CAR T Referral


CAR T R/R DLBCL Referral Pathway is a Single Page Application (SPA) that makes it seamless for referral providers to create a customized treatment pathway for patients.

LSD the Agency
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The Challenge

CAR T-Cell therapy is a form of immunotherapy that can be utilized for treating lymphoma. We were approached to build a tool for creating a personalized treatment pathway for patients, while also identifying potential blockers or ways to expedite treatment. In addition, the tool would need to pass regulatory requirements in the UK and Ireland, and limit access to participating referral providers.

The project featured a complex logic map of potential outcomes where a selection made at an earlier stage in the treatment process can impact the options patients have at a later stage, or whether those options had a positive or negative outcome on eligibility for treatment.

In addition, this information had to be communicated to the user in a way that was easy to follow and avoid overwhelming the user with options.

The Solution

At the point when the client approached they already had a wealth of documentation as well as a preliminary design for what they were looking to build. Our team spent the time carefully reviewing the design and requirements to assess effort and provide feedback. Our client was very open minded and looked to us to provide constructive criticism on the user experience.

After completing our assessment, we concluded it would be best to redesign the experience to more closely match the desired outcomes defined by our client. As deadline were quickly approaching, we offered to involve our own design team and delivered updated wireframes within a short period of time.

The client was very pleased with the updated experience and approved for us to prepare a high-fidelity prototype. We worked closely with their team to define every detail and brought on the development team to provide their feedback as well.

Once design we finalized, it was time to initiate development. To ensure a high degree of security while maintaining a quick turnaround, we recommended using a third-party authentication provider called Auth0 to authenticate users. This would still require use to implement the integration and customize the user interface to match the approved designs.

Once authentication was implemented, we started building out the static pages. Because this application would require us to maintain a global state and navigate between different view frequently, we decided to build it as a Single Page Application (SPA) with Vue.js 3 and Pinia (a state management framework).

We quickly scaffolded the UI and started implementing the logic for managing state, which would be essential to provide the correct feedback regarding whether the choices made had a positive or negative impact on the treatment pathway.

Very late in the development stage, the client informed us that some of the content had to be shifted around to meet strict regulatory guidelines. Although it is never ideal to incorporate changes at this stage, our team had years of experience working with healthcare and pharmaceutical providers, and were happy to accommodate the client.

As as result of our internal quality assurance and review process, the final application received great feedback from the client and their stakeholders, and we had minimal changes after User Acceptance Testing (UAT). 

The Results

  • Seamless user experience for patients and referral providors
  • High degree of security, with a wealth of user data
  • Excellent speed and performance
  • Quick turnaround time


  • Vue.js 3 Frontend
  • Pinia State Management
  • Auth0 Integration 

Our Services

  • UX
  • Design
  • Web Development
  • Frontend Development
  • Third-party Integration
  • UAT