XVIVO Heart Box (XHB) With Supplemented XVIVO Heart Solution (SXHS) Continued Access Protocol (CAP)

NCT ID: NCT06895070

Last Updated: 2026-02-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-10

Study Completion Date

2031-05-31

Brief Summary

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The purpose of this study is to evaluate if Non-Ischemic Heart Preservation (NIHP) of extended criteria donor hearts using the XVIVO Heart Preservation System (XHPS) is a safe and effective way to preserve and transport hearts for transplantation.

Detailed Description

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This is a continuation of the PRESERVE IDE trial to provide additional data evaluating the safety and effectiveness of the XVIVO Heart Assist Transport System. The PRESERVE Continued Access Protocol (CAP) will utilize the XHAT System to preserve donor hearts that may not meet current standard donor heart acceptance criteria with the intention of these hearts being transplanted. The CAP has been implemented to allow patients and physicians access to the XHAT System while a Post-Market Approval (PMA) application is being submitted and reviewed.

Conditions

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Heart Transplant Heart Failure Transplant; Failure, Heart

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Device: Preservation of hearts for transplant.

Device: Preservation of hearts for transplant.

Group Type EXPERIMENTAL

Non-Ischemic Heart Preservation (NIHP) using the XVIVO Heart Assist Transport (XHAT)

Intervention Type DEVICE

Study donor hearts meeting extended criteria are preserved via Non-Ischemic Heart Preservation (NIHP) using the XVIVO Heart Preservation System (XHPS)

Interventions

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Non-Ischemic Heart Preservation (NIHP) using the XVIVO Heart Assist Transport (XHAT)

Study donor hearts meeting extended criteria are preserved via Non-Ischemic Heart Preservation (NIHP) using the XVIVO Heart Preservation System (XHPS)

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

To be eligible to participate in this study, a recipient must meet all the following criteria:

1. Age ³18 years.
2. Signed informed consent form (ICF).
3. Listed for heart transplantation.


To be eligible to participate in this study, the donor heart must meet the following criteria:

1. Estimated Cross Clamp Time ≥4 hours OR
2. Estimated Cross Clamp ≥ 2 hours AND

Any one or more of the following:

* Age ≥50 years
* LVEF 40% - 50% at time of provisional acceptance. (Refer to section 6.3.4 for definition of provisional acceptance).
* Down-time ≥20 minutes
* Hypertrophy septal thickness \>12 - ≤16mm
* Angiographic luminal irregularities with no significant CAD OR 1) Donation after Circulatory Death (DCD)

Exclusion Criteria

1. Previous solid organ or bone marrow transplantation.
2. Requires a multi-organ transplant.
3. Subject is enrolled and ongoing in another investigational pharmaceutical or medical device clinical trial (Exception: observational studies are permitted).
4. Subject is on mechanical circulatory support pre-transplant other than durable LVAD, Impella or intra-aortic balloon pump (IABP).
5. History of complex congenital heart disease ie: single ventricle physiology (per Investigator's discretion and XVIVO review).
6. Subject on renal replacement therapy/dialysis.
7. Ventilator dependence (subject is intubated at time of transplant/unable to provide consent or re-affirmation of consent).
8. Sensitized participants meeting any of the following:

* Participant with calculated Panel Reactive Antibody (cPRA) greater than 50%
* Participant undergoing any desensitization treatment (also with cPRA less than 50%)
* Participant with a positive prospective crossmatch and/or a positive virtual cross match


Donor hearts that meet any of the following criteria will be excluded from transplantation in this study:

1. Unstable hemodynamics requiring high-dose inotropic support.
2. Significantly abnormal coronary angiogram defined as CAD \> 50% stenosis of one or more vessels or if the donor heart exhibits any contusions, structural damage, gross abnormalities, or palpable CAD on final examination.
3. Moderate to severe cardiac valve pathology.
4. Investigator's clinical decision to exclude from trial.
5. Previous sternotomy.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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XVIVO Perfusion

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sarah Lowe

Role: STUDY_DIRECTOR

XVIVO Perfusion

Locations

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UC San Diego Health

La Jolla, California, United States

Site Status RECRUITING

Cedars Sinai Medical Center

Los Angeles, California, United States

Site Status RECRUITING

University of California Los Angeles

Los Angeles, California, United States

Site Status RECRUITING

Emory University Hospital

Atlanta, Georgia, United States

Site Status RECRUITING

Northwestern Memorial Hospital

Chicago, Illinois, United States

Site Status RECRUITING

Washington University - Barnes Jewish Health Hospital

St Louis, Missouri, United States

Site Status RECRUITING

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status RECRUITING

NYU Langone

New York, New York, United States

Site Status RECRUITING

Columbia University Medical Center/New York Presbyterian Hospital

New York, New York, United States

Site Status RECRUITING

Duke University Medical Center

Durham, North Carolina, United States

Site Status RECRUITING

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status RECRUITING

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Amanda Carpenter

Role: CONTACT

617-283-8332

Jen Ruel

Role: CONTACT

Facility Contacts

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Andrew Stewart

Role: primary

858-534-3793

Jeremy Duenas

Role: primary

310-248-7193

Lucilla Garcia

Role: backup

310-248-7197

Tahera Alnaseri

Role: primary

425-435-0216

Steven Stokes

Role: backup

Emily Temponi

Role: primary

404-712-1787

Allison Mossell

Role: primary

773-354-0756

James Hermeyer

Role: primary

636-383-1721

Kyle Stumbaugh

Role: backup

636-317-9001

Mia Morrissey, M.S.

Role: primary

402-559-4601

Ryan Ruskamp

Role: backup

402-559-8084

Jacquline Bott

Role: primary

Bo Lu

Role: primary

212-305-3009

Rachel Rice

Role: primary

919-602-3387

Mary Motta

Role: backup

Lisa Slinger

Role: primary

615-875-2602

Sarah McNeil

Role: primary

214-645-7728

Haley Mathis

Role: backup

214-645-7709

Other Identifiers

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NIHP-CAP-001

Identifier Type: -

Identifier Source: org_study_id

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