Donor After Circulatory Death Heart CAP Trial
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ClinicalTrials.gov Identifier: NCT04615182 |
Recruitment Status :
Completed
First Posted : November 4, 2020
Last Update Posted : September 14, 2022
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Heart Transplant | Device: Transplant | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 90 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | The Portable Organ Care System (OCS™) Heart For Resuscitation, Preservation and Assessment of Hearts From Donors After Circulatory Death Continued Access Protocol (OCS DCD Heart CAP) |
Actual Study Start Date : | November 25, 2020 |
Actual Primary Completion Date : | December 21, 2021 |
Actual Study Completion Date : | June 29, 2022 |

Arm | Intervention/treatment |
---|---|
Experimental: OCS Preservation |
Device: Transplant
To enable continued clinical access to DCD heart transplantation in the U.S. and to continue to collect additional data on the performance of the OCS Heart System to resuscitate, preserve and assess hearts donated after circulatory death for transplantation to increase the pool of donor hearts available for transplantation. |
- Patient survival [ Time Frame: 6 months post-transplant ]Patient survival at 6 months post-transplant.
- Utilization Rate [ Time Frame: 24 hours post transplant ]Utilization Rate, defined as the number of eligible DCD donor hearts that met the warm ischemic time limit above and were instrumented on the OCS Heart System that meet the acceptance criteria for transplantation after OCS Heart preservation divided by the total number of eligible DCD donor hearts that met the warm ischemic time limit above and were instrumented on the OCS Heart System.
- Patient and graft survival [ Time Frame: 30 days post-transplant ]Patient and graft survival at 30 days post-transplant
- Patient and graft survival [ Time Frame: 30 days or initial hospital discharge, if later than 30 days ]Patient and graft survival at 30 days or initial hospital discharge, if later than 30 days
- Primary Graft Dysfunction (PGD) [ Time Frame: 24 hours post transplant ]Severe heart primary graft dysfunction (PGD) (left or right ventricle) (not including rejection or cardiac tamponade) according to ISHLT consensus manuscript
- Post-Transplant Mechanical Circulatory Support [ Time Frame: > 72 hours immediately post-transplant ]Use of post-transplant mechanical circulatory support (LVAD, RVAD, BiVAD) for > 72 hours immediately post-transplant.
- Patient survival [ Time Frame: 1 year after transplant. ]Patient survival at 1 year after transplant.

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Recipient Inclusion Criteria:
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• Primary heart transplant candidates
- Age ≥ 18 years old
- Signed: (1) written informed consent document; (2) authorization to use and disclose protected health information; and (3) consent to TransMedics' use of recipients' UNOS/OPTN data and recipients' INTERMACS data.
Recipient Exclusion Criteria:
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Prior solid organ or bone marrow transplant
- Chronic use of hemodialysis or diagnosis of chronic renal insufficiency
- Multi-organ transplant.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04615182

Responsible Party: | TransMedics |
ClinicalTrials.gov Identifier: | NCT04615182 |
Other Study ID Numbers: |
OCS-CAR-08242020 |
First Posted: | November 4, 2020 Key Record Dates |
Last Update Posted: | September 14, 2022 |
Last Verified: | September 2022 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | Yes |
Device Product Not Approved or Cleared by U.S. FDA: | Yes |