MedPath

Surveillance HeartCare® Outcomes Registry

Active, not recruiting
Conditions
Heart Transplant Rejection
Registration Number
NCT03695601
Lead Sponsor
CareDx
Brief Summary

This is an observational registry to assess the clinical utility of surveillance using HeartCare testing services, in association with clinical care of heart transplant recipients.

Detailed Description

HeartCare is a service which includes AlloMap® and AlloSure-Heart® to provide information to help clinicians to more comprehensively monitor heart transplant recipients for allograft rejection. An approach to surveillance using HeartCare provides information from two complementary measures; AlloMap is a gene-expression profile based measure of host immune activity and risk of acute rejection. AlloSure-Heart monitors graft injury. AlloMap is the first FDA cleared test and is the only non-invasive, blood test method recommended in the International Society for Heart and Lung Transplantation (ISHLT) guidelines for surveillance of heart transplant recipients for rejection. AlloSure-Heart measures donor-derived cell-free DNA (dd-cfDNA) to help discriminate acute cellular rejection and antibody-mediated rejection from no rejection. Patients who receive HeartCare, as part of their post-transplant management, will give informed consent for information on their outcomes and other relevant clinical information, found in their medical records, to be entered into a SHORE database for purposes of the study.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
2743
Inclusion Criteria
  1. Patients who are 15 years of age or older at the time of blood draw.
  2. Received a heart transplant (primary or repeat)
  3. Patients who have HeartCare initiated within 3 months post-transplant
Exclusion Criteria

1. Patients who are pregnant at the time of blood draw.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Proportion of patients who develop de-novo DSA as a surrogate to clinical outcomes at 1, 3 and 5 years post-transplant.Dec-2026

The primary endpoint of the study is the proportion of patients who develop de-novo DSA as a surrogate to clinical outcomes at 1, 3 and 5 years post-transplant. The overall incidence of de-novo DSA is between 10-20% in the first year and 10-15% each year subsequently.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (67)

Mayo Clinic Arizona

🇺🇸

Phoenix, Arizona, United States

Baptist Health Arkansas

🇺🇸

Little Rock, Arkansas, United States

University of California San Diego

🇺🇸

La Jolla, California, United States

Cedars-Sinai Medical Center

🇺🇸

Los Angeles, California, United States

University of California, Los Angeles

🇺🇸

Los Angeles, California, United States

University of Southern California

🇺🇸

Los Angeles, California, United States

California Pacific Medical Center

🇺🇸

San Francisco, California, United States

University of California San Fransisco Medical Center

🇺🇸

San Francisco, California, United States

Stanford University

🇺🇸

Stanford, California, United States

Yale New Haven

🇺🇸

New Haven, Connecticut, United States

Scroll for more (57 remaining)
Mayo Clinic Arizona
🇺🇸Phoenix, Arizona, United States

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