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OCS Lung SystemNCT04194398

OCS Lung Expand Post-Approval Study - Expand Follow-Up Data Collection

An observational study of OCS Lung System, run by TransMedics at 8 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Collection of five year follow-up data on patients who have already participated in the EXPAND Lung trial and have had transplants with donor lungs preserved on the OCS Lung System. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
OCS Lung System
What is being tested?
OCS Lung System
Type of treatment
Medical device
How many people
79 participants
Where
8 sitesin 3 countries
Study dates
31 Dec 2018to 30 Sep 2021
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Adult, Older adult

Study population: Patients previously enrolled in the Expand Lung trial who received lungs preserved on the OCS Lung System.

Who may be able to join

  • Registered male or female primary double lung transplant candidate
  • Age ≥18 years old
  • Signed: 1) written informed consent document and 2) authorization to use and disclose protected health information

Who cannot join

  • Prior solid organ or bone marrow transplant
  • Single lung recipient
  • Chronic use of hemodialysis or diagnosis of chronic renal insufficiency

Trial locations and contacts

8 sites in 3 countries.

8 sites in 3 countries

United States6 sites
  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • University of California at Los Angeles

    Los Angeles, California, 90095

  • University of Minnesota

    Minneapolis, Minnesota, 55455

  • St. Joseph's Hospital and Medical Center

    Phoenix, Arizona, 85013

  • University of California at San Francisco

    San Francisco, California, 94143

Other trials in United States

Belgium1 site
  • Hospitals Leuven

    Leuven, 3000

Other trials in Belgium

Germany1 site
  • Hannover Medical School

    Hanover, D-300625

Other trials in Germany

About this study

Collection of five year follow-up data on patients who have already participated in the EXPAND Lung trial and have had transplants with donor lungs preserved on the OCS Lung System.

Read the detailed description

The purpose of this continuation study is to collect five year follow-up data on patients who have already participated in the EXPAND Lung trial and have had transplants with donor lungs preserved on the OCS Lung System. The EXPAND Lung trial results have been presented and have shown positive results in the use of expanded criteria donor lungs and patient follow-up, post-transplant. The current study is being conducted to continue to collect follow-up on participants in the EXPAND study, in order to evaluate long-term patient survival status and BOS diagnosis.

Conditions
OCS Lung System
Being tested
OCS Lung System

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • OCS Lung SystemDevice

    Patients previously transplanted with lungs preserved on the OCS Lung System in the Expand Lung study.

Study groups in NCT04194398
Study groupRoleWhat they receive
OCS Expand Trial CohortAll patients previously enrolled in the EXPAND Lung trial.
Receives: Device: OCS Lung System

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Patient and graft survival

    Survival of graft and survival as evaluated at follow-up visit/call with patient or health care provider.

    Measured: 2 years

  2. Patient and graft survival

    Survival of graft and survival as evaluated at follow-up visit/call with patient or health care provider.

    Measured: 3 years

  3. Patient and graft survival

    Survival of graft and survival as evaluated at follow-up visit/call with patient or health care provider.

    Measured: 4 years

  4. Patient and graft survival

    Survival of graft and survival as evaluated at follow-up visit/call with patient or health care provider.

    Measured: 5 years

  5. Presence or absence of bronchiolitis obliterans sydrome (BOS)

    Evaluation of BOS as determined by follow-up evaluation visit/call with patient or health care provider.

    Measured: 2 years

  6. Presence or absence of bronchiolitis obliterans sydrome (BOS)

    Evaluation of BOS as determined by follow-up evaluation visit/call with patient or health care provider.

    Measured: 3 years

  7. Presence or absence of bronchiolitis obliterans sydrome (BOS)

    Evaluation of BOS as determined by follow-up evaluation visit/call with patient or health care provider.

    Measured: 4 years

  8. Presence or absence of bronchiolitis obliterans sydrome (BOS)

    Evaluation of BOS as determined by follow-up evaluation visit/call with patient or health care provider.

    Measured: 5 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Dec 2019
  2. Study start31 Dec 2018
  3. Primary completion30 Sep 2021
  4. Study completion30 Sep 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
79 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04194398
Sponsor's protocol ID
OCS-LUN-122018
Status last verified
Feb 2022
First submitted
9 Dec 2019
Last updated
7 Apr 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Undecided

Publications

  • Loor G, Warnecke G, Villavicencio MA, Smith MA, Zhou X, Kukreja J, Ardehali A, Hartwig MG, Daneshmand MA, Hertz MI, Huddleston SJ, Haverich A, Madsen JC, Neyrinck A, Van Raemdonck D. Long-term outcomes of the international EXPAND trial of Organ Care System (OCS) Lung preservation for lung transplantation. EClinicalMedicine. 2025 Jul 8;85:103334. doi: 10.1016/j.eclinm.2025.103334. eCollection 2025 Jul.

    PubMed 40686680

Questions about this trial

What is this clinical trial studying?

An observational study of OCS Lung System, run by TransMedics at 8 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 Apr 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in United States, Belgium, Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Patient and graft survival (time frame: 2 years). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04194398, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Apr 2022; AzTrials last refreshed its copy on 3 Nov 2026.

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