MedPath

OCS Heart Perfusion Post-Approval Registry

Active, not recruiting
Conditions
Transplant
Interventions
Device: OCS Heart System
Registration Number
NCT05047068
Lead Sponsor
TransMedics
Brief Summary

The objective of this post-approval registry is to provide additional real-world evidence of the performance of the OCS Heart System to preserve DBD and DCD donor hearts.

Detailed Description

Multi-center, observational post-approval registry to:

1. compare patient and graft survival of adult primary heart transplant recipients receiving DBD donor hearts perfused and assessed on the OCS Heart System compared to adult recipients of DBD donor hearts preserved using ischemic cold storage hearts (Control) at the same Registry centers over the same time period, and

2. compare patient and graft survival of adult primary heart transplant recipients receiving DCD donor hearts perfused and assessed on the OCS Heart System compared to adult recipients of DBD donor hearts preserved using ischemic cold storage hearts (Control) at the same Registry centers over the same time period.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
350
Inclusion Criteria
  • Adult primary heart transplant recipients of DBD or DCD donor hearts perfused on the OCS Heart System.

Recipient

Exclusion Criteria
  • Concurrent (multi-organ transplant) or previous solid organ or bone marrow transplant; or
  • On renal dialysis at time of transplant.

Donor Exclusion Criteria (for DCD Donor Hearts only):

  • Warm ischemic time > 30 minutes (warm ischemic time is defined as: Time from when mean systolic blood pressure (SBP) is < 50 mmHg or peripheral saturation < 70% to aortic cross-clamp and administration of cold cardioplegia in the donor).

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Other OCS Heart Analysis PopulationOCS Heart SystemAny/all other recipients of OCS Heart perfused donor hearts outside of the DBD and DCD indications above will be collected in the respective arm of this registry until the enrollment of the PAP of that arm is completed (200 for DBD and 150 for DCD).
OCS DBD Heart Primary Analysis PopulationOCS Heart System200 adult primary heart transplant recipients of OCS perfused DBD donor hearts that meet the FDA-approved indication for use except for the following recipient exclusion criteria: * Concurrent (multi-organ transplant) or previous solid organ or bone marrow transplant; or * On renal dialysis at time of transplant
OCS DCD Heart Primary Analysis PopulationOCS Heart System150 adult primary heart transplant recipients of OCS perfused DCD donor hearts that meet the FDA-approved indication for use except for the following recipient exclusion criteria: * Concurrent (multi-organ transplant) or previous solid organ or bone marrow transplant; or * On renal dialysis at time of transplant * Transplanted with DCD heart with warm ischemic time \> 30 minutes (warm ischemic time is defined as: Time from when mean systolic blood pressure (SBP) is \< 50 mmHg or peripheral saturation \< 70% to aortic cross-clamp and administration of cold cardioplegia in the donor).
Primary Outcome Measures
NameTimeMethod
Patient SurvivalOne year post-heart transplant

Patient survival at one-year post-heart transplant.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (27)

Cedars Sinai

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Los Angeles, California, United States

Northwestern Medicine

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Chicago, Illinois, United States

University of Washington Medical Center

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Seattle, Washington, United States

Minneapolis Heart Institute

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Minneapolis, Minnesota, United States

Duke University

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Durham, North Carolina, United States

Methodist Hospital

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San Antonio, Texas, United States

Emory University Hospital

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Atlanta, Georgia, United States

University of Kentucky

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Lexington, Kentucky, United States

University of California San Francisco

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San Francisco, California, United States

Vanderbilt University Medical Center

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Nashville, Tennessee, United States

University of Minnesota

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Minneapolis, Minnesota, United States

Stanford University

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Palo Alto, California, United States

Tampa General Hospital

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Tampa, Florida, United States

Mayo Clinic Florida

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Jacksonville, Florida, United States

Tufts Medical Center

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Boston, Massachusetts, United States

Massachusetts General Hospital

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Boston, Massachusetts, United States

Brigham and Women's Hospital

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Boston, Massachusetts, United States

University of Michigan

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Ann Arbor, Michigan, United States

Mayo Clinic Rochester

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Rochester, Minnesota, United States

Montefiore

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Bronx, New York, United States

Nyph/Cumc

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New York, New York, United States

Westchester Medical Center

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Valhalla, New York, United States

Yale New Haven Hospital

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New Haven, Connecticut, United States

Baylor Scott and White

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Dallas, Texas, United States

Medical City Dallas

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Dallas, Texas, United States

University of Pittsburgh Medical Center

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Pittsburgh, Pennsylvania, United States

Froedtert & the Medical College of Wisconsin

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Milwaukee, Wisconsin, United States

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