Allogeneic Valve Transplantation for Valve Heart Disease

This study is testing a procedure called "Valve transplant." This means you would receive a heart valve from an organ donor. The goal is to see if these transplanted valves can grow over time, potentially reducing the need for multiple surgeries, especially in children. The study is for children and young adults (ages 30 days to 50 years) who need a new heart valve and have limited other options. Researchers will measure how well the valve works (Valve Regurgitation), and if the valve and its surrounding area (Valve Annulus, Leaflet) grow, all at one year after the transplant. The current recruitment status is unclear.

Study design
This is an interventional study with a planned enrollment of 4 participants. It is designed to evaluate the outcomes of heart valve transplantation.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for at least one year to measure valve function and growth.

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NCT06387446

Allogeneic Valve Transplantation

Recruiting
NAAges 30–50InterventionalTreatment
Boston Children's Hospital
~4 participants
Updated 2024-09-24 on ClinicalTrials.gov
What's tested:Valve transplant

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Valve Regurgitation
Measured over One year
+2 more outcomes measured
Valve Heart Disease
Valve Disease, Heart
Valve Disease, Aortic
1 sites across 1 states
Massachusetts1
  • Sitaram Emani, MD · PRINCIPAL_INVESTIGATOR · Boston Children's Hospital

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Eligibility criteria

Inclusion

Patients requiring aortic, pulmonary, mitral or tricuspid valve replacement.
Pediatric patients 30 days or older and \< 18 years, and adult patients 18-50 yrs.
Insufficient options are available for valve replacement
Discussion with patient /family - option for durable valve rather than traditional prosthesis
ABO compatible
Patient and family able to travel to BCH within 48 hour time frame or within our organ procurement organization
Patients that are able to maintain follow-up at BCH during the duration of the study
Patients that are able to provide medical record authorization for 5 year follow-up

Exclusion

Age \< 30 days
Irreversible multisystem organ failure; or additive effects of the multiple systems affected making transplant survival unlikely
Progressive systemic disease with early mortality (genetic/metabolic, idiopathic, syndromic)
Morbid obesity (BMI\>35)
Diabetes mellitus with evidence of end-organ damage
Severe chromosomal, neurologic or syndromic abnormalities
Immunocompromised condition (DiGeorge, SCID etc.)
Active infection
History of endocarditis
HIV or chronic hepatitis B or C infection
Malignancy within 5 years prior to transplant
Severe renal or liver failure
Inadequate social support for post-transplant management
Recent history of illicit drug, tobacco or alcohol abuse despite trials/assistance to stop behavior
Evidence of large stroke with high risk for hemorrhagic conversion
Heart transplant recipient
Patients that are unable to follow-up during the initial 6 month window
Patients that are unable to provide medical record authorization for 5 years
  • Valve RegurgitationOne year

    Heart valve regurgitation by echocardiogram. The degree of regurgitation is read and quantified by an echocardiologist.

  • Valve Annulus GrowthOne Year

    Measurement of valve annulus via echocardiogram, CT scan and MRI. This will be quantified by whether or not the annulus continues to increase in size as the subject grows.

  • Leaflet GrowthOne Year

    Measurement of leaflet height via echocardiogram, CT scan and MRI and reviewed by an echocardiologist. This will be analyzed by whether or not the leaflets continue to grow in size, with the subject.