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lack of resources (personnel and budget)
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Lung transplantation is the ultimate treatment for end stage lung diseases. Survival after lung transplantation is limited mainly due to the development of chronic allograft dysfunction (CLAD). Both acute cellular rejection and primary grade dysfunction (PGD) have been associated with the development of CLAD. In this study we will investigate multiple prognostic factors that influence long term survival after lung transplantation with a specific interest in PGD, acute rejection and the development of CLAD.
At specific time points (according to protocol) exhaled breath, blood specimens, bronchoalveolar lavage and biopsies will be collected. These will be analyzed in an attempt to identify possible biomarkers that will predict the development of PGD and/or CLAD.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LTx (lung transplant) patients | identification of possible biomarkers |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| blood and exhaled breath specimens | Other | identification of possible biomarkers |
|
| Measure | Description | Time Frame |
|---|---|---|
| identify prognostic biomarkers in blood, bronchoalveolar lavage and exhaled breath that will determine long term survival after human lung transplantation. | death | up to 520 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Secondary objectives are obtaining information on the development of (Primary graft development) PGD in relationship to respiratory viruses, genetic profile and exhaled breath in patients and (if possible donors) after human lung transplantation. | PGD | from transplantation till 72 hours after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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all lung transplant recipients
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| Name | Affiliation | Role |
|---|---|---|
| Thérèse Lapperre, MD | University Hospital, Antwerp | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Antwerp | Edegem | Antwerp | 2650 | Belgium |
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| ID | Term |
|---|---|
| D012059 | Rejection, Psychology |
| D055031 | Primary Graft Dysfunction |
| ID | Term |
|---|---|
| D012919 | Social Behavior |
| D001519 | Behavior |
| D015427 | Reperfusion Injury |
| D014652 | Vascular Diseases |
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| ID | Term |
|---|---|
| D001800 | Blood Specimen Collection |
| ID | Term |
|---|---|
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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the first 72 hours after transplantation cell free DNA will be collected
| D002318 |
| Cardiovascular Diseases |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011677 | Punctures |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |