Normothermic Machine Perfusion for Liver Transplants

This study is looking at a new way to use donor livers that have some fat (steatotic livers). It uses a device called Normothermic Machine Perfusion (NMP) to improve the quality of these livers before transplant. The goal is to see if NMP can make more livers suitable for transplant, which would help more people needing a liver. You might be able to join if you are between 18 and 80 years old, are waiting for a liver transplant at MGH, and have a MELD-Na score of 25 or less. The study will consider NMP successful if the transplanted livers work well in the first week after surgery. The current status of this study is unclear.

Study design
This is an interventional study that plans to enroll 200 participants. It is a single-site study, meaning it will take place at one location.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The primary outcome, early allograft dysfunction, is measured at the first week after transplant.

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NCT06088758

Normothermic Machine Perfusion of Steatotic Livers for Expansion of Donor Organ Pool

Recruiting
NAAges 18–80InterventionalTreatment
Massachusetts General Hospital
~200 participants
Updated 2025-11-03 on ClinicalTrials.gov
What's tested:Normothermic machine perfusion (NMP) of steatotic liver

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Early allograft dysfunction
Measured over First week after transplant
Liver Transplant
1 sites across 1 states
Massachusetts1

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Do you actually qualify for this trial?

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Eligibility criteria

Inclusion

Age 18-80 years
Listed for liver transplantation at MGH
Calculated MELD-Na score \<= 25
Able to consent

Exclusion

Status 1a
Cardiac or pulmonary disease
Prior liver transplant
Requiring pressors at the time of liver offer
MELD\<15 and asymptomatic from liver disease
  • Early allograft dysfunctionFirst week after transplant

    Number of participants with initial poor function of liver allograft: measured by presence of 1 or more of the following: aspartate aminotransferase (AST) level higher than 2000 IU/L (to convert to microkatals per liter, multiply by 0.0167) within the first 7 postoperative days; bilirubin 10 mg/dL or higher (to convert to micromoles per liter, multiply by 17.104) on postoperative day 7; international normalized ratio (INR) of 1.6 or higher on postoperative day 7; or graft primary nonfunction within the first 7 days, defined as irreversible graft dysfunction leading to recipient death or emergency retransplant, in the absence of immunologic or surgical causes