RecruitingNot ApplicableNCT06387446

Allogeneic Valve Transplantation


Sponsor

Boston Children's Hospital

Enrollment

4 participants

Start Date

May 1, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

Valves will be taken from hearts donated by organ donors, and implanted into patients who need a new heart valve.


Eligibility

Min Age: 30 DaysMax Age: 50 Years

Inclusion Criteria10

  • Patients requiring aortic, pulmonary, mitral or tricuspid valve replacement.
  • Pediatric patients 30 days or older and \< 18 years, and adult patients 18-50 yrs.
  • o Particularly patients with significant growth potential
  • Insufficient options are available for valve replacement
  • o Patients at risk of immunogenic bio-prosthetic valve failure
  • Discussion with patient /family - option for durable valve rather than traditional prosthesis
  • ABO compatible
  • Patient and family able to travel to BCH within 48 hour time frame or within our organ procurement organization
  • Patients that are able to maintain follow-up at BCH during the duration of the study
  • Patients that are able to provide medical record authorization for 5 year follow-up

Exclusion Criteria18

  • Age \< 30 days
  • Irreversible multisystem organ failure; or additive effects of the multiple systems affected making transplant survival unlikely
  • Progressive systemic disease with early mortality (genetic/metabolic, idiopathic, syndromic)
  • Morbid obesity (BMI\>35)
  • Diabetes mellitus with evidence of end-organ damage
  • Severe chromosomal, neurologic or syndromic abnormalities
  • Immunocompromised condition (DiGeorge, SCID etc.)
  • Active infection
  • History of endocarditis
  • HIV or chronic hepatitis B or C infection
  • Malignancy within 5 years prior to transplant
  • Severe renal or liver failure
  • Inadequate social support for post-transplant management
  • Recent history of illicit drug, tobacco or alcohol abuse despite trials/assistance to stop behavior
  • Evidence of large stroke with high risk for hemorrhagic conversion
  • Heart transplant recipient
  • Patients that are unable to follow-up during the initial 6 month window
  • Patients that are unable to provide medical record authorization for 5 years

Interventions

PROCEDUREValve transplant

Heart valves from an organ donor will be transplanted into recipient


Locations(1)

Boston Children's Hospital

Boston, Massachusetts, United States

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NCT06387446


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