10 Degree C Static Storage in Heart Transplantation
Feasibility Study of 10 Degree C Static Storage in Human Heart Transplantation
The goal of this clinical trial is to conduct a feasibility investigation evaluating the preliminary safety and effectiveness of using the X°Port Heart Preservation System (XHPS) for 10°C preservation in clinical heart transplantation.
Participants will:
- undergo a standard heart transplant, with a donor heart preserved and transported at 10°C using the XHPS.
- have data collected at key timepoints related to their recovery in the ICU and hospital
- return after discharge for standard follow-up appointments, with capture of standard data collected
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: John Trahanas, MD
- Phone Number: 615-343-9195
- Email: john.trahanas@vumc.org
Study Locations
-
-
Tennessee
-
Nashville, Tennessee, United States, 37232
- Vanderbilt University Medical Center
-
Contact:
- John Trahanas, MD
- Email: john.trahanas@vumc.org
-
Principal Investigator:
- John Trahanas, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Recipient Inclusion Criteria:
- Age >=18 years old
- Listed for heart transplantation
- Consented for the research study (signed Informed Consent Form)
Recipient Exclusion Criteria:
- Multi-organ transplant (i.e., heart-liver, heart-kidney, heart-lung)
- Previous solid organ or bone marrow transplant
- Complex congenital etiology of heart failure
Donor Inclusion Criteria:
- Donation after brain death or donation after circulatory death heart donors
- Donor hearts that have been allocated to VUMC as a primary match offer prior to organ procurement will be eligible.
Donor Exclusion Criteria:
- Donor hearts that have been allocated to VUMC as a backup offer
- Donor hearts that have been allocated to VUMC as a post-procurement offer
- Donor hearts that have already been placed on ice
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Subjects Requiring Heart a Transplant
Intervention: 10° C Heart Preservation
|
The X°Port HPS (Heart Preservation System) is a portable, insulated device designed to maintain donor hearts at an optimal preservation temperature (4°C to 10°C) during static cold storage and transport.
The system uses pre-conditioned cooling packs arranged in both the base and lid compartments to create a sub-normothermic thermal environment.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Evidence of severe primary graft dysfunction (PGD)
Time Frame: 24 hours post-transplant
|
Evidence of severe PGD, as defined by the International Society of Heart and Lung Transplantation 2014 Consensus Document
|
24 hours post-transplant
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The need for venoarterial extracorporeal membrane oxygenation (ECMO) support
Time Frame: 24 hours postoperatively
|
Subject requires venoarterial ECMO support within the first 24 hours postoperatively
|
24 hours postoperatively
|
|
Peak 24-hour lactate level
Time Frame: 24 hours postoperatively
|
Peak 24-hour lactate level (millimoles/Liter)
|
24 hours postoperatively
|
|
Calculated vasoactive inotrope score (VIS)
Time Frame: 1) immediately postoperatively, upon arrival to the intensive care unit (ICU) and 2) at 24 hours and 3) at 72 hours from anesthesia stop time
|
Calculated VIS, which includes the following pressor medications: dobutamine, dopamine, milrinone, epinephrine, norepinephrine and vasopressin (in micrograms/kilogram/minute, except vasopressin in Units/kilogram/minute)
|
1) immediately postoperatively, upon arrival to the intensive care unit (ICU) and 2) at 24 hours and 3) at 72 hours from anesthesia stop time
|
|
Cardiac Index
Time Frame: 1) immediately postoperatively, upon arrival to the intensive care unit (ICU) and 2) at 24 hours and 3) at 72 hours from anesthesia stop time, if collected
|
Cardiac Index
|
1) immediately postoperatively, upon arrival to the intensive care unit (ICU) and 2) at 24 hours and 3) at 72 hours from anesthesia stop time, if collected
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 261005
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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