NCT02775162

Brief Summary

A multicenter randomized controlled trial to compare the efficacy of ex-vivo normothermic machine profusion with static cold storage in human liver transplantation.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
267

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Oct 2016

Longer than P75 for not_applicable

Geographic Reach
1 country

15 active sites

Status
completed

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

March 30, 2016

Completed
2 months until next milestone

First Posted

Study publicly available on registry

May 17, 2016

Completed
5 months until next milestone

Study Start

First participant enrolled

October 9, 2016

Completed
3.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 10, 2020

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

February 19, 2021

Completed
1.4 years until next milestone

Results Posted

Study results publicly available

July 22, 2022

Completed
Last Updated

July 29, 2022

Status Verified

July 1, 2022

Enrollment Period

3.3 years

First QC Date

March 30, 2016

Results QC Date

May 16, 2022

Last Update Submit

July 26, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participants With Early Allograft Dysfunction (EAD)

    EAD is a binary outcome defined by the presence of one of the following 3 outcomes: * Serum bilirubin ≥ 10 mg/dL at day 7 post-transplant * International normalized ratio (INR) ≥ 1.6 at day 7 post-transplant * Alanine Aminotransferase (ALT) or Aspartate Transaminase (AST) \> 2000 IU/L within the first 7 days post-transplant

    7 Days

Secondary Outcomes (17)

  • Number of Participants With Primary Non-Function

    10 Days

  • Number of Participants With Graft Survival

    6 Months

  • Number of Participants With Subject Survival

    6 Months

  • Number of Participants With Post-Reperfusion Syndrome

    1 Day

  • Measure Biochemical Liver Function Via Bilirubin

    6 Months

  • +12 more secondary outcomes

Study Arms (2)

Normothermic Machine Perfusion (NMP)

EXPERIMENTAL

Following the routine retrieval procedure of the liver, it will be placed on the OrganOx metra for Normothermic Machine Perfusion (NMP) for transport per the Investigational Plan and the Instructions For Use.

Device: Normothermic Machine Perfusion (NMP)

Standard of Care (Ice)

OTHER

Following the routine retrieval procedure of the liver, it will be placed in ice-cold perfusion solution within an ice box for transport as dictated by logistics and local policy.

Other: Standard of Care (Ice)

Interventions

Also known as: OrganOx metra® device
Normothermic Machine Perfusion (NMP)
Standard of Care (Ice)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subject is 18 years of age or greater
  • Subject is registered as an active recipient on the United Network for Organ Sharing (UNOS) waiting list for liver transplantation
  • Subject, or legally authorized representative, is able and willing to give informed consent and HIPAA authorization
  • Subject is able and willing to comply with all study requirements

You may not qualify if:

  • Subject requiring all of the following at the time of transplantation: oxygen therapy, inotropic support, renal replacement therapy
  • Subject has acute/fulminant liver failure
  • Subject undergoing simultaneous transplantation of more than one organ
  • Subject is pregnant or nursing
  • Concurrent enrollment in another clinical trial. Subjects enrolled in clinical trials or registries where only measurements and/or samples are taken (NO TEST DEVICE or TEST DRUG USED) are allowed to participate.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (15)

University of Alabama at Birmingham

Birmingham, Alabama, 35294, United States

Location

Mayo Clinic - Phoenix

Phoenix, Arizona, 85054, United States

Location

University of Southern California (USC)

Los Angeles, California, 90033, United States

Location

University of California - Los Angeles (UCLA)

Los Angeles, California, 90095, United States

Location

University of California-San Francisco (UCSF)

San Francisco, California, 94153, United States

Location

University of Miami

Miami, Florida, 33136, United States

Location

Indiana University

Indianapolis, Indiana, 46202, United States

Location

Ochsner

New Orleans, Louisiana, 70121, United States

Location

University of Maryland

Baltimore, Maryland, 21201, United States

Location

University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

Washington University

St Louis, Missouri, 63110, United States

Location

Duke University

Durham, North Carolina, 27710, United States

Location

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

Location

University of Wisconsin Madison

Madison, Wisconsin, 53792, United States

Location

Related Publications (1)

  • Kubal C, Mihaylov P, Holden J. Oncologic indications of liver transplantation and deceased donor liver allocation in the United States. Curr Opin Organ Transplant. 2021 Apr 1;26(2):168-175. doi: 10.1097/MOT.0000000000000866.

MeSH Terms

Interventions

Standard of CareIce

Intervention Hierarchy (Ancestors)

Quality Indicators, Health CareQuality of Health CareHealth Services AdministrationHealth Care Quality, Access, and EvaluationWaterHydroxidesAlkaliesInorganic ChemicalsAnionsIonsElectrolytesOxidesOxygen CompoundsEnvironmentEcological and Environmental PhenomenaBiological PhenomenaWeatherMeteorological ConceptsEnvironment and Public Health

Results Point of Contact

Title
Robert Bovy, VP of Regulatory Affairs, North America
Organization
OrganOx Ltd

Study Officials

  • Stuart Knechtle, MD

    Duke University

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
LTE60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 30, 2016

First Posted

May 17, 2016

Study Start

October 9, 2016

Primary Completion

February 10, 2020

Study Completion

February 19, 2021

Last Updated

July 29, 2022

Results First Posted

July 22, 2022

Record last verified: 2022-07

Data Sharing

IPD Sharing
Will not share

Locations