Understanding Rejection After Lung Transplant (GRAfT 2.0)

This observational study, called GRAfT 2.0, aims to understand why some people develop rejection after a lung transplant and others do not. After a lung transplant, some people develop donor-specific antibodies (DSA), which are proteins that can cause the body to treat the new lungs as foreign. However, not everyone with DSA experiences rejection. Researchers want to find out the molecular differences between people with DSA who develop rejection and those who don't. You may be able to join if you are 18-75 years old and have progressive lung disease, or have had or are being evaluated for a lung transplant. The study is looking for 100 participants to help identify why rejection happens, with the goal of finding ways to prevent it.

Study design
This is an observational study with a planned enrollment of 100 participants. It is not testing a specific intervention or drug.
What's involved
You will have clinic visits every 3 to 6 months for up to 4 years. These visits will involve blood draws, bronchoscopy (a procedure to look at your airways), imaging, and other diagnostic tests.
Compensation
Not stated in the trial record.
Follow-up
The primary goal is to measure molecular differences at 3 years.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT07516379

GRAfT 2.0. A Multimodal Prospective Approach to Define the Mechanisms and Clinical Features of Acute and Chronic Rejection in Lung Transplantation

Recruiting
Not specifiedAges 18–75Observational
National Heart, Lung, and Blood Institute (NHLBI)
~100 participants
Updated 2026-07-22 on ClinicalTrials.gov

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Multi-omic molecular differences between DSA+ participants who progress to AMR (DSA+/AMR+), and DSA+ participants who do not progress to AMR (DSA+/AMR-), and DSA- participants
Measured over 3 years
Lung Transplant
End Stage Lung Disease
Rejection

NCT07516379

Where you'd take part

This study runs at 1 site. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • National Institutes of Health Clinical Center

    Bethesda, Marylandstudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Muhtadi H Alnababteh, M.D. · PRINCIPAL_INVESTIGATOR · National Heart, Lung, and Blood Institute (NHLBI)

Opens a ready-to-send draft in your own email app — review before sending.

  • Multi-omic molecular differences between DSA+ participants who progress to AMR (DSA+/AMR+), and DSA+ participants who do not progress to AMR (DSA+/AMR-), and DSA- participants3 years