Graft Rejection, Heart Disease
Conditions
Keywords
allograft, rejection, biopsy, gene, expression, cardiology, heart, transplant
Brief summary
The Cardiac Allograft Rejection Gene Expression Observational (CARGO) II Study is designed to provide independent evidence of the clinical performance of the non-invasive AlloMap test. Sensitive detection of cardiac allograft rejection and dysfunction is the basis for successful recipient management. The CARGO II Study will assess the correlation between the presence or absence of acute cellular rejection as determined by examination of endomyocardial biopsy specimens with results from the AlloMap Test. Of 17 participating transplant centers, 4 are in North America and 13 are in Europe.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* New and existing allograft recipients * All patients (age ≥ 18years) receiving post-transplant care at the enrolling centers
Exclusion criteria
* Concurrent enrollment in a double-blind drug trial (immunosuppressive drugs).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Acute Cellular Rejection(ACR)grades - ACR ISHLT Grades will be determined by centralized pathology reading. The associated AlloMap Test score will be correlated to the biopsy reading. | Scheduled clinic visit |
Secondary
| Measure | Time frame |
|---|---|
| Evaluation of the AlloMap Test and novel gene expression algorithm in guiding management of steroids and calcineurin inhibitors based on the algorithm's capacity to predict future cellular rejection and future graft dysfunction. | more than 2 months following date of transplant |
| Assessment of clinical utility of the AlloMap Test and novel gene expression algorithms in diagnosis and prediction of humoral rejection. | >2 months after date of transplant |
Countries
Austria, Belgium, Canada, France, Germany, Italy, Poland, Spain, Switzerland, United Kingdom, United States