Tocilizumab in Lung Transplantation

This study is looking at whether adding Tocilizumab to standard medications can improve outcomes for people receiving a lung transplant. Researchers will compare Tocilizumab plus standard care to a placebo (a saline solution) plus standard care. You might be able to join if you are between 12 and 75 years old, weigh at least 30 kg, and are getting your first lung transplant. The study will enroll 350 participants. The main goal is to see if Tocilizumab can help prevent problems like chronic lung allograft dysfunction (CLAD), needing another transplant, or death within three years after your transplant. The current status of this study is unclear.

Study design
This is an interventional study where 350 participants will be randomly assigned to receive either Tocilizumab or a placebo, in addition to standard medications. The phase of the study is not specified.
What's involved
If you participate, you would receive six doses of either Tocilizumab or placebo once every four weeks over a 20-week period. The first dose is given during your lung transplant surgery.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for up to 36 months (3 years) after they are randomly assigned to a treatment group.

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NCT06033196

Tocilizumab in Lung Transplantation

Recruiting
PHASE2Ages 12–75InterventionalTreatment
National Institute of Allergy and Infectious Diseases (NIAID)
~350 participants
Updated 2026-08-10 on ClinicalTrials.gov
What's tested:TocilizumabPlacebo for Tocilizumab

At a glance

Recruiting sites
13 of 21 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Proportion of subjects who meet any one of the pre-specified events detailed in the outcome description: from Baseline up to 36 months
Measured over Over a period of 3 years after randomization
Lung Transplant
21 sites across 15 states
Texas3
California2
Massachusetts2
Missouri2
Ohio2
Arizona1
Florida1
Georgia1
  • Joren Madsen, MD, D.Phil. · PRINCIPAL_INVESTIGATOR · Massachusetts General Hospital
  • Ramsey Hachem, MD · STUDY_CHAIR · University of Utah Medical Center
  • Daniel Kreisel, M.D. · STUDY_CHAIR · Washington University School of Medicine

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  • Proportion of subjects who meet any one of the pre-specified events detailed in the outcome description: from Baseline up to 36 monthsOver a period of 3 years after randomization

    1. The development of Chronic Lung Allograft Dysfunction (CLAD) * The development of any form of CLAD will be defined according to the standard 2019 The International Society for Heart and Lung Transplantation (ISHLT) criteria. 2. Listed for re-transplantation * Re-transplantation defined as the subject has been formally registered on the United Network for Organ Sharing (UNOS) waiting list to undergo a second lung transplant surgery 3. Death * Primary analysis will be conducted according to an Intent-to-treat (ITT) principle and therefore will include all randomized subjects who receive Tocilizumab(TCZ) or placebo. The time from randomization to development of CLAD will be compared between the two treatment groups (TCZ vs. placebo) using a Pearson's chi-square test.