About this trial
This is a prospective Phase II study evaluating Siltuximab for CRS and ICANS after CAR-T infusion in multiple myeloma patients.
Eligibility criteria
Qualifiers
Be informed and voluntarily sign the Informed Consent Form (ICF).
Age ≥18 years old.
Diagnosed with multiple myeloma according to IMWG diagnostic criteria.
Developed CRS (grade ≥1) and/or ICANS (grade ≥1) after CAR-T treatment.
Disqualifiers
Creatinine clearance <30 mL/min.
Platelet count <75,000/μL, absolute neutrophil count <1,000/μL, or hemoglobin <60 g/L at screening.
ALT or AST >3× ULN, or bilirubin >2× ULN.
Known severe cardiac conditions, including NYHA class III/IV heart failure, uncontrolled angina, arrhythmia, or hypertension, myocardial infarction within 6 months, or other uncontrolled/severe cardiovascular diseases, including prior cerebrovascular events with residual deficits.
Trial design
Treatments tested in this trial
- Siltuximab