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CompletedNCT03179020DONORSUpdated Nov 2, 2020

Donation Network to Optimize Organ Recovery Study

An interventional study of Checklist use and Usual care in Brain Death and Organ Donation, sponsored by Hospital Moinhos de Vento. Completed at 63 sites in Brazil. Open to participants aged 14 Years to 90 Years. Per ClinicalTrials.gov, last updated 2020-11-02.

Sponsored by Hospital Moinhos de Vento · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
1,535
Allocation
Randomized
Ages
14 Years to 90 Years
Sex
All
01

Study summary

This study consists in an cluster-randomized clinical trial involving near 60 Brazilian intensive care units (ICUs) with a high notification rate of potential donors of organs and tissues. ICUs will be randomized in a 1:1 ratio to manage potential organ donors through the use of a evidence-based checklist or to manage potential organ donors according usual care. The primary outcome is the rate of losses of potential donors due to cardiac arrest. Secondary outcome measures include number of effective organ donors and number of organs recovery per effective donor. The first subject was enrolled on June 20, 2018.

02

Conditions studied

  • Brain Death
  • Organ Donation

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Keywords

  • Intensive Care Units
  • Brain Death
  • Organ Donation
  • Family interview
03

In context

Brain Death

74 studies on the registry are indexed under Brain Death; 10 are open to participants now.

This study's enrollment of 1,535 is above the median of 154 across 39 interventional studies indexed under Brain Death.

Browse Brain Death studies →

Lead sponsor

Hospital Moinhos de Vento is the lead sponsor of 34 studies on the registry; 6 are open to participants now.

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

04

Who can participate

Ages eligible
14 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

For ICUs:

  • Adults ICUs reporting at least 10 potential valid donors (without clinical for donation) per year

For potential donor:

  • Age of 14 years or older
  • Suspected brain death after the first clinical test

Exclusion criteria

Exclusion Criteria:

For ICUs:

  • Coronary units, intermediate units, emergency services
  • ICUs that use checklist for the management of the potential donors

For potential donors:

  • Age >90 years
  • cancer
  • Uncontrolled sepsis
  • Acute hepatitis
  • Malaria
  • Acute viral infections
  • Cryptococcal meningoencephalitis and prion diseases
  • Active tuberculosis treated less than 2 months
  • Colonization of the donor by bacteria without any option of antibiotic treatment
  • History of breast tumor, melanoma, soft tissue sarcoma or hematologic neoplasia, WHO Group 3 primary tumors
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,535 participants (actual)

Study arms

  • Experimental
    Checklist ICUs

    Management of the potential donor guided by the use of an evidence-based checklist. This checklist is based on main recommendations of the Brazilian guideline for the management of potential multiple organ donors.

    Other: Checklist use

  • Active comparator
    Usual Care ICUs

    Management of the potential donor according usual care.

    Other: Usual care

Interventions

  • OtherChecklist use

    Management of the potential donor guided by the use of an evidence-based checklist. This checklist is based on main recommendations of the Brazilian guideline for the management of potential multiple organ donors.

  • OtherUsual care

    Management of the potential donor according usual care.

06

What researchers measure

Primary outcomes

  1. Losses of potential donors due to cardiac arrest

    Proportion of losses of potential donors due to cardiac arrest

    Time frame: This event will be evaluated from the date of study subject enrollment until the date of organ recovery or end of brain death protocol (for cases of family refusal or contraindications to organ recovery) assessed up to 14 days

Secondary outcomes

  1. Effective organ donor

    Proportion of Effective organ donors

    Time frame: This event will be evaluated from the date of study subject enrollment until the date of organ recovery or end of brain death protocol (for cases of family refusal or contraindications to organ recovery) assessed up to 14 days

  2. Organ recovery per effective donor

    Number of organs recovery per effective donor

    Time frame: This event will be evaluated from the date of study subject enrollment until the date of organ recovery assessed up to 14 days

07

Study locations

63 sites
  • Hospital das Clínicas de Rio Branco
    Rio Branco, Acre, Brazil
  • Hospital de Urgência e Emergência de Rio Branco
    Rio Branco, Acre, Brazil
  • Hospital Geral Prof. Osvaldo Brandão Vilela
    Maceió, Alagoas, Brazil
  • Hospital de Pronto Socorro Dr. João Lúcio Pereira Machado
    Manaus, Amazonas, Brazil
  • Hospital Geral Cleriston Andrade
    Feira De Santana, Bahia, Brazil
  • Hospital Geral de Fortaleza
    Fortaleza, Ceará, Brazil
  • Hospital Insituto Dr José Frota
    Fortaleza, Ceará, Brazil
  • Hospital Regional do Cariri
    Juazeiro Do Norte, Ceará, Brazil
  • Hospital Regional Tarcisio de Vasconcelos Maia
    Mossoró, Ceará, Brazil
  • Hospital Regional Norte
    Sobral, Ceará, Brazil
  • Santa Casa de Misericórdia de Sobral
    Sobral, Ceará, Brazil
  • Hospital de Base do Distrito Federal
    Brasília, Distrito Federal, Brazil
  • Hospital Estadual de Urgência e Emergência de Vitória
    Vitória, Espirito Santo, Brazil
  • Hospital de Urgência de Goiânia
    Goiânia, Goias, Brazil
  • Santa Casa de Campo Grande
    Campo Grande, Mato Grosso Do Sul, Brazil
  • Hospital Dr Carlos Macieira
    São Luís, MA, Brazil
  • Socorrão I - Hospital Municipal Djalma Marques
    São Luís, MA, Brazil
  • Hospital das Clinicas das Minas Gerais
    Belo Horizonte, Minas Gerais, Brazil
  • Hospital João XXIII Fundação Hospitalar do Estado de Minas Gerais
    Belo Horizonte, Minas Gerais, Brazil
  • Hospital Universitário Ciências Médicas
    Belo Horizonte, Minas Gerais, Brazil
  • Santa Casa de Belo Horizonte
    Belo Horizonte, Minas Gerais, Brazil
  • Hospital Norte Paranaense
    Arapongas, Paraná, Brazil
  • Hospital e Maternidade Angelina Caron
    Campina Grande do Sul, Paraná 83430-000, Brazil
  • Hospital Nossa Senhora do Rocio de Campo Largo
    Campo Largo, Paraná, Brazil
  • Hospital Universitário de Cascavel do Oeste do Paraná
    Cascavel, Paraná, Brazil
  • Hospital Municipal Padre Germano Lauk
    Foz do Iguaçu, Paraná 85864-380, Brazil
  • Hospital São Vicente de Paulo Guarapuava
    Guarapuava, Paraná, Brazil
  • Hospital Evangélico de Londrina
    Londrina, Paraná, Brazil
  • Hospital Universitário Regional do Norte do Paraná
    Londrina, Paraná, Brazil
  • Hospital Santa Rita de Maringá
    Maringá, Paraná, Brazil
  • Hospital Universitário de Maringá
    Maringá, Paraná, Brazil
  • Irmandade Santa Casa de Misericórdia de Maringá
    Maringá, Paraná, Brazil
  • Hospital Bom Jesus de Ponta Grossa
    Ponta Grossa, Paraná, Brazil
  • Hospital Universitario Regional dos Campos Gerais
    Ponta Grossa, Paraná, Brazil
  • Hospital Bom Jesus de Toledo
    Toledo, Paraná, Brazil
  • Alberto Urquiza Wanderley - Unimed João Pessoa
    João Pessoa, Paraíba, Brazil
  • Hospital de Ensino Doutor Washington Antônio de barros
    Petrolina, Pernambuco, Brazil
  • Hospital da Restauração
    Recife, Pernambuco, Brazil
  • Hospital Geral de Nova Iguaçu
    Nova Iguaçu, Rio De Janeiro, Brazil
  • Hospital de Canoas
    Canoas, Rio Grande Do Sul, Brazil
  • Hospital Bruno Born
    Lajeado, Rio Grande Do Sul, Brazil
  • Hospital São Vicente de Paulo
    Passo Fundo, Rio Grande Do Sul, Brazil
  • Hospital Universitário São Francisco de Paula
    Pelotas, Rio Grande Do Sul, Brazil
  • Hospital Cristo Redentor
    Porto Alegre, Rio Grande Do Sul, Brazil
  • Hospital de Pronto Socorro de Porto Alegre
    Porto Alegre, Rio Grande Do Sul, Brazil
  • Irmandade da Santa Casa de Porto Alegre
    Porto Alegre, Rio Grande Do Sul, Brazil
  • Hospital de Pronto Socorro João Paulo II
    Porto Velho, Rondônia, Brazil
  • Hospital de Clínicas de Porto Alegre
    Porto Alegre, RS, Brazil
  • Hospital de Urgência de Sergipe
    Aracaju, Sergipe, Brazil
  • Hospital das Clínicas de Botucatu
    Botucatu, São Paulo, Brazil
  • Hospital Universitário São Francisco da Providência de Deus de Bragança Paulista
    Bragança Paulista, São Paulo, Brazil
  • Hospital Municipal Irmã Dulce
    Praia Grande, São Paulo, Brazil
  • Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto
    Ribeirão Preto, São Paulo, Brazil
  • Casa de Saúde de Santos
    Santos, São Paulo, Brazil
  • Irmandade Santa Casa de Misericórdia de Sorocaba
    Sorocaba, São Paulo, Brazil
  • Hospital de Base de São José do Rio Preto
    São José Do Rio Preto, São Paulo, Brazil
  • Hospital Regional do Vale do Paraíba
    Taubaté, São Paulo, Brazil
  • Hospital Estadual Getúlio Vargas
    Rio De Janeiro, Brazil
  • Hospital Beneficência Portuguesa de São Paulo
    São Paulo, Brazil
  • Hospital Geral de Taipas
    São Paulo, Brazil
  • Hospital Paulistano
    São Paulo, Brazil
  • Hospital São Paulo
    São Paulo, Brazil
  • Irmandade da Santa Casa de Misericórdia de São Paulo
    São Paulo, Brazil
08

