ORPHA:728866
Immune effector cell-associated neurotoxicity syndrome
Also known as: ICANS
Publications
7,384
Trials
8
Interventional, condition-specific
Researchers
1,776
Distinct authors in sample
Gene link
—
Readiness
2/6
Stages with a signal
How rare: <1 / 1 000 000 — fewer than one in a million. In a city the size of Kolkata, that might mean on the order of fifteen people.
Research stages
Trial readiness signals
Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”
2/6 stages with a signal
An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.
- Gene identifiedNot found
No GenCC disease–gene assertion in this build
- LiteraturePresent
7,384 matched papers (6,769 in last 10 years) Source
- Phenotype characterisedNot found
No HPO disease–phenotype associations via Monarch for these Mondo IDs
- Animal modelNot found
No Alliance genotype “model of” associations via Monarch for these Mondo IDs
- Orphan designationNot found
No FDA or EMA orphan-drug designation matched this disease via UMLS or preferred name Source
- Interventional trialPresent
8 matched on ClinicalTrials.gov (5 recruiting in sample)
Biology
Genes and phenotypes
Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.
Do we know what causes it?
Not yet — the cause hasn't been pinned down in GenCC.
No strong gene–disease assertion joined for this Orphanet entity.
Phenotypes (Monarch / HPO)
None returned for this Mondo ID. That often means “not linked under this ID,” not “no clinical features.”
Animal models (Monarch / Alliance)
None returned for this Mondo ID. Empty here is not proof that no model organism work exists under another name or gene.
Monarch fetch 2026-07-29
Therapies
Designations, candidates, and chemicals
FDA OOPD and EMA orphan designations, Open Targets clinical candidates, and CTD chemical associations via MyDisease.info. These never change the interventional-trial headline.
Orphan designation (FDA · EMA)
No designation matched this disease via UMLS or preferred name on the FDA OOPD mirror or EMA orphan register. Absence here is not proof that none exists under another wording.
Open Targets candidates
No drugs or clinical candidates returned for this Mondo ID on Open Targets.
CTD chemicals (MyDisease.info)
No CTD chemical associations returned for this Mondo ID.
Literature
Is anyone studying this?
7,384
7,384 papers — among the better-studied rare conditions, though still a fraction of common-disease literature (breast cancer: over 700,000). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=3967) is 59.
7,384 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 59 (publications denominator n=3967).
6,769 in the last 10 years · low confidence
Phrase hits: 7,384 · MeSH hits: 0
Who's working on it?
1,776
Distinct author names in 200 sampled papers — named people below.
Who's working on it?
People publishing on this condition (sampled Europe PMC records). Affiliation is the most recent found in that sample.
- 01Li J9 papers · 2026
Hebei Goldencel Biotechnology Co., Ltd, Shijiazhuang, Hebei, China.
Papers in Europe PMC - 02Tam CS7 papers · 2026
Department of Clinical Haematology, Alfred Health, Melbourne, Victoria, Australia.
Papers in Europe PMC - 03Monif M6 papers · 2026
Department of Neuroscience, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Papers in Europe PMC - 04Ahmed S5 papers · 2026
University of Texas MD Anderson Cancer Center, Houston, Texas, United States.
Papers in Europe PMC - 05Inam S5 papers · 2026
Malignant Haematology Transplantation and Cellular Therapy Services, Alfred Hospital, Melbourne, Victoria, Australia.
Papers in Europe PMC - 06Kazzi C5 papers · 2026
Department of Neuroscience, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Papers in Europe PMC - 07
- 08Li X5 papers · 2026
Division of Pediatric Blood Diseases Center, State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Chinese Academy of Medical Sciences and Peking Union Medical College Institute of Hematology and Blood Diseases Hospital, Tianjin, China.
Papers in Europe PMC - 09Malpas CB5 papers · 2026
Department of Neuroscience, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Papers in Europe PMC - 10Spencer A5 papers · 2026
Malignant Haematology Transplantation and Cellular Therapy Services, Alfred Hospital, Melbourne, Victoria, Australia.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
8
interventional trials for this specific condition
8 interventional trials matched this specific condition name; 5 currently recruiting in our sample.
