ClinicalTrials.gg
Enrolling by invitationNCT04930289GUARDIANLUNGUpdated Sep 18, 2026

Global Utilization And Registry Database for Improved preservAtion of doNor LUNGs

An observational study in Interstitial Lung Disease, COPD and Cystic Fibrosis, sponsored by Paragonix Technologies. Enrolling by invitation at 15 sites in 2 countries. Per ClinicalTrials.gov, last updated 2026-09-18.

Primary conditionPulmonary FibrosisRegistry: Lung Diseases, InterstitialReclassifiedWhy we changed it
Registry
Lung Diseases, Interstitial — the first condition term the registry derived for this study.
ClinicalTrials.gg
Pulmonary Fibrosis
Why
  1. The study's listed conditions name Pulmonary Fibrosis, a narrower term within Lung Diseases, Interstitial.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Paragonix Technologies · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
3,500
Sex
All
01

Study summary

The objective of this registry is to collect and evaluate various clinical effectiveness parameters in patients with transplanted donor lung that were preserved and transported within the LUNGguard system, as well as retrospective standard of care patients

Read the detailed description

GUARDIAN-Lung is a post-market, observational registry of adult and pediatric lung transplant recipient patients whose donor lungs was preserved and transported within the LUNGguard. The data is being collected retrospectively from medical records of patients already transplanted before the initiation of the registry and any new patients who meet the eligibility criteria.

About 3,500 male and female subjects (including pediatric patients) meeting the study inclusion and exclusion criteria will be enrolled into the study at about 25 clinical sites.

Candidates that fit the eligibility criteria and have had their donor lungs transported with a Paragonix product or a standard of care method can be enrolled. The baseline characteristics and outcomes of the two groups will be compared.

02

Conditions studied

  • Interstitial Lung Disease
  • COPD
  • Cystic Fibrosis
  • Pulmonary Fibrosis
  • Pulmonary Arterial Hypertension
  • Emphysema
03

In context

Pulmonary Fibrosis Reclassified

342 studies on the registry are indexed under Pulmonary Fibrosis; 98 are open to participants now.

This study's planned enrollment of 3,500 is above the median of 150 across 118 observational studies indexed under Pulmonary Fibrosis.

Browse Pulmonary Fibrosis studies →

Lead sponsor

Paragonix Technologies is the lead sponsor of 5 studies on the registry; 4 are open to participants now.

Compared within Pulmonary Fibrosis, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Lung Diseases, Interstitial. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Primary lung transplant candidates at centers that use the LungGuard device

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

  • Donor and donor lungs matched to the prospective recipient based upon institutional medical practice
  • Registered male or female primary lung transplant candidates including pediatric candidates

Exclusion criteria

Exclusion Criteria:

  • Donor and donor lungs that do not meet institutional clinical requirements for transplantation
  • Patients who are incarcerated persons (prisoners)
  • Patients who have had a previous major organ transplant (heart, lungs, liver, kidney, pancreas)
  • Patients who are receiving multiple organ transplants
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
3,500 participants (estimated)
Patient registry
No

Groups and cohorts

  • LungGuard patients

    Patients whose donor lung(s) was transported with the LungGuard device.

    Device: LungGuard

  • Standard Transport Patients

    Patients whose donor lung(s) was transported with a method other than the LungGuard

  • BAROGuard Patients

    Patients whose donor lung(s) was transported with the BAROGuard device.

    Device: BAROGuard

Interventions

  • DeviceLungGuard

    The LUNGguard is an FDA cleared and is a CE-marked medical device intended to be used for the static hypothermic preservation of lungs during transportation and eventual transplantation into a recipient using cold storage solutions indicated for use with the lungs. The intended organ storage time for the LUNGguard is up to 8 hours.

  • DeviceBAROGuard

    The BAROguard (the "System") is ultraportable hypothermic preservation and transport system intended for use with donor lungs. BAROguard is a legally marketed, FDA cleared medical device in the United States. The intended organ storage time for BAROguard™ is up to 8 hours.

06

What researchers measure

Primary outcomes

  1. Number of subjects with Primary Graft Dysfunction (PGD)

    The number of subjects that develop PGD after transplant

    Time frame: Post-transplant through 5 years post

  2. Number of subjects with rejection

    Subjects that show signs to rejection after transplant

    Time frame: Post-transplant through 5 years post

  3. Survival

    patient survival post-transplant

    Time frame: Post-transplant through 5 years post

  4. ICU Length of Stay

    Days the subject spent the ICU post-transplant

    Time frame: Transplant through 5 years post-transplant

  5. Hospital Length of Stay

    Days the subject was in the hospital in total after transplant

    Time frame: Transplant through 5 years post-transplant

Secondary outcomes

  1. Number of rehospitalizations

    The number of times the subject was readmitted to the hospital after discharged post-transplant

    Time frame: post-transplant through 1 year

  2. How long subjects needed mechanical support

    Amount of time (minutes) mechanical support (EMCO and ventilator) was needed pre and post transplant

    Time frame: pre-transplant through 48 hours post-transplant

07

Study locations

15 sites
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04930289
Lead sponsor
Paragonix Technologies
Responsible party
Sponsor
First posted
Jun 18, 2021
Start date
Oct 15, 2021
Primary completion
Jun 15, 2028 (estimated)
Completion
Dec 30, 2029 (estimated)
Last update
Sep 18, 2026

Study contacts

Matthew Hartwig, MD
principal investigator · Duke University

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

No contact was published for this record. The registry link below has the sponsor’s details.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion