| Registry | NCT03641677 |
| Status | Completed |
| Phase | Not applicable |
| Study type | Interventional; non randomized, parallel, masking: none, treatment |
| Enrollment | 174 (Actual) |
| Sponsor | Lung Bioengineering Inc. (Industry) |
| Conditions | Lung Diseases |
| Interventions | Centralized Lung Evaluation System, Lung Transplant (Device, procedure) |
| Dates | start 2019-04-21, primary completion 2023-12-18, completion 2024-01-18, first posted 2018-08-22, last updated 2026-09-03 |
| Locations | 13 sites in United States |
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-Summary
The objective of this study is to evaluate the safety and effectiveness of the Centralized Lung Evaluation System (CLES) in enabling evaluation of potential donor lungs not otherwise used for transplant into subjects with end stage, survival-limiting lung disease in need of lung transplantation. This will be accomplished by evaluating subject survival at the later of 12 months or hospital discharge post-transplant.
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+Arms and interventions
| Arm | Type | Interventions | Description |
|---|
| EVLP | Experimental | Device: Centralized Lung Evaluation System; Procedure: Lung Transplant | |
| Control | Active comparator | Procedure: Lung Transplant | |
- Centralized Lung Evaluation System (Device): Assessment of allograft lung for transplant suitability
- Lung Transplant (Procedure): Orthotopic single or double lung transplantation.
+Outcome measures
Primary outcomes
- 12 Month Survival or Freedom From Mortality [12 Months]: Survival at 12 months following lung transplantation
+Eligibility
Sex: All, ages: 18 Years to any
Each patient must meet all of the following criteria to be enrolled in the Study:
1. 18 years of age or older.
2. Male or female.
3. Patient actively awaiting a single or double lung transplant.
4. Patient or patient's representative provides informed consent for participation in the study prior to participating in any study-related assessments or procedures.
5. Patient matches with and undergoes a transplant with a donor lung.
Patients who meet any of the following criteria will be excluded from the study:
1. Patients listed for same-side lung re-transplantation.
2. Patients listed for multiple organ transplantation including lung and any other organ.
3. Patients listed for live donor lobar lung transplant.
4. Patients positive for human immunodeficiency virus (HIV ) or Burkholderia cenocepacia infection.
5. Patient receives a standard of care (non-EVLP ) lung transplant but does not match to an EVLP subject based on the criteria for control matching.
6. Transplanted with a lung that was perfused using another EVLP technology.
7. Participating in another respiratory or cardiovascular clinical trial.
+Posted results
Participant flow
| Milestone | EVLP Group | Control Group |
|---|
| Started | 94 | 80 |
| Completed | 79 | 74 |
| Not completed | 15 | 6 |
Outcome results
- 12 Month Survival or Freedom From Mortality (Primary), Number, Percent: EVLP Group 84 (75.0 to 90.8); Control Group 92.5 (84.4 to 97.2)
Adverse events
Time frame: From transplantation through 12 months post-transplant
| Arm | Deaths | Serious adverse events | Other adverse events |
|---|
| EVLP Group | 15/94 (16.0%) | 77/94 (81.9%) | 85/94 (90.4%) |
| Control Group | 6/80 (7.5%) | 63/80 (78.8%) | 73/80 (91.3%) |
Serious adverse events by term
| Term | Organ system | EVLP Group | Control Group |
|---|
| Respiratory, thoracic and mediastinal disorders | Respiratory, thoracic and mediastinal disorders | 58/94 | 35/80 |
| Infections and infestations | Infections and infestations | 41/94 | 31/80 |
| Cardiac disorders | Cardiac disorders | 16/94 | 6/80 |
| Injury, poisoning and procedural complications | Injury, poisoning and procedural complications | 16/94 | 18/80 |
| Immune system disorders | Immune system disorders | 15/94 | 22/80 |
| Gastrointestinal disorders | Gastrointestinal disorders | 13/94 | 9/80 |
| Investigations | Investigations | 9/94 | 5/80 |
| Renal and urinary disorders | Renal and urinary disorders | 8/94 | 3/80 |
| Nervous system disorders | Nervous system disorders | 7/94 | 7/80 |
| General disorders and administration site conditions | General disorders | 5/94 | 0/80 |
| Metabolism and nutrition disorders | Metabolism and nutrition disorders | 4/94 | 6/80 |
| Vascular disorders | Vascular disorders | 4/94 | 4/80 |
| Blood and lymphatic system disorders | Blood and lymphatic system disorders | 3/94 | 8/80 |
Other adverse events by term
| Term | Organ system | EVLP Group | Control Group |
|---|
| Respiratory, thoracic and mediastinal disorders | Respiratory, thoracic and mediastinal disorders | 65/94 | 49/80 |
| Infections and infestations | Infections and infestations | 53/94 | 41/80 |
| Immune system disorders | Immune system disorders | 34/94 | 33/80 |
| Gastrointestinal disorders | Gastrointestinal disorders | 25/94 | 15/80 |
| Injury, poisoning and procedural complications | Injury, poisoning and procedural complications | 21/94 | 19/80 |
| Cardiac disorders | Cardiac disorders | 20/94 | 14/80 |
| Metabolism and nutrition disorders | Metabolism and nutrition disorders | 17/94 | 19/80 |
| Investigations | Investigations | 17/94 | 18/80 |
| Renal and urinary disorders | Renal and urinary disorders | 14/94 | 7/80 |
| Nervous system disorders | Nervous system disorders | 12/94 | 12/80 |
| Blood and lymphatic system disorders | Blood and lymphatic system disorders | 3/94 | 9/80 |
| Hepatobiliary disorders | Hepatobiliary disorders | 4/94 | 8/80 |
| Vascular disorders | Vascular disorders | 7/94 | 7/80 |
| General disorders and administration site conditions | General disorders | 7/94 | 2/80 |
+Locations (13)
| Facility | City | Country | Status |
|---|
| Mayo Clinic Florida | Jacksonville, Florida | United States | |
| Emory University Hospital | Atlanta, Georgia | United States | |
| University of Maryland Medical System | Baltimore, Maryland | United States | |
| Johns Hopkins Hospital | Baltimore, Maryland | United States | |
| Brigham and Women's Hospital | Boston, Massachusetts | United States | |
| University of Michigan Medical Center | Ann Arbor, Michigan | United States | |
| Spectrum Health | Grand Rapids, Michigan | United States | |
| Newark Beth Israel Medical Center | Newark, New Jersey | United States | |
| NYU Langone Health | New York, New York | United States | |
| Duke University Medical Center | Durham, North Carolina | United States | |
| Cleveland Clinic | Cleveland, Ohio | United States | |
| Vanderbilt University | Nashville, Tennessee | United States | |
| INOVA Fairfax Hospital | Falls Church, Virginia | United States | |
+Study documents