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
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: John Trahanas, MD
- Telefonnummer: 615-343-9195
- E-mail: john.trahanas@vumc.org
Studiesteder
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-
Tennessee
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Nashville, Tennessee, Forenede Stater, 37232
- Vanderbilt University Medical Center
-
Kontakt:
- John Trahanas, MD
- E-mail: john.trahanas@vumc.org
-
Ledende efterforsker:
- John Trahanas, MD
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
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
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: 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.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Evidence of severe primary graft dysfunction (PGD)
Tidsramme: 24 hours post-transplant
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Evidence of severe PGD, as defined by the International Society of Heart and Lung Transplantation 2014 Consensus Document
|
24 hours post-transplant
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
The need for venoarterial extracorporeal membrane oxygenation (ECMO) support
Tidsramme: 24 hours postoperatively
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Subject requires venoarterial ECMO support within the first 24 hours postoperatively
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24 hours postoperatively
|
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Peak 24-hour lactate level
Tidsramme: 24 hours postoperatively
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Peak 24-hour lactate level (millimoles/Liter)
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24 hours postoperatively
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Calculated vasoactive inotrope score (VIS)
Tidsramme: 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
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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)
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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
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Cardiac Index
Tidsramme: 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
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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
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 261005
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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