Safety-related eligibility criteria for adult CAR T-cell clinical trials at the NCI
| Clinical category . | Eligibility criteria . |
|---|---|
| Patient characteristics | ECOG performance status 0-1; and |
| Not pregnant or breastfeeding | |
| Pulmonary | No active obstructive or restrictive pulmonary disease |
| Hematologic* | Hemoglobin ≥8.0 g/dL; |
| Platelets ≥45 000/mm3 without transfusion support; | |
| ANC ≥1000/mm3 without growth factor support; | |
| No active hemolytic anemia; and | |
| No active coagulopathy | |
| Other end organ function | Serum creatinine ≤1.4 mg/dL; |
| Total bilirubin ≤2.0 mg/dL; | |
| Serum AST and ALT ≤3 times the institutional upper limit of normal unless liver involvement by malignancy is demonstrated; | |
| No active seizure disorder; and | |
| No current CNS involvement with malignancy | |
| Infectious disease | No history or serologic evidence of HIV, hepatitis B, or hepatitis C; and |
| No active uncontrolled systemic infection | |
| Immunologic | No active autoimmune disease; and |
| No history of primary immunodeficiency |
| Clinical category . | Eligibility criteria . |
|---|---|
| Patient characteristics | ECOG performance status 0-1; and |
| Not pregnant or breastfeeding | |
| Pulmonary | No active obstructive or restrictive pulmonary disease |
| Hematologic* | Hemoglobin ≥8.0 g/dL; |
| Platelets ≥45 000/mm3 without transfusion support; | |
| ANC ≥1000/mm3 without growth factor support; | |
| No active hemolytic anemia; and | |
| No active coagulopathy | |
| Other end organ function | Serum creatinine ≤1.4 mg/dL; |
| Total bilirubin ≤2.0 mg/dL; | |
| Serum AST and ALT ≤3 times the institutional upper limit of normal unless liver involvement by malignancy is demonstrated; | |
| No active seizure disorder; and | |
| No current CNS involvement with malignancy | |
| Infectious disease | No history or serologic evidence of HIV, hepatitis B, or hepatitis C; and |
| No active uncontrolled systemic infection | |
| Immunologic | No active autoimmune disease; and |
| No history of primary immunodeficiency |
ALT, alanine aminotransferase; ANC, absolute neutrophil count; AST, aspartate aminotransferase; ECOG, Eastern Cooperative Oncology Group.
Hematologic criteria must be met for enrollment regardless of bone marrow involvement with malignancy.