Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID05581745

Blood Group A2 Donor to Blood Group O Recipient Lung Transplantation

Led by University Health Network, Toronto · Updated on 2025-02-06

10

Participants Needed

1

Research Sites

365 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the safety and feasibility of lung transplants from blood group A2 donors to blood group O recipients. This study aims to increase the donor pool for blood group O lung transplant candidates, who often face longer wait times and higher mortality on the waitlist. It is the first prospective study worldwide to assess ABO-incompatible lung transplants in this way. The intervention involves lung transplant surgery using lungs from blood group A2 donors transplanted into blood group O recipients who have low anti-A antibody levels and a negative virtual crossmatch at the time of transplant. The study monitors the recipients closely after surgery to assess immune response and transplant success. Participants will be monitored through various evaluations including antibody levels on post-operative days 5 or 12, primary graft dysfunction grading in the first three days, and assessment for rejection or infection over the following years. Long-term follow-up up to 10 years will evaluate graft function, chronic lung problems, infections, malignancies, and survival outcomes. The total participation time varies depending on individual follow-up and outcomes.

CONDITIONS

Brief Title

A2 to O Lung Transplants

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • First lung transplant
  • Blood group O recipient
  • Low pre-operative anti-A antibody titers
  • Consent to study participation
Not Eligible

You will not qualify if you...

  • Previous lung transplant (re-transplant)
  • Multiorgan transplant
  • Positive virtual crossmatch at time of transplant

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Surgery and Immediate Post-operative Care

Duration - Approximately 1 week

Participants undergo lung transplant surgery from a blood group A2 donor to a blood group O recipient and receive immediate post-operative care.

Daily visits during post-op days 0 to 7

Post-operative Follow-up

Duration - Up to 10 years

Participants are monitored for graft function, rejection, infection, and other health outcomes after surgery.

Scheduled visits at post-op day 12, 1 year, and periodic visits up to 10 years

Trial Site Locations

Total: 1 location

1

Toronto General Hospital, University Health Network

Toronto, Ontario, Canada, M5G 2C4

Actively Recruiting

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Research Team

S

Sharaniyaa Balachandran

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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