Data as of 11 September 2026
8 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 91.5th percentile).
low confidence · 91.5th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
8 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT06706102·RECRUITING·Temporal Characterization of Extracellular Vesicles During Cellular Therapy Using CAR-T Cells and During the Occurrence of Immune Effector Cell-Associated Neurotoxicity Syndrome
Not reviewed·Conditions: Immune Effector Cell Associated Neurotoxicity Syndrome·Matched via name phrase
- NCT07169487·RECRUITING·Adjunctive Methylene Blue for Immunotherapy-related CRS and ICANS: Phase I Study
Not reviewed·Conditions: Cytokine Release Syndrome · ICANS·Matched via name phrase
- NCT07403812·NOT YET RECRUITING·Assessing DCog Short for Neurotoxicity in CAR-T
Not reviewed·Conditions: Neurotoxicity · Neurotoxicity Syndromes · Hematologic Malignancy · Immune Effector Cell Associated Neurotoxicity Syndrome·Matched via name phrase
- NCT06703216·NOT YET RECRUITING·Pre-emptive Anakinra for Cytokine Event Reduction
Not reviewed·Conditions: B-Acute Lymphoblastic Leukemia · CAR-T Cell Therapy · Cytokine Release Syndrome · Immune Effector Cell Associated Neurotoxicity Syndrome·Matched via name phrase
- NCT07390071·RECRUITING·Multimodal Telerehabilitation in Patients Undergoing CAR-T Cell Immunotherapy
Not reviewed·Conditions: Lymphoma · Myeloma · Cytokine Release Syndrome · Immune Effector Cell Associated Neurotoxicity Syndrome·Matched via name phrase
Observational and natural-history studies
3 observational studies match this condition. These do not test a treatment and are not counted in the interventional-trial headline, but they are genuine research: natural-history work often defines the endpoints needed for a future rare-disease trial, and families may be able to enroll.
Recruiting or not-yet-recruiting
- NCT07375628·NOT YET RECRUITING·Neurological and Cognitive Dysfunction Following CAR-T Treatment. ICANS and Beyond
Not reviewed·Conditions: CAR T Cell Therapy · ICANS · Cognitive and Executive Dysfunction·Matched via name phrase
- NCT05643092·RECRUITING·Biomarker and Imaging Package Study in Immune Effector Cell-Associated Neurotoxicity Syndrome
Not reviewed·Conditions: Immune Effector Cell Associated Neurotoxicity Syndrome·Matched via name phrase
Other registries (secondary)
Broader net from EU CTIS, ISRCTN, and ICTRP when available — deduped against ClinicalTrials.gov IDs already counted above. Dual-model LLM relevance gates what we keep. These rows are not added to the interventional headline.
raw 89 · after dedupe 88 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 88 · dropped 0 · fetched 2026-07-30
Source notes: ictrp: Error: ICTRP public search unavailable (WHO portal is SPA-only; SOAP needs partnership). Tried: https://apps.who.int/tri
No secondary-registry studies passed dual-model relevance for this condition name (after dedupe).
Uncertain / not reviewed (88)
- isrctn·ISRCTN10621395·Recruiting·CAR-T cells for children with CNS tumours
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN98606172·Recruiting·Personalising treatment for myeloma patients based on initial response to NHS treatment and their overall fitness level
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN89448306·Recruiting·Investigating infection risk and the microbiome in blood cancer patients treated with CD19 CAR-T therapy
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN80147609·Recruiting·A study comparing JNJ-79635322 and an anti-B-cell maturation antigen (BCMA)xCD3 bispecific antibody in participants with relapsed or refractory multiple myeloma (Trilogy-4)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN10699447·No longer recruiting·A study of Pasritamig (JNJ-78278343) in combination with JNJ-86974680 for treatment of prostate cancer
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN10473740·Recruiting·Goldilocks - determining if personalised drug monitoring of fludarabine in children and young adults with acute lymphoblastic leukaemia who are undergoing CAR-T therapy is feasible and can improve outcome whilst minimising toxicity
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN21855023·Recruiting·A phase 3 randomized double-blinded, placebo-controlled study of JNJ-78278343, T-Cell redirecting agent targeting Human Kallikrein 2 with best supportive care (BSC) versus placebo with BSC for metastatic castration-resistant prostate cancer_KLK2 comPAS_78278343PCR3001
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN11926317·Recruiting·A study of JNJ-78278343 in combination with JNJ-95298177 for treatment of prostate cancer
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN15341827·Recruiting·CAR T cells for T cell cancers
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN49320109·Recruiting·A CAR T trial for amyloid light chain amyloidosis (AL Amyloid)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN75533638·Recruiting·CAR-T cells for children, teenagers and young adults with sarcoma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN16221474·Recruiting·A study of JNJ-89853413 for relapsed or refractory acute myeloid leukemia or myelodysplastic neoplasms
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN72589181·Recruiting·A study to evaluate preventive treatments for talquetamab-related oral toxicity
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN75158615·Recruiting·RESET-Myositis: An Open-Label Study to Evaluate the Safety and Efficacy of CABA-201 in Subjects With Active Idiopathic Inflammatory Myopathy or Active Juvenile Idiopathic Inflammatory Myopathy
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN15356845·Recruiting·A CAR T study for paediatric-type diffuse high-grade gliomas including diffuse midline glioma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN46766641·No longer recruiting·A Phase I randomized, open-label pharmacokinetic comparability study comparing pre- and post-change teclistamab in participants with relapsed/refractory multiple myeloma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17666983·No longer recruiting·A Study of JNJ-90009530 in Relapsed or Refractory B-Cell non-Hodgkin Lymphoma (r/r B-NHL)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN74178658·No longer recruiting·A study comparing talquetamab plus pomalidomide, talquetamab plus teclistamab, and elotuzumab, pomalidomide, and dexamethasone or pomalidomide, bortezomib, and dexamethasone in participants with relapsed or refractory myeloma who have received an Anti-CD38 antibody and lenalidomide
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN79300015·No longer recruiting·A study of JNJ-88549968 for the treatment of calreticulin (CALR)-mutated myeloproliferative neoplasms
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN12220131·No longer recruiting·A study comparing talquetamab in combination with daratumumab or in combination with daratumumab and pomalidomide versus daratumumab in combination with pomalidomide and dexamethasone in participants with multiple myeloma that returns after treatment or is resistant to treatment
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN72661732·Recruiting·A Study of Teclistamab in Combination with Daratumumab and Lenalidomide (Tec-DR) and Talquetamab in Combination with Daratumumab and Lenalidomide (Tal-DR) in Participants with Newly Diagnosed Multiple Myeloma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN15110275·No longer recruiting·Cell therapy clinical trial of BOXR1030 in GPC3 positive liver, squamous lung, Merkel cell cancer, and myxoid/round cell liposarcoma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN53331091·No longer recruiting·A study to evaluate safety, pharmacokinetics, and activity of cevostamab in patients with relapsed or refractory multiple myeloma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13633989·Not yet recruiting·A Phase I/IIa trial of NVG-222 in participants with solid tumours
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN50499387·Recruiting·Testing a new treatment to prevent severe immune reactions in people with multiple myeloma taking teclistamab
skipped — LLM skipped (--skip-llm)
Where to find support
Condition-specific patient organisations, when Orphanet lists them, are on the disease’s Orphanet page. We also link umbrella groups that support undiagnosed and ultra-rare families.
Orphanet entry for Immune effector cell-associated neurotoxicity syndrome — check Associations / patient organisations on that page.
India — NPRD
Last verified 2026-07-26This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.
Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.
How we counted this
Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.
"Immune effector cell-associated neurotoxicity syndrome" OR "ICANS"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Immune effector cell-associated neurotoxicity syndrome" OR "ICANS"
Interventional trials matched via: phrase (mesh = registered under a MeSH descriptor no name phrase would catch; recall-expansion = gene / selected parent terms used only for trials).
Study-type breakdown: 8 interventional · 3 observational · 0 expanded access. Only interventional studies enter the trial headline.
Query health: ok — strategies attempted: phrase; with hits: phrase
Run this search on ClinicalTrials.gov
Confidence reasoning
- Preferred label is multi-word and distinctive
- No synonyms dropped by stoplist
- No label/synonym collisions with other diseases in this corpus
- No Orphanet definition and no Mondo IDs — likely taxonomy scaffolding; confidence capped at low
- Publication count (7384) is implausibly high for prevalence class "<1 / 1 000 000" — treat as possible over-matching, not a measure of research intensity
Ingested 2026-07-27T21:30:40.941Z
