Trial Outcomes & Findings for Extending Preservation and Assessment Time of Donor Lungs Using the Toronto EVLP System™ at a Dedicated EVLP Facility (NCT NCT02234128)

NCT ID: NCT02234128

Last Updated: 2020-12-02

Results Overview

Primary Graft Dysfunction is a scale published by the International Society of Heart and Lung Transplantation that uses patient oxygenation and radiographic results to score patients on a 0 (zero) to 3 (three) scale, with 3 being the most significant dysfunction.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

118 participants

Primary outcome timeframe

72 Hours

Results posted on

2020-12-02

Participant Flow

Participant milestones

Participant milestones
Measure
EVLP Double Lung Group
Toronto EVLP System™ administered to double lungs. Toronto EVLP System™: Extending preservation and assessment time of donor lungs using the Toronto EVLP System
EVLP Single Lung Group
Toronto EVLP System™ administered to single lungs. Toronto EVLP System™: Extending preservation and assessment time of donor lungs using the Toronto EVLP System
Control Group
Those patients receiving a single or double lung via conventional transplant.
Overall Study
STARTED
35
31
52
Overall Study
COMPLETED
30
29
48
Overall Study
NOT COMPLETED
5
2
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Extending Preservation and Assessment Time of Donor Lungs Using the Toronto EVLP System™ at a Dedicated EVLP Facility

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
EVLP Double Lung Group
n=35 Participants
Toronto EVLP System™ administered to double lungs. Toronto EVLP System™: Extending preservation and assessment time of donor lungs using the Toronto EVLP System
EVLP Single Lung Group
n=31 Participants
Toronto EVLP System™ administered to single lungs. Toronto EVLP System™: Extending preservation and assessment time of donor lungs using the Toronto EVLP System
Control Group
n=52 Participants
Those patients receiving a single or double lung via conventional transplant.
Total
n=118 Participants
Total of all reporting groups
Age, Continuous
54.9 years
n=5 Participants
65.2 years
n=7 Participants
61.6 years
n=5 Participants
62.5 years
n=4 Participants
Sex: Female, Male
Female
19 Participants
n=5 Participants
12 Participants
n=7 Participants
14 Participants
n=5 Participants
45 Participants
n=4 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
19 Participants
n=7 Participants
38 Participants
n=5 Participants
73 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
6 Participants
n=4 Participants
Race (NIH/OMB)
White
30 Participants
n=5 Participants
28 Participants
n=7 Participants
47 Participants
n=5 Participants
105 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
Region of Enrollment
United States
35 participants
n=5 Participants
31 participants
n=7 Participants
52 participants
n=5 Participants
118 participants
n=4 Participants
Lung Allocation Score
39.6 units on a scale
n=5 Participants
40.0 units on a scale
n=7 Participants
44.7 units on a scale
n=5 Participants
42.0 units on a scale
n=4 Participants

PRIMARY outcome

Timeframe: 72 Hours

Primary Graft Dysfunction is a scale published by the International Society of Heart and Lung Transplantation that uses patient oxygenation and radiographic results to score patients on a 0 (zero) to 3 (three) scale, with 3 being the most significant dysfunction.

Outcome measures

Outcome measures
Measure
EVLP Double Lung Group
n=35 Participants
Toronto EVLP System™ administered to double lungs. Toronto EVLP System™: Extending preservation and assessment time of donor lungs using the Toronto EVLP System
EVLP Single Lung Group
n=31 Participants
Toronto EVLP System™ administered to single lungs. Toronto EVLP System™: Extending preservation and assessment time of donor lungs using the Toronto EVLP System
Control Group
n=52 Participants
Those patients receiving a single or double lung via conventional transplant.
Count of Participants With Primary Graft Dysfunction (PGD), Grade 3
8 Participants
8 Participants
2 Participants

PRIMARY outcome

Timeframe: 30 Days

The number of participants that survived to 30 days post-transplant.

Outcome measures

Outcome measures
Measure
EVLP Double Lung Group
n=35 Participants
Toronto EVLP System™ administered to double lungs. Toronto EVLP System™: Extending preservation and assessment time of donor lungs using the Toronto EVLP System
EVLP Single Lung Group
n=31 Participants
Toronto EVLP System™ administered to single lungs. Toronto EVLP System™: Extending preservation and assessment time of donor lungs using the Toronto EVLP System
Control Group
n=52 Participants
Those patients receiving a single or double lung via conventional transplant.
Count of Participants Surviving
35 survivors
31 survivors
52 survivors

