Monitoring Organ Donors to Increase Transplantation Results (MOnIToR)
NCT00987714 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 556
Last updated 2018-04-05
Summary
The objective of this study is to determine whether protocol guided resuscitation of brain dead organ donors using Pulse Pressure Variation (PPV) will increase the number of organs transplanted per donor.
Specifically the study aims to:
1. improve resuscitation of potential organ donors.
2. improve organ function in donors.
3. increase organ recovery per donor.
The investigators will randomize 960 subjects to either protocolized resuscitation (n=480) using a consensus-based PPV-guided algorithm or usual care using a 1:1 randomization scheme. The primary outcome is the mean number of organs transplanted per donor. Secondary outcomes include 6mHFS (six-month hospital-free survival) in the recipients, and mean number of organs procured per donor that are suitable for transplantation (intention to transplant). The study is powered to detect a 0.5 organ increase for transplantation per donor.
Conditions
- Transplantation
Interventions
- PROCEDURE
-
Protocolized care
Organ Procurement Coordinators will utilize a hemodynamic monitor and algorithm for donor management of cardiac index, pulse pressure variation and mean arterial pressure.
Sponsors & Collaborators
-
Health Resources and Services Administration (HRSA)
collaborator FED -
University of Pittsburgh
lead OTHER
Principal Investigators
-
John Kellum, MD · University of Pittsburgh
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 16 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2009-08-31
- Primary Completion
- 2013-03-31
- Completion
- 2013-03-31
Countries
- United States
Study Locations
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