References and documents

Publications

  • Giordani NE, Robinson CC, Westphal GA, Rosa RG, Sganzerla D, Cavalcanti AB, Machado FR, Azevedo LCP, Bozza FA, Teixeira C, de Andrade J, Franke CA, Guterres CM, Madalena IC, Rohden AI, da Silva SS, Andrighetto LV, Rech GS, Gimenes BDP, Hammes LS, Pontes DFS, Meade MO, Falavigna M. Statistical analysis plan for a cluster-randomised trial assessing the effectiveness of implementation of a bedside evidence-based checklist for clinical management of brain-dead potential organ donors in intensive care units: DONORS (Donation Network to Optimise Organ Recovery Study). Trials. 2020 Jun 17;21(1):540. doi: 10.1186/s13063-020-04457-1. PubMed 32552839 ↗
  • Westphal GA, Robinson CC, Biasi A, Machado FR, Rosa RG, Teixeira C, de Andrade J, Franke CA, Azevedo LCP, Bozza F, Guterres CM, da Silva DB, Sganzerla D, do Prado DZ, Madalena IC, Rohden AI, da Silva SS, Giordani NE, Andrighetto LV, Benck PS, Roman FR, de Melo MFRB, Pereira TB, Grion CMC, Diniz PC, Oliveira JFP, Mecatti GC, Alves FAC, Moraes RB, Nobre V, Hammes LS, Meade MO, Nothen RR, Falavigna M; DONORS (Donation Network to Optimise Organ Recovery Study) Investigators and the BRICNet. DONORS (Donation Network to Optimise Organ Recovery Study): Study protocol to evaluate the implementation of an evidence-based checklist for brain-dead potential organ donor management in intensive care units, a cluster randomised trial. BMJ Open. 2019 Jun 25;9(6):e028570. doi: 10.1136/bmjopen-2018-028570. PubMed 31243035 ↗

Individual participant data

Plan to share: Undecided — The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2017 to primary completion in Aug 2019, 26 months.

Of 14 interventional studies with no phase under Brain Death, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 52. This study's 26 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 23, 2017
First posted
Jun 7, 2017
StartActual
Jun 20, 2017
Primary completionActual
Aug 28, 2019
CompletionActual
Aug 28, 2019
Last update
Nov 2, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 2, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03179020
Lead sponsor
Hospital Moinhos de Vento
Collaborators
Ministry of Health, Brazil
Responsible party
Sponsor
First posted
Jun 7, 2017
Start date
Jun 20, 2017
Primary completion
Aug 28, 2019
Completion
Aug 28, 2019
Last update
Nov 2, 2020

Study contacts

Glauco Westphal, MD, PhD
principal investigator · Hospital Moinhos de Vento
Regis G Rosa, MD, PhD
study director · Hospital Moinhos de Vento

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2020. You cannot join it, but the record below documents what was studied.

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