Enhancing Heart Allograft Function With the OCS Heart System Trial

Purpose

This trial is designed to evaluate the safety and effectiveness of the novel OCS Solution and OCS Functional Enhancer (OFE) to support FDA approval in both DBD and DCD heart transplantation. In addition, this trial will evaluate the performance of the novel OCS Solution and OFE compared to Static Cold Storage (SCS) in DBD heart transplantation to potentially demonstrate superiority.

Condition

  • Heart Transplant

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Criteria

Part A - DCD Donor Hearts & DBD Donor Hearts Initially Deemed Unsuitable for Cold Storage
(Current Approved Indications):

Donor Inclusion Criteria

- Donor hearts are deemed clinically acceptable for transplantation after physical
examination of the donor hearts in the donor chest and/or on the back table in the
donor operating room.

- All DCD donors eligible for functional warm ischemic time criteria ≤ 30 minutes. WIT
defined as time from when mean systolic blood pressure (SBP) is <50mmHg (sustained
for at least 5 minutes) to aortic cross clamp and administration of old cardioplegia
in the donor.

- DBD donor hearts with an expected cross clamp of ≥ 4 hours

- DBD donor hearts with any of the following organ quality concerns, regardless of
cross clamp time:

- Donor age ≥ 40 years old

- Unknown downtime

- Insignificant CAD

- LVEF ≤ 50%

Donor Exclusion • Moderate to severe aortic incompetence

Part B - DBD Donor Hearts Currently Used with Cold Storage (New Indication):

Donor Inclusion Criteria

- Donor hearts are deemed clinically acceptable for transplantation after physical
examination of the donor hearts in the donor chest and/or on the back table in the
donor operating room.

- Eligible for randomization to OCS or SCS treatment arms.

- DBD donor hearts with an expected cross clamp time of < 4 hours.

Donor Exclusion

- Moderate to severe aortic incompetence

- DBD donor with any of the following organ quality concerns:

- Donor age ≥ 40 years old

- Unknown downtime

- Insignificant CAD

- LVEF ≤ 50%

Recipient Eligibility Criteria (for Part A and B Cohorts)

Inclusion

- Signed informed consent document and authorization to use and disclose protected
health information

- Heart transplant candidate

- Age ≥ 18 years old

Exclusion

• Participant in any other interventional clinical or investigational trials/programs
that may confound the outcomes of this trial

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Part A (OCS Heart)
DCD Donor Hearts & DBD Donor Hearts Initially Deemed Unsuitable for Cold Storage (Current Approved Indications)
  • Device: OCS Heart
    Preservation of donor hearts with OCS Heart System and novel OCS Solution and OCS Functional Enhancer.
Experimental
Part B (OCS Heart)
DBD Donor Hearts Currently Used with Cold Storage
  • Device: OCS Heart
    Preservation of donor hearts with OCS Heart System and novel OCS Solution and OCS Functional Enhancer.
Active Comparator
Part B (SCS)
DBD Donor Hearts Currently Used with Cold Storage
  • Other: Static Cold Storage (SCS)
    Preservation of donor hearts with static cold storage.

Recruiting Locations

Massachusetts General Hospital
Boston 4930956, Massachusetts 6254926 02114
Contact:
Kamila Drezek
KDREZEK@mgh.harvard.edu

More Details

Status
Recruiting
Sponsor
TransMedics

Study Contact

Raicca Haqqi
978-809-0620
rhaqqi@transmedics.com