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International EXPAND Heart Pivotal Trial

International Trial to Evaluate the Safety and Effectiveness of The Portable Organ Care System (OCS™) Heart For Preserving and Assessing Expanded Criteria Donor Hearts for Transplantation (EXPAND Heart Trial)

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02323321
Acronym
EXPANDHeart
Enrollment
75
Registered
2014-12-23
Start date
2015-09-16
Completion date
2019-03-02
Last updated
2025-01-17

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

Conditions

Heart Transplant

Keywords

heart transplant, heart preservation, beating heart transplant

Brief summary

To evaluate the effectiveness of the OCS™ Heart to recruit, preserve and assess donor hearts that may not meet current standard donor heart acceptance criteria (as identified above) for transplantation to potentially improve donor heart utilization for transplantation

Interventions

DEVICEPreservation of Hearts for Transplantation

Preserving and Assessing Expanded Criteria Donor Hearts for Transplantation

Sponsors

TransMedics
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Registered male or female primary Heart transplant candidate * Age ≥18 years old

Exclusion criteria

* Prior solid organ or bone marrow transplant * Chronic use of hemodialysis or diagnosis of chronic renal insufficiency * Multi-organ transplant

Design outcomes

Primary

MeasureTime frameDescription
Patient Survival at Day-30 Post Transplant and Absence of Severe Primary Heart Graft Dysfunction in the First 24 Hours Post-transplantation30 DaysA composite endpoint of patient survival at Day-30 post-transplant and absence of severe heart primary graft dysfunction (PGD) (left or right ventricle)) in the first 24 hours post-transplantation.

Countries

United States

Participant flow

Participants by arm

ArmCount
OCS Preservation
OCS Heart System: The OCS Heart System preserves the heart in a near-physiological, beating state by perfusing the heart with a warmed, donor-blood based perfusate that is supplemented with nutrients and oxygen in a controlled and protected environment
75
Total75

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyDeath12
Overall StudyRe-Transplant1

Baseline characteristics

CharacteristicOCS Preservation
Age, Continuous55.46 years
STANDARD_DEVIATION 12.556
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
66 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
8 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
2 Participants
Race (NIH/OMB)
Black or African American
12 Participants
Race (NIH/OMB)
More than one race
2 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
Race (NIH/OMB)
White
58 Participants
Sex: Female, Male
Female
14 Participants
Sex: Female, Male
Male
61 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
12 / 75
other
Total, other adverse events
0 / 0
serious
Total, serious adverse events
56 / 75

Outcome results

Primary

Patient Survival at Day-30 Post Transplant and Absence of Severe Primary Heart Graft Dysfunction in the First 24 Hours Post-transplantation

A composite endpoint of patient survival at Day-30 post-transplant and absence of severe heart primary graft dysfunction (PGD) (left or right ventricle)) in the first 24 hours post-transplantation.

Time frame: 30 Days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
OCS PreservationPatient Survival at Day-30 Post Transplant and Absence of Severe Primary Heart Graft Dysfunction in the First 24 Hours Post-transplantation66 Participants
p-value: <0.000195% CI: [78.4, 94.4]one-sided exact binomial test

Source: ClinicalTrials.gov · Data processed: Feb 9, 2026