CAR-T cohorts

    Number of ICU stays were reported to compare Health Resource Use (HRU) between IP vs. OP infusion of CAR-T therapy among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  6. Number of ICU days in CAR-T cohorts

    Number of ICU days were reported to compare Health Resource Use (HRU) between IP vs. OP infusion of CAR-T therapy among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  7. Number of patients with OP visit in CAR-T cohorts

    Number of patients with OP visit were reported to compare Health Resource Use (HRU) between IP vs. OP infusion of CAR-T therapy among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  8. Number of OP visits in CAR-T cohorts

    Number of OP visits were reported to compare Health Resource Use (HRU) between IP vs. OP infusion of CAR-T therapy among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  9. Number of patients with ER visit in CAR-T cohorts

    Number of patients with ER visit were reported to compare Health Resource Use (HRU) between IP vs. OP infusion of CAR-T therapy among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  10. Number of ER visits in CAR-T cohorts

    Number of ER visits were reported to compare Health Resource Use (HRU) between IP vs. OP infusion of CAR-T therapy among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  11. Total healthcare reimbursement costs in CAR-T cohorts

    Total healthcare reimbursement costs, including medical service costs and pharmacy costs, inflated to 2020 US dollars (USD) were reported in CAR-T IP and CAR-T OP cohorts.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

Secondary outcomes (14)
  1. Mean length of follow-up for CAR-T therapy vs. allo-HSCT cohort

    Mean length of follow up was reported to compare Health Resource Use (HRU) of CAR-T therapy vs. allo-HSCT among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  2. Number of patients with IP visit in CAR-T vs allo-HSCT cohort

    Number of patients with IP visit were reported to compare Health Resource Use (HRU) of CAR-T therapy vs. allo-HSCT among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  3. Number of IP admissions in CAR-T therapy vs. allo-HSCT cohort

    Number of IP admissions were reported to compare Health Resource Use (HRU) of CAR-T therapy vs. allo-HSCT among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  4. Number of IP days in CAR-T therapy vs. allo-HSCT cohort

    Number of IP days were reported to compare Health Resource Use (HRU) of CAR-T therapy vs. allo-HSCT among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  5. Number of ICU stays in CAR-T therapy vs. allo-HSCT cohort

    Number of ICU stays were reported to compare Health Resource Use (HRU) of CAR-T therapy vs. allo-HSCT among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  6. Number of ICU days in CAR-T therapy vs. allo-HSCT cohort

    Number of ICU days were reported to compare Health Resource Use (HRU) of CAR-T therapy vs. allo-HSCT among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  7. Number of patients with OP visit in CAR-T vs allo-HSCT cohort

    Number of patients with OP visit were reported to compare Health Resource Use (HRU) of CAR-T therapy vs. allo-HSCT among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  8. Number of OP visits in CAR-T therapy vs. allo-HSCT cohort

    Number of OP visits were reported to compare Health Resource Use (HRU) of CAR-T therapy vs. allo-HSCT among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  9. Number of patients with ER visit in CAR-T vs allo-HSCT cohort

    Number of patients with ER visit were reported to compare Health Resource Use (HRU) of CAR-T therapy vs. allo-HSCT among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  10. Number of ER visits in CAR-T therapy vs. allo-HSCT cohort

    Number of ER visits were reported to compare Health Resource Use (HRU) of CAR-T therapy vs. allo-HSCT among patients with r/r DLBCL.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  11. IP re-admission/admission among CAR-T IP and OP cohorts

    IP re-admission/admission were reported to assess post-infusion IP admission/readmission among patients with r/r DLBCL who received CAR-T therapy.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  12. AE rate during the study period among CAR-T cohorts

    Rate of adverse events (AEs) were reported among patients with r/r DLBCL who received CAR-T therapy.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  13. Cost of AEs among CAR-T cohorts during the study period

    Cost per AE event were reported among patients with r/r DLBCL who received CAR-T therapy.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

  14. Total healthcare reimbursement costs in CAR-T vs allo-HSCT cohort

    Total healthcare reimbursement costs, including medical service costs and pharmacy costs, defined as the amount paid by Medicare, inflated to 2020 USD were reported in overall CAR T and allo-HSCT cohorts.

    Measured: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 May 2022
  2. Study start17 Aug 2020
  3. Primary completion10 May 2021
  4. Study completion10 May 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
160,602 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05366257
Sponsor's protocol ID
CCTL019CUS08
Status last verified
Jun 2022
First submitted
4 May 2022
Last updated
5 Jul 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Diffuse Large B-cell Lymphoma (DLBCL), run by Novartis Pharmaceuticals at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mean length of follow-up in CAR-T cohorts (time frame: throughout the study, approximately 2 years ( January 1, 2017 to September 31, 2019)). The study lists 11 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Jul 2022.

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