SECONDARY outcome

Timeframe: 0, 24, 48 & 72 Hours

PGD Score (0-3) at 0, 24, 48 \& 72 hours post-transplant

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 Days

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 72 Hours

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Days

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Days

Outcome measures

Outcome data not reported

Adverse Events

EVLP Double Lung Group

Serious events: 31 serious events
Other events: 35 other events
Deaths: 5 deaths

EVLP Single Lung Group

Serious events: 24 serious events
Other events: 30 other events
Deaths: 2 deaths

Control Group

Serious events: 41 serious events
Other events: 51 other events
Deaths: 4 deaths

Serious adverse events

Serious adverse events
Measure
EVLP Double Lung Group
n=35 participants at risk
Toronto EVLP System™ administered to double lungs. Toronto EVLP System™: Extending preservation and assessment time of donor lungs using the Toronto EVLP System
EVLP Single Lung Group
n=31 participants at risk
Toronto EVLP System™ administered to single lungs. Toronto EVLP System™: Extending preservation and assessment time of donor lungs using the Toronto EVLP System
Control Group
n=52 participants at risk
Those patients receiving a single or double lung via conventional transplant.
Respiratory, thoracic and mediastinal disorders
Acute Respiratory Failure
22.9%
8/35 • 1 year
Regular Investigator Assessment
19.4%
6/31 • 1 year
Regular Investigator Assessment
19.2%
10/52 • 1 year
Regular Investigator Assessment
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
17.1%
6/35 • 1 year
Regular Investigator Assessment
16.1%
5/31 • 1 year
Regular Investigator Assessment
9.6%
5/52 • 1 year
Regular Investigator Assessment
Respiratory, thoracic and mediastinal disorders
Hypoxia
17.1%
6/35 • 1 year
Regular Investigator Assessment
12.9%
4/31 • 1 year
Regular Investigator Assessment
13.5%
7/52 • 1 year
Regular Investigator Assessment
Respiratory, thoracic and mediastinal disorders
Pneumonia
17.1%
6/35 • 1 year
Regular Investigator Assessment
12.9%
4/31 • 1 year
Regular Investigator Assessment
7.7%
4/52 • 1 year
Regular Investigator Assessment
Respiratory, thoracic and mediastinal disorders
Bronchostenosis
5.7%
2/35 • 1 year
Regular Investigator Assessment
16.1%
5/31 • 1 year
Regular Investigator Assessment
3.8%
2/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Cytomegalovirus Viremia
8.6%
3/35 • 1 year
Regular Investigator Assessment
9.7%
3/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Respiratory, thoracic and mediastinal disorders
Dyspnea
8.6%
3/35 • 1 year
Regular Investigator Assessment
9.7%
3/31 • 1 year
Regular Investigator Assessment
7.7%
4/52 • 1 year
Regular Investigator Assessment
Cardiac disorders
Cardiac Arrest
8.6%
3/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
1.9%
1/52 • 1 year
Regular Investigator Assessment
Immune system disorders
Lung Transplant Rejection
11.4%
4/35 • 1 year
Regular Investigator Assessment
3.2%
1/31 • 1 year
Regular Investigator Assessment
13.5%
7/52 • 1 year
Regular Investigator Assessment
Nervous system disorders
Delerium
2.9%
1/35 • 1 year
Regular Investigator Assessment
9.7%
3/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Pneumonia pseudomonal
5.7%
2/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Immune system disorders
Transplant Rejection
5.7%
2/35 • 1 year
Regular Investigator Assessment
3.2%
1/31 • 1 year
Regular Investigator Assessment
9.6%
5/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Septic shock
5.7%
2/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
5.8%
3/52 • 1 year
Regular Investigator Assessment
Respiratory, thoracic and mediastinal disorders
Pulmonary edema
2.9%
1/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
5.8%
3/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Lower respiratory tract infection
0.00%
0/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
5.8%
3/52 • 1 year
Regular Investigator Assessment
Gastrointestinal disorders
Dysphagia
0.00%
0/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
1.9%
1/52 • 1 year
Regular Investigator Assessment
Gastrointestinal disorders
Gastrointestinal haemorrhage
2.9%
1/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
1.9%
1/52 • 1 year
Regular Investigator Assessment
Gastrointestinal disorders
Pneumatosis intestinalis
8.6%
3/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Influenza
0.00%
0/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
1.9%
1/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Postoperative wound infection
5.7%
2/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Respiratory syncytial virus infection
5.7%
2/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Injury, poisoning and procedural complications
Bronchial anastomosis complication
5.7%
2/35 • 1 year
Regular Investigator Assessment
3.2%
1/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Injury, poisoning and procedural complications
Complications of transplanted lung
8.6%
3/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
3.8%
2/52 • 1 year
Regular Investigator Assessment
Nervous system disorders
Cerebrovascular accident
5.7%
2/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Nervous system disorders
Syncope
0.00%
0/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Respiratory, thoracic and mediastinal disorders
Pneumothorax
2.9%
1/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
3.8%
2/52 • 1 year
Regular Investigator Assessment
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
5.7%
2/35 • 1 year
Regular Investigator Assessment
3.2%
1/31 • 1 year
Regular Investigator Assessment
1.9%
1/52 • 1 year
Regular Investigator Assessment
Vascular disorders
Orthostatic hypotension
0.00%
0/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
1.9%
1/52 • 1 year
Regular Investigator Assessment
Vascular disorders
Shock hemorrhagic
8.6%
3/35 • 1 year
Regular Investigator Assessment
3.2%
1/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment

Other adverse events

Other adverse events
Measure
EVLP Double Lung Group
n=35 participants at risk
Toronto EVLP System™ administered to double lungs. Toronto EVLP System™: Extending preservation and assessment time of donor lungs using the Toronto EVLP System
EVLP Single Lung Group
n=31 participants at risk
Toronto EVLP System™ administered to single lungs. Toronto EVLP System™: Extending preservation and assessment time of donor lungs using the Toronto EVLP System
Control Group
n=52 participants at risk
Those patients receiving a single or double lung via conventional transplant.
Cardiac disorders
Atrial Fibrillation
5.7%
2/35 • 1 year
Regular Investigator Assessment
12.9%
4/31 • 1 year
Regular Investigator Assessment
1.9%
1/52 • 1 year
Regular Investigator Assessment
Blood and lymphatic system disorders
Neutropenia
5.7%
2/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
5.8%
3/52 • 1 year
Regular Investigator Assessment
Gastrointestinal disorders
Dysphagia
2.9%
1/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
1.9%
1/52 • 1 year
Regular Investigator Assessment
Immune system disorders
Drug hypersensitivity
5.7%
2/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Immune system disorders
Lung transplant rejection
17.1%
6/35 • 1 year
Regular Investigator Assessment
32.3%
10/31 • 1 year
Regular Investigator Assessment
23.1%
12/52 • 1 year
Regular Investigator Assessment
Immune system disorders
Transplant rejection
22.9%
8/35 • 1 year
Regular Investigator Assessment
22.6%
7/31 • 1 year
Regular Investigator Assessment
28.8%
15/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Bronchitis
8.6%
3/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
1.9%
1/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Bronchitis bacterial
2.9%
1/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Bronchopulmonary aspergillosis
5.7%
2/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
9.6%
5/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Cytomegalovirus viremia
2.9%
1/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
5.8%
3/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Diverticulitis
2.9%
1/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Haemophilus infection
5.7%
2/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Infectious pleural effusion
5.7%
2/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Influenza
0.00%
0/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
3.8%
2/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Lower respiratory tract infection bacterial
28.6%
10/35 • 1 year
Regular Investigator Assessment
25.8%
8/31 • 1 year
Regular Investigator Assessment
15.4%
8/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Lung infection pseudomonal
22.9%
8/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
15.4%
8/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Pneumonia
2.9%
1/35 • 1 year
Regular Investigator Assessment
9.7%
3/31 • 1 year
Regular Investigator Assessment
5.8%
3/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Respiratory tract infection bacterial
2.9%
1/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
7.7%
4/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Rhinovirus infection
2.9%
1/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
9.6%
5/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Transmission of an infectious agent via transplant
5.7%
2/35 • 1 year
Regular Investigator Assessment
3.2%
1/31 • 1 year
Regular Investigator Assessment
7.7%
4/52 • 1 year
Regular Investigator Assessment
Infections and infestations
Upper respiratory tract infection
8.6%
3/35 • 1 year
Regular Investigator Assessment
3.2%
1/31 • 1 year
Regular Investigator Assessment
1.9%
1/52 • 1 year
Regular Investigator Assessment
Injury, poisoning and procedural complications
Bronchial anastomosis complication
2.9%
1/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
1.9%
1/52 • 1 year
Regular Investigator Assessment
Injury, poisoning and procedural complications
Toxicity to various agents
0.00%
0/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Metabolism and nutrition disorders
Metabolic acidosis
0.00%
0/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Psychiatric disorders
Delirium
0.00%
0/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
5.8%
3/52 • 1 year
Regular Investigator Assessment
Psychiatric disorders
Mental status changes
5.7%
2/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Renal and urinary disorders
Acute kidney injury
5.7%
2/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Respiratory, thoracic and mediastinal disorders
Bronchostenosis
11.4%
4/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
1.9%
1/52 • 1 year
Regular Investigator Assessment
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
5.8%
3/52 • 1 year
Regular Investigator Assessment
Respiratory, thoracic and mediastinal disorders
Haemoptysis
5.7%
2/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Respiratory, thoracic and mediastinal disorders
Respiratory failure
5.7%
2/35 • 1 year
Regular Investigator Assessment
3.2%
1/31 • 1 year
Regular Investigator Assessment
1.9%
1/52 • 1 year
Regular Investigator Assessment
Skin and subcutaneous tissue disorders
Decubitis ulcer
5.7%
2/35 • 1 year
Regular Investigator Assessment
0.00%
0/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Skin and subcutaneous tissue disorders
Subcutaneous emphysema
2.9%
1/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment
Vascular disorders
Deep vein thrombosis
2.9%
1/35 • 1 year
Regular Investigator Assessment
6.5%
2/31 • 1 year
Regular Investigator Assessment
0.00%
0/52 • 1 year
Regular Investigator Assessment

Additional Information

Michael Roberts, Director Regulatory Affairs

Lung Bioengineering Inc.

Phone: 2406502261

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60