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EVLP to Evaluate the Eligibility for Transplantation of DCD-Lungs

Extracorporeal Lung Perfusion and Ventilation to Evaluate the Eligibility for Transplantation of Lungs Retrieved From Donors After Cardio-circulatory Death (DCD)

Status
UNKNOWN
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02061462
Acronym
EVLP-DCD
Enrollment
10
Registered
2014-02-12
Start date
2014-10-31
Completion date
2017-04-30
Last updated
2014-11-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Disorders Related to Lung Transplantation, Graft Failure

Brief summary

The procurement of organs from donors after cardiocirculatory death (DCD) is an accepted strategy to increase organ supply.

Detailed description

Aim of the investigation: to compare the clinical outcome after transplantation of subjects receiving lungs procured from donors after cardiocirculatory death reconditioned and assessed by EVLP, with that of subjects receiving lungs procured from brain death donors.

Interventions

PROCEDUREEVLP-DCD Group

Events: application of an open lung protective ventilatory strategy (recruitment manoeuvre, low volume-low frequency ventilation-high PEEP) to the DCD donors; procurement of lungs and cold storage on ice; reconditioning/evaluation by EVLP to assess suitability for transplantation; cold storage on ice; transplantation. Endpoints of suitability: oxygenation, respiratory mechanics, pulmonary vascular resistance, chest X-ray, fibrobronchoscopy

Sponsors

San Gerardo Hospital
CollaboratorOTHER
Policlinico Hospital
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
15 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Lung donors: * subjects with brain death according to neurological or cardiocirculatory criteria * age below 65 yrs * absence of massive lung contusion, aspiration, pneumonia, sepsis * absence of infection, malignancy Recipients: * subjects to undergo single or bilateral lung transplantation * informed consent to participate in the study

Design outcomes

Primary

MeasureTime frameDescription
30 Day Mortality and Graft Survival30 days30 day mortality and graft survival is used as a standard research measure to evaluate post transplant outcome

Secondary

MeasureTime frameDescription
Duration of mechanical ventilation after transplantation30 days
ICU length of stay after transplantation30 days
Primary Graft Dysfunction 72 hours After Transplantation72 hoursPrimary Graft Dysfunction 72 hours after transplantation definition: grade 3 according to the International Society of Heart and Lung Transplantation classification

Other

MeasureTime frame
Bronchiolitis Obliterans Syndrome (BOS)12 months

Countries

Italy

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 14, 2026