Can replacement antibodies shield CAR t patients from infection?
NCT ID NCT06989541
First seen Sep 24, 2026 · Last updated Sep 25, 2026 · Updated 1 time
Summary
CAR T-cell therapy attacks cancer cells but can also wipe out healthy B cells, leaving patients with low antibody levels and a higher risk of serious infections. This trial studies immunoglobulin replacement therapy, given either through a vein or under the skin, in adults who have low antibody levels within six months of CD19-targeted CAR T-cell treatment. Researchers track serious infections, antibiotic use, quality of life, and side effects to see how the two delivery methods compare.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- immunoglobulin replacement therapy given through a vein or under the skin
- What this could lead to
- If it works, this could clarify the best way to give immunoglobulin replacement and lower the risk of serious infections after CAR T-cell therapy.
- What could go wrong
- This is a small study of 30 people, so it may not show clear differences between the two delivery methods. Immunoglobulin can cause infusion reactions, and it does not restore the immune system's own antibody production.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 30 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2025
- Expected to finish
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May 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients treated with CD19 targeted CAR T cell therapy for B cell malignancy
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age ≥18 years 2. Severe HGG defined as total IgG \<4 g/L (after subtracting the IgG paraprotein fraction, if present) 3. Treated with CD19 targeted CAR T cell therapy in the past 6 months 4. Consent to receive plasma-derived productions 5. Ability to provide informed consent Exclusion Criteria: 1. Inability to comply with study procedures 2. Pregnancy or planning to conceive 3. Breastfeeding 4. Protein-losing conditions that may contribute to HGG (e.g., protein-losing enteropathy, nephrotic syndrome) 5. SCIG infusion in the prior 3 months. 6. History of allergy or severe reactions to immune globulin productions
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
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Contacts and locations
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Study contacts
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Contact
Email: •••••@•••••
Locations
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University of Alberta
RECRUITINGEdmonton, Alberta, T6G 2G3, Canada
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