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Increasing Lung Transplant Availability Using Normothermic Ex Vivo Lung Perfusion (EVLP) at a Dedicated EVLP Facility

NCT03641677 — Not applicable, Completed, 174 participants, Lung Bioengineering Inc.

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RegistryNCT03641677
StatusCompleted
PhaseNot applicable
Study typeInterventional; non randomized, parallel, masking: none, treatment
Enrollment174 (Actual)
SponsorLung Bioengineering Inc. (Industry)
ConditionsLung Diseases
InterventionsCentralized Lung Evaluation System, Lung Transplant (Device, procedure)
Datesstart 2019-04-21, primary completion 2023-12-18, completion 2024-01-18, first posted 2018-08-22, last updated 2026-09-03
Locations13 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

ArmTypeInterventionsDescription
EVLPExperimentalDevice: Centralized Lung Evaluation System; Procedure: Lung Transplant
ControlActive comparatorProcedure: 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

MilestoneEVLP GroupControl Group
Started9480
Completed7974
Not completed156

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

ArmDeathsSerious adverse eventsOther adverse events
EVLP Group15/94 (16.0%)77/94 (81.9%)85/94 (90.4%)
Control Group6/80 (7.5%)63/80 (78.8%)73/80 (91.3%)

Serious adverse events by term

TermOrgan systemEVLP GroupControl Group
Respiratory, thoracic and mediastinal disordersRespiratory, thoracic and mediastinal disorders58/9435/80
Infections and infestationsInfections and infestations41/9431/80
Cardiac disordersCardiac disorders16/946/80
Injury, poisoning and procedural complicationsInjury, poisoning and procedural complications16/9418/80
Immune system disordersImmune system disorders15/9422/80
Gastrointestinal disordersGastrointestinal disorders13/949/80
InvestigationsInvestigations9/945/80
Renal and urinary disordersRenal and urinary disorders8/943/80
Nervous system disordersNervous system disorders7/947/80
General disorders and administration site conditionsGeneral disorders5/940/80
Metabolism and nutrition disordersMetabolism and nutrition disorders4/946/80
Vascular disordersVascular disorders4/944/80
Blood and lymphatic system disordersBlood and lymphatic system disorders3/948/80

Other adverse events by term

TermOrgan systemEVLP GroupControl Group
Respiratory, thoracic and mediastinal disordersRespiratory, thoracic and mediastinal disorders65/9449/80
Infections and infestationsInfections and infestations53/9441/80
Immune system disordersImmune system disorders34/9433/80
Gastrointestinal disordersGastrointestinal disorders25/9415/80
Injury, poisoning and procedural complicationsInjury, poisoning and procedural complications21/9419/80
Cardiac disordersCardiac disorders20/9414/80
Metabolism and nutrition disordersMetabolism and nutrition disorders17/9419/80
InvestigationsInvestigations17/9418/80
Renal and urinary disordersRenal and urinary disorders14/947/80
Nervous system disordersNervous system disorders12/9412/80
Blood and lymphatic system disordersBlood and lymphatic system disorders3/949/80
Hepatobiliary disordersHepatobiliary disorders4/948/80
Vascular disordersVascular disorders7/947/80
General disorders and administration site conditionsGeneral disorders7/942/80

+Locations (13)

FacilityCityCountryStatus
Mayo Clinic FloridaJacksonville, FloridaUnited States
Emory University HospitalAtlanta, GeorgiaUnited States
University of Maryland Medical SystemBaltimore, MarylandUnited States
Johns Hopkins HospitalBaltimore, MarylandUnited States
Brigham and Women's HospitalBoston, MassachusettsUnited States
University of Michigan Medical CenterAnn Arbor, MichiganUnited States
Spectrum HealthGrand Rapids, MichiganUnited States
Newark Beth Israel Medical CenterNewark, New JerseyUnited States
NYU Langone HealthNew York, New YorkUnited States
Duke University Medical CenterDurham, North CarolinaUnited States
Cleveland ClinicCleveland, OhioUnited States
Vanderbilt UniversityNashville, TennesseeUnited States
INOVA Fairfax HospitalFalls Church, VirginiaUnited States

+Study documents

My Notes