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The purpose of the clinical investigation is to support the use of direct procurement of donor hearts in donation after circulatory death followed by hypothermic oxygenated perfusion using the XVIVO Heart Assist Transport System. Thereby increasing the utilization of DCD donor hearts in donation after circulatory death.
The primary objective is to evaluate patient survival after direct procurement and hypothermic oxygenated machine perfusion of DCD donor hearts using the XVIVO Heart Assist Transport System.
The secondary objectives are to evaluate patient outcomes and graft function post-transplant.
This is a prospective, single-arm, multi-national, multicentre, proof-of-concept study to evaluate post-transplant outcomes after the use of direct procurement followed by a period of hypothermic oxygenated perfusion of the donor heart in DCD using the XVIVO Heart Assist Transport system.
The investigation will be conducted at 4 heart transplant centres, one in Belgium and three in The Netherlands.The study will include 40 DCD heart transplant recipients and will evaluate transplant outcomes such as post-transplant complications, patient survival and graft function for a period of 6 months post-transplant.
The study will not include a control group as this is a proof-of-concept study, investigating an alternative method of procurement of DCD hearts by providing additional safety and performance data.
The primary objective is to evaluate patient survival after direct procurement and hypothermic oxygenated machine perfusion of DCD donor hearts using the XVIVO Heart Assist Transport System.
The secondary objectives are to evaluate patient outcomes and graft function post-transplant.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DCD Direct procurement | Experimental | Direct procurement of DCD donor hearts |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| XVIVO Heart Assist Transport System | Device | Direct procurement of donor hearts from DCD donation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Patient survival | 30 days post-transplant |
| Measure | Description | Time Frame |
|---|---|---|
| Cardiac related mortality | 30 days post-transplant | |
| Incidence of Mechanical circulatory support | 30 days post-transplant | |
| Incidence of severe Primary Graft Dysfunction (PGD) at 24 hours post-transplant (Kobashigawa et al., 2014) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Filip Rega, MD, PhD | UZ Leuven | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UZ Leuven | Leuven | Belgium |
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| ID | Term |
|---|---|
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| 30 days post-transplant |
| Cardiac function as assessed by left ventricular ejection fraction (LVEF) at 24 hours and 30 days post-transplant | 30 days post-transplant |
| Incidence of perfused hearts which are not used for transplantation | 30 days post-transplant |
| Total duration of ICU stay (days) | 30 days post-transplant |
| Incidence of biopsy proven rejections > 1 ACR (leading to changed immunosuppressive regime) | 30 days post-transplant |
| Cardiac related mortality at 6 months post-transplant | 6 months post-transplant |
| Cardiac function as assessed by left ventricular ejection fraction (LVEF) | 6 months post-transplant |
| Number of days until hospital discharge from index procedure | 30 days post-transplant |
| Incidence of biopsy proven rejections > 1 ACR (leading to changed immunosuppressive regime) | 6 months post-transplant |