CClinicalTrials.gg
Status unknownNCT02940600CEFEMAUpdated Oct 21, 2016

Efficacy Evaluation of Normothermic Perfusion Machine Preservation in Liver Transplant Using Very Old Donors

An interventional study of Normothermic machine perfusion and Static cold storage in Ischemic Reperfusion Injury, sponsored by Azienda Ospedaliero, Universitaria Pisana. Status unknown at 1 site in Italy. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2016-10-21.

Sponsored by Azienda Ospedaliero, Universitaria Pisana · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Oct 2016), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
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Study summary

The purpose of this study is to evaluate the impact of normothermic machine perfusion in liver transplantation using grafts of brain death donors older or equal than 70 years

Read the detailed description

Mean donor age for liver transplantation in Tuscany, Italy, is increasing and is actually 71 years. Old donors are a valuable resource but their use has been related to a major incidence of primary non function (PNF), delayed graft function (DGF) and ischemic type biliary lesions (ITBL).

Ischemia-reperfusion injury is a major reason for the development of these complications and and old grafts are more susceptible than younger ones.

Normothermic machine perfusion (NMP) is a novel and promising technique that allows preservation in a more physiological environment. It is our belief that the use of NMP might reduce the impact of ischemia-reperfusion injuries in older grafts thus reducing the incidence of complications and providing a better outcome.

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Conditions studied

  • Ischemic Reperfusion Injury

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Keywords

  • normothermic perfusion
  • old donors
  • extended criteria grafts
  • reconditioning
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In context

Reperfusion Injury

271 studies on the registry are indexed under Reperfusion Injury; 42 are open to participants now.

This study's planned enrollment of 30 is below the median of 61 across 215 interventional studies indexed under Reperfusion Injury.

Browse Reperfusion Injury studies →

Lead sponsor

Azienda Ospedaliero, Universitaria Pisana is the lead sponsor of 56 studies on the registry; 10 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patient on waiting list for liver transplant
  • Signed informed consent
  • Age between 18 and 70
  • Eligibility for liver transplant as for University of Pisa Liver Transplant Center Protocol
  • Capacity and willingness to participate to the protocol

Exclusion criteria

Exclusion Criteria:

  • No signed informed consent
  • Age under 18 or over 70
  • Presence of disease that may influence results
  • Patient participation to other studies
  • Re-liver transplant
  • ABO incompatible OLT
  • Multiorgan transplant
  • Liver transplant for acute liver failure or trauma
  • MELD (model for end stage liver disease) >24
  • Patient not suitable to participate on investigators's opinion
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Normothermic machine perfusion

    Patients undergoing liver transplant with grafts preserved using normothermic machine perfusion

    Device: Normothermic machine perfusion

  • Active comparator
    Static cold storage

    Patients undergoing liver transplant with statically cold preserved grafts

    Procedure: Static cold storage

Interventions

  • DeviceNormothermic machine perfusion

    Patients undergoing liver transplant with the use of grafts preserved with normothermic perfusion machine

    Also known as: Liver Assist

  • ProcedureStatic cold storage

    Patients undergoing liver transplant using statically cold preserved grafts

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What researchers measure

Primary outcomes

  1. 6 months graft survival

    Time frame: 180 days

Secondary outcomes

  1. Ischemia-reperfusion injury assessment through biopsies evaluation

    Time frame: 1 day

  2. ischemia reperfusion injury assessment through transaminases

    AST level at post operative day number 7

    Time frame: 7 days

  3. Ischemia reperfusion injury assessment through incidence of ischemic type biliary lesions

    Time frame: 180 days

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Study locations

1 of 1 sites recruiting
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References and documents

Publications

  • Bral M, Gala-Lopez B, Bigam D, Kneteman N, Malcolm A, Livingstone S, Andres A, Emamaullee J, Russell L, Coussios C, West LJ, Friend PJ, Shapiro AM. Preliminary Single-Center Canadian Experience of Human Normothermic Ex Vivo Liver Perfusion: Results of a Clinical Trial. Am J Transplant. 2017 Apr;17(4):1071-1080. doi: 10.1111/ajt.14049. Epub 2016 Dec 9. PubMed 27639262 ↗
  • Mergental H, Perera MT, Laing RW, Muiesan P, Isaac JR, Smith A, Stephenson BT, Cilliers H, Neil DA, Hubscher SG, Afford SC, Mirza DF. Transplantation of Declined Liver Allografts Following Normothermic Ex-Situ Evaluation. Am J Transplant. 2016 Nov;16(11):3235-3245. doi: 10.1111/ajt.13875. Epub 2016 Jul 13. PubMed 27192971 ↗
  • Op den Dries S, Karimian N, Westerkamp AC, Sutton ME, Kuipers M, Wiersema-Buist J, Ottens PJ, Kuipers J, Giepmans BN, Leuvenink HG, Lisman T, Porte RJ. Normothermic machine perfusion reduces bile duct injury and improves biliary epithelial function in rat donor livers. Liver Transpl. 2016 Jul;22(7):994-1005. doi: 10.1002/lt.24436. PubMed 26946466 ↗
  • Ravikumar R, Jassem W, Mergental H, Heaton N, Mirza D, Perera MT, Quaglia A, Holroyd D, Vogel T, Coussios CC, Friend PJ. Liver Transplantation After Ex Vivo Normothermic Machine Preservation: A Phase 1 (First-in-Man) Clinical Trial. Am J Transplant. 2016 Jun;16(6):1779-87. doi: 10.1111/ajt.13708. Epub 2016 Mar 7. PubMed 26752191 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 21, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02940600
Lead sponsor
Azienda Ospedaliero, Universitaria Pisana
Responsible party
Davide Ghinolfi (Medical Doctor, Azienda Ospedaliero, Universitaria Pisana) — Principal investigator
First posted
Oct 21, 2016
Start date
Oct 2016
Primary completion
Apr 2018 (estimated)
Completion
Oct 2018 (estimated)
Last update
Oct 21, 2016

Study contacts

Davide Ghinolfi, MD, PhD
Contact
d.ghinolfi@ao-pisa.toscana.it
+39050995421
Daniele Pezzati, MD
Contact
danypez@hotmail.it
+393202172957
Davide Ghinolfi, MD, PhD
principal investigator · Azienda Ospedaliero, Universitaria Pisana

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Oct 2016. You cannot join it, but the record below documents what was studied.

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