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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01630434
Registration number
NCT01630434
Ethics application status
Date submitted
25/06/2012
Date registered
28/06/2012
Date last updated
4/04/2023
Titles & IDs
Public title
International Randomized Study of the TransMedics Organ Care System (OCS Lung) for Lung Preservation and Transplantation
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Scientific title
Prospective, International, Multi-Center, Randomized Clinical Investigation of TransMedics Organ Care System (OCS LUNG) for Lung Preservation and Transplantation
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Secondary ID [1]
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OCS-LUN-03-2010
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Universal Trial Number (UTN)
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Trial acronym
INSPIRE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Lung Preservation
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - OCS Lung
Treatment: Devices - Cold flush and storage
Experimental: OCS Lung (Treatment Group) - The OCS Lung, which is a portable, integrated platform designed to maintain adult donor lungs in a normothermic state through continuous normothermic perfusion and ventilation, will be used to preserve and transport donor lungs.
Active comparator: Cold flush and storage (Control Group) - Donor lungs will be preserved using cold flush and storage (control group)
Treatment: Devices: OCS Lung
OCS Lung will be used to preserve the donor lungs (Treatment Group).
Treatment: Devices: Cold flush and storage
Donor lungs will preserved using standard cold flush and storage
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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A Composite of Patient Survival at Day 30 Post Transplantation, and Absence of International Society for Heart & Lung Transplantation (ISHLT) Primary Graft Dysfunction (PGD3) Grade 3 Within the First 72 Hours Post-transplantation.
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Assessment method [1]
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This composite is a single outcome measure. 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.
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Timepoint [1]
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Day 30 after transplantation
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Secondary outcome [1]
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Participants With International Society for Heart & Lung Transplantation (ISHLT) PGD Grade 3 at 72 Hours Post-transplantation
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Assessment method [1]
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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.
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Timepoint [1]
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72 hours after transplantation
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Secondary outcome [2]
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Participants With ISHLT PGD Grade 2 or 3 at 72 Hours Post-transplantation
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Assessment method [2]
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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.
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Timepoint [2]
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72 hours after transplantation
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Secondary outcome [3]
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Patient Survival at Day 30
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Assessment method [3]
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Timepoint [3]
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Day 30
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Eligibility
Key inclusion criteria
* Registered primary double-lung transplant candidate
* Age > or equal to 18
* Signed: 1) written informed consent document and 2) authorization to use and disclose protected health information
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Prior solid organ or bone marrow transplant
* Single lung recipient
* Multiple organ transplant recipient
* Chronic use of hemodialysis or diagnosis of chronic renal insufficiency
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/11/2011
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/04/2016
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Sample size
Target
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Accrual to date
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Final
320
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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St. Vincent's Hospital - Darlinghurst
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Recruitment postcode(s) [1]
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2010 - Darlinghurst
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Recruitment outside Australia
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United States of America
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Arizona
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United States of America
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California
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United States of America
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Indiana
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United States of America
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Massachusetts
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United States of America
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Minnesota
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Ohio
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Pennsylvania
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Belgium
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Leuven
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Canada
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Alberta
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France
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Marseille
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France
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Paris
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France
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Strasbourg
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Germany
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Berlin
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Germany
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Hamburg
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Germany
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Hannover
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Italy
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Padua
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Spain
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Madrid
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United Kingdom
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Cambridge
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United Kingdom
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State/province [19]
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Middlesex
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
TransMedics
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
A prospective, international, multi-center, randomized controlled trial comparing preservation of donor lungs using OCS-Lung perfusion device (Treatment Group) to cold flush and storage (Control Group).
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Trial website
https://clinicaltrials.gov/study/NCT01630434
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Trial related presentations / publications
Warnecke G, Van Raemdonck D, Smith MA, Massard G, Kukreja J, Rea F, Loor G, De Robertis F, Nagendran J, Dhital KK, Moradiellos Diez FJ, Knosalla C, Bermudez CA, Tsui S, McCurry K, Wang IW, Deuse T, Leseche G, Thomas P, Tudorache I, Kuhn C, Avsar M, Wiegmann B, Sommer W, Neyrinck A, Schiavon M, Calabrese F, Santelmo N, Olland A, Falcoz PE, Simon AR, Varela A, Madsen JC, Hertz M, Haverich A, Ardehali A. Normothermic ex-vivo preservation with the portable Organ Care System Lung device for bilateral lung transplantation (INSPIRE): a randomised, open-label, non-inferiority, phase 3 study. Lancet Respir Med. 2018 May;6(5):357-367. doi: 10.1016/S2213-2600(18)30136-X. Epub 2018 Apr 9. Erratum In: Lancet Respir Med. 2018 Jun;6(6):e27. doi: 10.1016/S2213-2600(18)30207-8. Bozso S, Freed D, Nagendran J. Successful transplantation of extended criteria lungs after prolonged ex vivo lung perfusion performed on a portable device. Transpl Int. 2015 Feb;28(2):248-50. doi: 10.1111/tri.12474. Epub 2014 Oct 27. No abstract available.
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Public notes
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Contacts
Principal investigator
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Abbas Ardehali, MD
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Address
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Ronald Reagan Medical Center, UCLA
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01630434
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