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NCT06399302Recruiting

Prospective Multicenter Research on Donor and Recipient Management Strategies to Improve Lung Transplant Outcomes

Duke University

Start Date

9/3/2024

Completion Date

6/30/2027

Summary

This project aims to collect detailed clinical data, blood samples, and patient-reported outcomes from 2,600 lung transplant candidates, donors, and recipients at Lung Transplant Centers. The goal is to create a robust resource for various research objectives, including studying the impact of variations in donor and medical practices on clinical outcomes. The project also seeks to identify serum biomarkers associated with or predictive of specific post-transplant complications and conditions.

Detailed Description

This is an observational, prospective, multicenter cohort study of 2,600 lung transplant donors and adult (18 years and older) lung transplant candidates and recipients that will collect longitudinal clinical data, and serial biological (blood) specimens and PROs to support a broad range of clinical and translational future research. Data and biospecimens will be rigorously collected and monitored to ensure high quality future studies that will address unmet needs and optimal management at each stage of the transplant journey from listing, to donor selection, to postoperative management. Subjects are recruited to the study either prior to undergoing lung transplant at the time of listing or within 30 days of having undergone a lung transplant at one of the enrolling centers. The study design will generally follow the SOC practices at each center to minimize additional research related visits. Participants will follow the SOC transplant protocols at each site. Every attempt will be made by the site to collect study data and research specimens from participants at the time of SOC visits. Participation in this study will include scheduled data extraction or data transfers at specified time intervals, serial prospective blood collection (including plasma, serum), recipient DNA sample collection (with donor DNA sample collection optional), and PRO measures.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: 1. Able to understand and provide informed consent 2. ≥ 18 years of age at the time of written informed consent 3. Anticipated listing or listed for a single or bilateral cadaveric donor lung transplant or having received a lung transplant within 30 days * Participants undergoing repeat lung transplantation or multi-organ transplantation are eligible if they meet the inclusion/exclusion criteria. Exclusion Criteria: 1. Unwillingness of a participant or legally authorized representative (LAR) to give written informed consent or comply with study protocol 2. Pregnancy or plans to become pregnant 3. Past or current medical problems or findings from physical examination or laboratory testing, which, in the opinion of the investigator, may pose additional risks from participation in the study, may interfere with the participant's ability to comply with study requirements or that may impact the quality or interpretation of the data obtained from the study.

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Conditions

Lung Transplant; ComplicationsLung Transplant; Infection or InflammationLung Transplant RejectionLung Transplant Failure

Locations

University of California Los Angeles

Los Angeles, California 90095

United States

University of California at San Francisco

San Francisco, California 94143

United States

Stanford University Medical Center

Stanford, California 94305

United States

University of Miami

Miami, Florida 33136

United States

Johns Hopkins University

Baltimore, Maryland 21205

United States

Brigham and Womens Hospital

Boston, Massachusetts 02115

United States

University of Michigan

Ann Arbor, Michigan 48109

United States

University of Minnesota

Minneapolis, Minnesota 55455

United States

New York University

New York, New York 10016

United States

Columbia University

New York, New York 10032

United States

Duke University Medical Center

Durham, North Carolina 27710

United States

University of Pennsylvania

Philadelphia, Pennsylvania 19104

United States

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania 15261

United States

Vanderbilt University Medical Center

Nashville, Tennessee 37232

United States

Houston Methodist Hospital, Texas Medical Center

Houston, Texas 77030

United States

Inova Fairfax Hospital

Falls Church, Virginia 22042

United States

University of Washington

Seattle, Washington 98109

United States

University of Wisconsin Hospital and Clinics

Madison, Wisconsin 53792

United States

University Health Network

Toronto,

Canada