International EXPAND Lung Pivotal Trial
EXPANDLung
International Trial to Evaluate the Safety and Effectiveness of The Portable Organ Care System (OCS™) Lung For Recruiting, Preserving and Assessing Expanded Criteria Donor Lungs for Transplantation (EXPAND Trial)
1 other identifier
interventional
79
4 countries
11
Brief Summary
To evaluate the safety and effectiveness of the OCS™ Lung to recruit, preserve and assess donor lungs that may not meet current standard donor lung acceptance criteria for transplantation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Nov 2013
Longer than P75 for not_applicable
11 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 4, 2013
CompletedFirst Posted
Study publicly available on registry
October 16, 2013
CompletedStudy Start
First participant enrolled
November 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 22, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2018
CompletedResults Posted
Study results publicly available
July 7, 2022
CompletedJuly 7, 2022
April 1, 2018
3.1 years
September 4, 2013
April 6, 2022
June 10, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of Participants With Composite Endpoint of Patient Survival at Day-30 Post Transplant and Absence of Primary Graft Dysfunction (PGD) Grade 3 During the First 72 Hours Post Lung Transplant
Primary graft dysfunction is graded on a scale of 0 to 3 according to the 2005 ISHLT PGD grading consensus. Grade 0 is considered the least severe and grade 3 is considered a more severe outcome.
30 days post lung transplantation
Secondary Outcomes (2)
Number of Participants With ISHLT Primary Graft Dysfunction (PGD) Grade 2 or 3 at T72 Hours Post Lung Transplantation
72 hours post lung transplantation
Number of Participants With Primary Graft Dysfunction Grade 3 at T72 Hours
72 hours post lung transplantation
Other Outcomes (2)
Primary Safety Endpoint: Number of Lung Graft Related Serious Adverse Events During the First 30 Days Post Lung Transplantation
30 days post lung transplantation
Long-term Survival: Survival at 12-months Post-transplant
12-months
Study Arms (1)
OCS Lung Tx.
EXPERIMENTALA prospective, pivotal single arm trial.
Interventions
Eligibility Criteria
You may qualify if:
- At least one of the following:
- Donor PaO2/FiO2 ≤ 300 mmHg; or
- Expected ischemic time \> 6 hours; or
- Donor after Cardiac Death (DCD donor); or
- Donor age ≥55 years old
You may not qualify if:
- Presence of moderate to severe traumatic lung injury with air and/or blood leak
- Presence of confirmed active pneumonia or persistent purulent secretions on repeated bronchoscopy evaluation or ET suction
- Previous history of pulmonary disease
- Multiple transfusions of \>10 pRBCs units
- ABO incompatibility
- Tobacco history of \>20 pack years
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- TransMedicslead
Study Sites (11)
St. Joseph's Hospital and Medical Center
Phoenix, Arizona, 85013, United States
University of California at Los Angeles
Los Angeles, California, 90095, United States
University of California, San Francisco
San Francisco, California, 94143, United States
Emory
Atlanta, Georgia, 30322, United States
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
University of Minnesota
Minneapolis, Minnesota, 55455, United States
Duke University
Durham, North Carolina, 27710, United States
Temple University Hospital
Philadelphia, Pennsylvania, 19140, United States
University of Leuven Hospital
Leuven, 3000, Belgium
Hannover Medical School
Hanover, D-300625, Germany
Hospital Universitario Puerta De Hierro
Madrid, 25222, Spain
Related Publications (1)
Loor G, Warnecke G, Villavicencio MA, Smith MA, Kukreja J, Ardehali A, Hartwig M, Daneshmand MA, Hertz MI, Huddleston S, Haverich A, Madsen JC, Van Raemdonck D. Portable normothermic ex-vivo lung perfusion, ventilation, and functional assessment with the Organ Care System on donor lung use for transplantation from extended-criteria donors (EXPAND): a single-arm, pivotal trial. Lancet Respir Med. 2019 Nov;7(11):975-984. doi: 10.1016/S2213-2600(19)30200-0. Epub 2019 Aug 1.
PMID: 31378427DERIVED
Results Point of Contact
- Title
- VP, Clinical Affairs
- Organization
- TransMedics, Inc.
Study Officials
- PRINCIPAL INVESTIGATOR
Abbas Ardehali, MD
University of California, Los Angeles
- PRINCIPAL INVESTIGATOR
Dirk Van Raemdonck, MD, PhD
University of Leuven Medical Center
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 4, 2013
First Posted
October 16, 2013
Study Start
November 1, 2013
Primary Completion
November 22, 2016
Study Completion
April 1, 2018
Last Updated
July 7, 2022
Results First Posted
July 7, 2022
Record last verified: 2018-04