A study of donor lung perfusion in lung transplantation in United Kingdom
ISRCTN | ISRCTN44922411 |
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DOI | https://doi.org/10.1186/ISRCTN44922411 |
Secondary identifying numbers | 11451; HTA 10/82/01 |
- Submission date
- 06/02/2012
- Registration date
- 06/02/2012
- Last edited
- 24/05/2019
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Respiratory
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Ms Jessica Qian
Scientific
Scientific
Institute of Health and Society
4th Floor, William Leech Building
Framlington Place
Newcastle Upon Tyne
NE2 4HH
United Kingdom
jessica.qian@ncl.ac.uk |
Study information
Study design | Non-randomised interventional trial |
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Primary study design | Interventional |
Secondary study design | Non randomised study |
Study setting(s) | Hospital |
Study type | Treatment |
Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
Scientific title | A study of Donor Ex-Vivo Lung Perfusion in United Kingdom lung transplantation (DEVELOP-UK) |
Study acronym | DEVELOP-UK |
Study objectives | The DEVELOP-UK study is designed to investigate the clinical effectiveness and cost effectiveness of a new technology called ex-vivo lung perfusion or EVLP. EVLP is a novel technique in which unusable donor lungs which are functioning poorly or in which function is uncertain, can be carefully assessed and potentially improved for safe use in clinical lung transplantation. EVLP is performed outside the organ donors or transplant recipients body by connecting the donated lungs to the EVLP system a modified heart-lung bypass machine. The EVLP system warms the lungs to body temperature and pumps a specialised nutrient solution called perfusate through them. At the same time the lungs are ventilated with oxygen by connecting them to a standard intensive care unit ventilator. EVLP provides the opportunity to carefully assess donor lung function over a number of hours before making a decision on their usability for transplantation. The primary objective of the study is to determine if survival in the first 12 months after lung transplantation in recipients of EVLP assessed and improved donor lungs (treatment group) is not any worse than that in recipients of standard donor lungs (control group). The secondary objectives are to measure key early clinical outcomes and changes in quality of life (QOL) in the treatment and control groups in their first post-transplant year. This data will be used to decide if EVLP is a cost effective treatment. In addition patients perceptions of EVLP improved donor lungs will be examined in an interview sub-study. Finally we will evaluate which donor factors and EVLP related characteristics are associated with successful donor lung assessment and improvement and with successful outcomes after transplant. More details can be found at: http://public.ukcrn.org.uk/Search/StudyDetail.aspx?StudyID=11451 and http://www.nets.nihr.ac.uk/projects/hta/108201 Protocol can be found at: http://www.nets.nihr.ac.uk/__data/assets/pdf_file/0006/55770/PRO-10-82-01.pdf |
Ethics approval(s) | NRES Committee North East Sunderland, 28/11/2011, ref: 11/NE/0342 |
Health condition(s) or problem(s) studied | Respiratory disease |
Intervention | EVLP reconditioning of lung, The experimental intervention is ex-vivo lung perfusion (EVLP). EVLP is performed outside the donor or recipient body by connecting the lungs to a modified heart-lung bypass circuit which warms the lungs to body temperature and pumps the specialised nutrient solution or 'perfusate' through them. The standard lung procurement procedure will be followed for donor lungs to be used for EVLP in the study. Followed up at 12 months |
Intervention type | Other |
Primary outcome measure | 1. Survival during the first 12 months after lung transplantation 2. Non-inferiority of EVLP using standard methods for survival data at each interim analysis time point |
Secondary outcome measures | No secondary outcome measures |
Overall study start date | 01/02/2012 |
Completion date | 30/01/2014 |
Eligibility
Participant type(s) | Patient |
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Age group | Adult |
Lower age limit | 18 Years |
Sex | Both |
Target number of participants | Planned Sample Size: 408; UK Sample Size: 408 |
Key inclusion criteria | Trial: 1. Male or female patients 2. Adult patients (aged over 18 years) 3. Patients already on or added to the active waiting list for first lung transplant while the DEVELOP-UK study is in its recruitment phase 4. Patients providing informed consent for participation in the DEVELOP-UK study at the time of study commencement or time of listing for transplant 5. Patients reconfirming informed consent for the DEVELOP-UK study on the day of lung transplant Qualitative substudy: 1. All patients who are eligible for the DEVELOP-UK trial 2. Patients at Newcastle Hospitals NHS Foundation Trust and Royal Brompton and Harefield NHS Foundation Trust only 3. All patients who consent to the DEVELOP-UK trial as a whole and the qualitative study specifically (regardless of whether they receive a transplant) 4. Male & female participants 5. Lower Age Limit 18 years |
Key exclusion criteria | Trial: 1. Patients aged less than 18 years 2. Patients listed for lung re-transplantation 3. Patients listed for heart-lung transplantation 4. Patients listed for live donor lobar transplant 5. Patients not initially consented or signed EOI form for the DEVELOP-UK study prior to the day of lung transplant 6. Patients not reconfirming consent for the DEVELOP-UK study on the day of lung transplant 7. Patients in the ITU requiring invasive ventilation, ECMO or NovaLung support 8. Patients enrolled in Trials within the preceding 12 months (please discuss with principal and chief investigators) Qualitative sub-study All patients who have not consented to the DEVELOP-UK trial from Manchester, Papworth and Birmingham sites. |
Date of first enrolment | 01/02/2012 |
Date of final enrolment | 30/01/2014 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
Institute of Health and Society
Newcastle Upon Tyne
NE2 4HH
United Kingdom
NE2 4HH
United Kingdom
Sponsor information
Newcastle upon Tyne Hospitals NHS Foundation Trust (UK)
Hospital/treatment centre
Hospital/treatment centre
Royal Victoria Infirmary
Leazes Wing
Queen Victoria Road
Newcastle Upon Tyne
NE1 4LP
England
United Kingdom
Website | http://www.newcastle-hospitals.org.uk/ |
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https://ror.org/05p40t847 |
Funders
Funder type
Charity
Cystic Fibrosis Trust (UK)
Private sector organisation / Other non-profit organizations
Private sector organisation / Other non-profit organizations
- Alternative name(s)
- Cystic Fibrosis, CF
- Location
- United Kingdom
Health Technology Assessment Programme
Government organisation / National government
Government organisation / National government
- Alternative name(s)
- NIHR Health Technology Assessment Programme, HTA
- Location
- United Kingdom
Results and Publications
Intention to publish date | 01/11/2016 |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan |
Study outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
---|---|---|---|---|---|
Results article | results | 01/11/2016 | Yes | No | |
Results article | economic evaluation results | 22/05/2019 | 24/05/2019 | Yes | No |
Editorial Notes
24/05/2019: Publication reference added.
27/03/2018: Publication reference added.
23/02/2016: No publications found, verifying study status with principal investigator.