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临床试验/NCT03176433
NCT03176433Unknown1 期

A Multicentre, Single-arm, Prospective Clinical Trial to Investigate the Safety and Feasibility of Cold Storage Prior to Normothermic Machine Perfusion in Adult Human Liver Transplantation

University of Oxford3 个研究点 分布在 1 个国家目标入组 30 人开始时间: 2017年5月1日最近更新:
适应症

试验速览

阶段
1 期
入组人数
30
试验地点
3
主要终点
Patient and Graft Survival

研究概览

简要总结

The aim of this study is to assess the safety and feasibility of a short period of cold storage prior to normothermic machine perfusion in adult liver transplantation.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Donors over the age of 16 years.
  • Liver allografts from donation after brain death (DBD), standard and extended criteria donors. (SCD, ECD) and donation after circulatory death (DCD) donors.
  • Liver must be perfused on OrganOx metra perfusion device within 8 hours of in situ cold perfusion.
  • The perfusion should last a minimum of 4 hours and maximum of 24 hours.

排除标准

  • Living donors.
  • Liver being transplanted as part of a multi-organ transplant (eg liver and kidney).
  • Liver intended for split transplant.
  • Donor age <16 years
  • Liver which investigator is unwilling to recruit to study.
  • Any liver in which logistics prevent perfusion on the OrganOx metra perfusion device within 8 hours of in situ cold perfusion.
  • Recipient Inclusion Criteria:
  • Adult patients (18 years or more).
  • Active on the waiting list for liver transplantation.
  • Able to give informed consent.
  • Recipient Exclusion Criteria:
  • Age less than 18 years.
  • Acute/fulminant liver failure.
  • Transplantation of more than one organ (e.g. liver and kidney).
  • Refusal of informed consent.
  • Unable to give informed consent.

结局指标

主要结局

Patient and Graft Survival

时间窗: 30 days

Patient survival after liver transplantation and liver graft survival will be assessed at 30-days post-op as a composite outcome measure. This will be recorded as yes/no outcome.

次要结局

  • Primary non-function(10 days)
  • Adverse events, transplantation and organ discard rates.(30 days)
  • Biliary investigation or intervention(6 months)
  • Patient and Graft Survival(12 months)
  • Peak serum AST (U/L)(7 days)
  • Early allograft dysfunction (EAD)(7 days)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (3)

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