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PI leaving institution
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The aim of this project is to evaluate the ability of the lung clearance index (LCI) to detect early chronic lung allograft failure (CLAD) in adult lung transplant recipients over a period of 3 years.
This single center study consists of three parts:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Early detection of CLAD by Lung Clearance Index (LCI) | Other | Lung transplant candidates without prior CLAD (evaluated in study part I) will be followed over a period of 3 years to evaluate the potential of LCI to detect early CLAD |
| Measure | Description | Time Frame |
|---|---|---|
| Change in lung clearance index (LCI) | Measured by multiple breath nitrogen washout (Exhalyzer® D; Eco Medics AG) | Change from baseline up to 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Change in slope of acinar airways (Sacin) | Measured by multiple breath nitrogen washout (Exhalyzer® D; Eco Medics AG) | Change from baseline up to 3 years |
| Change in slope of conducting airways (Scond) |
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Inclusion Criteria:
Exclusion Criteria:
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Adult lung transplant patients from University Hospital Zurich will be invited to participate.
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| Name | Affiliation | Role |
|---|---|---|
| Christian Benden, Prof., MD | University Hospital of Zurich, Zurich, Switzerland | Principal Investigator |
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Measured by multiple breath nitrogen washout (Exhalyzer® D; Eco Medics AG)
| Change from baseline up to 3 years |
| Change in forced expiratory volume in 1s (FEV1) | Measured by Spirometry (Geratherm Respiratory GmbH) | Change from baseline up to 3 years |
| Change in forced vital capacity (FVC) | Measured by Spirometry (Geratherm Respiratory GmbH) | Change from baseline up to 3 years |
| Change in forced expiratory flows at 25-75 of vital capacity (FEF25-75) | Measured by Spirometry (Geratherm Respiratory GmbH) | Change from baseline up to 3 years |
| Change in total lung capacity (TLC) | Measured by Bodyplethysmography (Geratherm Respiratory GmbH) | Change from baseline up to 3 years |
| Change in residual volume (RV) | Measured by Bodyplethysmography (Geratherm Respiratory GmbH) | Change from baseline up to 3 years |
| Change in total lung capacity (TLC) / residual volume (RV) ratio | Measured by Bodyplethysmography (Geratherm Respiratory GmbH) | Change from baseline up to 3 years |
| Change in diffusing capacity for nitric oxide (DLNO) | Single-breath measurements (Jaeger MasterScreenTM PFT system) | Change from baseline up to 3 years |
| Change in diffusing capacity for carbon monoxide oxide (DLCO) | Single-breath measurements (Jaeger MasterScreenTM PFT system) | Change from baseline up to 3 years |
| Change in DLNO/DLCO ratio | Single-breath measurements (Jaeger MasterScreenTM PFT system) | Change from baseline up to 3 years |
| Change in transfer coefficient for nitric oxide (DLNO/VA) | Single-breath measurements (Jaeger MasterScreenTM PFT system) | Change from baseline up to 3 years |
| Change in transfer coefficient for carbon monoxide (DLCO/VA) | Single-breath measurements (Jaeger MasterScreenTM PFT system) | Change from baseline up to 3 years |
| Change in computed tomography score | Measured by Computed Tomography: Semiquantative score (i.e., Brody Score); Subscores including bronchiectasis, mucus plugging, airway wall thickening, consolidation, mosaic pattern and air trapping). Subscores will be expressed as the percentage of the maximum score on a scale of 0 (no disease) to 100 (maximal lung disease). | Change from baseline up to 3 years |