Viral Triggers in Pediatric Lung Transplantation

This study is currently recruiting participants.
Verified November 2012 by National Institute of Allergy and Infectious Diseases (NIAID)
Sponsor:
Collaborator:
Information provided by (Responsible Party):
National Institute of Allergy and Infectious Diseases (NIAID)
ClinicalTrials.gov Identifier:
NCT00891865
First received: April 29, 2009
Last updated: November 14, 2012
Last verified: November 2012

April 29, 2009
November 14, 2012
June 2009
May 2014   (final data collection date for primary outcome measure)
The earliest time to BOS or OB, retransplantation or death [ Time Frame: Within 24 months of transplant ] [ Designated as safety issue: Yes ]
Same as current
Complete list of historical versions of study NCT00891865 on ClinicalTrials.gov Archive Site
Time to each of the following events: BOS or OB, retransplantation or death [ Time Frame: Within 24 months of transplant ] [ Designated as safety issue: Yes ]
Same as current
Not Provided
Not Provided
 
Viral Triggers in Pediatric Lung Transplantation
Viral Triggers of Alloimmunity and Autoimmunity in Pediatric Lung Transplantation (CTOTC-03)

The purpose of this study is to determine whether respiratory viral infections increase the risk of bronchiolitis obliterans syndrome (BOS), obliterative bronchiolitis (OB), death, or retransplantation in children who have received lung transplants.

Advancements in surgical techniques, preventative measures against infection, recipient selection, and new immunosuppressive regimens have improved short-term outcomes in lung transplant recipients. However, there has been no measurable improvement in long-term survival or outcomes. The cause of many adverse lung transplant outcomes may be related to respiratory viral infections (RVIs). Recent data has identified RVIs as important factors in the development of post-transplant BOS and other adverse outcomes in the pediatric lung transplant population. The purpose of this study is to determine whether respiratory viral infections increase the risk of bronchiolitis obliterans syndrome (BOS), obliterative bronchiolitis (OB), death, or retransplantation in children who have received lung transplants.

This study will enroll 80 pediatric lung transplant recipients over a period of 3 years. The study follow-up period will last 2 years. Participants will be enrolled prior to their first lung transplant.

The study will consist of 11 study visits coordinated with visits and procedures performed as part of routine care will be used. Study visits will occur prior to transplant, at transplant, weeks 2, 4, 6, months 2, 3, 6, 9, 12, 18 and 24 months after transplant.

Blood, bronchoalveolar lavage (BAL), nasal swab and/or tissue samples obtained during routine care will be used. Additional visits will occur if a participant develops symptoms of an RVI, family members and/or cohabitants are diagnosed with an RVI or an unscheduled bronchoscopy is performed for suspicion of rejection or infection.

Observational
Observational Model: Case-Only
Time Perspective: Prospective
Not Provided
Retention:   Samples With DNA
Description:

Blood and nasopharyngeal samples

Non-Probability Sample

Pediatric patients undergoing lung transplantation

  • Lung Transplant
  • Bronchiolitis Obliterans
  • Obliterative Bronchiolitis
Not Provided
Pediatric lung transplantation

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
80
May 2014
May 2014   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Parent or legal guardian willing and able to provide informed consent
  • Participant of first single or bilateral heart-lung transplant

Exclusion Criteria:

  • Recipient of multi-organ transplant (aside from heart-lung)
  • Condition or characteristic which in the opinion of the investigator makes the participant unlikely to complete the study
Both
up to 21 Years
No
Not Provided
United States,   United Kingdom
 
NCT00891865
DAIT CTOTC-03
Yes
National Institute of Allergy and Infectious Diseases (NIAID)
National Institute of Allergy and Infectious Diseases (NIAID)
National Heart, Lung, and Blood Institute (NHLBI)
Principal Investigator: Stuart Sweet, MD, PhD Washington University School of Medicine
Study Chair: Lara Danziger-Isakov, MD, MPH Children's Hospital Medical Center, Cincinnati
National Institute of Allergy and Infectious Diseases (NIAID)
November 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP