Ex-Vivo Lung Reconditioning
ExVivo
Pilot Study of Lung Transplantation After Ex-Vivo Lung Reconditioning
2 other identifiers
interventional
45
1 country
2
Brief Summary
Only about 15% of the potential candidates for lung donation are considered suitable for transplantation. Thus, a strategy that could improve the quality and precision of assessment of nonacceptable donor lungs could have a major impact on reducing waiting time and mortality while on the list. A new method for ex vivo lung perfusion (EVLP) has been developed recently by Steen and colleagues to assess the quality of lungs from a non-heart-beating donor. The method can also be used to recondition "marginal" and nonacceptable donor lungs. After harvesting, the lungs were perfused ex vivo with Steen Solution, an extracellular matrix with high colloid osmotic pressure. A membrane oxygenator connected to the circuit received gas from a mixture of nitrogen and carbon dioxide, maintaining a normal mixed venous blood gas level in the perfusate. The lungs were gradually rewarmed, reperfused, and ventilated for evaluation through analyses of oxygenation capacity, pulmonary vascular resistance (PVR), lung compliance (LC), and biopsy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Feb 2011
Longer than P75 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2011
CompletedFirst Submitted
Initial submission to the registry
September 11, 2016
CompletedFirst Posted
Study publicly available on registry
September 20, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2016
CompletedApril 20, 2017
April 1, 2017
5.8 years
September 11, 2016
April 19, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
number of "transplantable" grafts and Reduced waiting time before transplantation
12 months
Secondary Outcomes (4)
Difference of data obtained 2 hours after Ex-Vivo lung reconditioning with those obtained 4 hours after Ex-Vivo lung reconditioning
4 hours after Ex-Vivo lung reconditioning
Number of deaths of patients on waiting list
5 years
survival time after lung transplantation with ExVivo lung reconditioning
1 year after end of study
Quality of life scale score after lung transplantation with ExVivo lung reconditioning
1 year after end of study
Study Arms (1)
ExVivo lung reconditioning
EXPERIMENTALInterventions
Eligibility Criteria
You may qualify if:
- Patients on the waiting list for lung transplantation and for which the Biomedicine -Agency has awarded a lung transplantation after Ex-Vivo lung reconditioning
- Patients affiliated to a social security system;
- Patients who consented to participate in writing
You may not qualify if:
- Patients under tutorship or unable to consent or institutionalized
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Hopital Fochlead
Study Sites (2)
Centre chirugical Marie Lannelongue
Le Plessis-Robinson, 92350, France
Hopital Foch
Suresnes, 92150, France
Study Officials
- PRINCIPAL INVESTIGATOR
Alain Chapelier, PhD
Hopital Foch
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 11, 2016
First Posted
September 20, 2016
Study Start
February 1, 2011
Primary Completion
November 1, 2016
Study Completion
November 1, 2016
Last Updated
April 20, 2017
Record last verified: 2017-04