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ACTIVE NOT RECRUITING
NCT06414603
NA

A Comparative Effectiveness Study in Heart Transplant Patients of Rejection Surveillance With Cell-free DNA Versus Endomyocardial Biopsy

Sponsor: Natera, Inc.

View on ClinicalTrials.gov

Summary

This is an open label Comparative Effectiveness Research (CER) study in which patients will be randomized at the site level to Prospera surveillance or EMB surveillance in a 2:1 ratio (Prospera to EMB) at each site. Subjects will be enrolled into the study while under evaluation for heart transplantation or on the transplant waiting list prior to heart transplantation. All subjects will follow the center's standard of care surveillance schedule from transplant through 4 weeks post-transplantation. EMB during this phase is expected to occur roughly weekly or bi-weekly. Study group assignment will take place at randomization. Subjects will be randomized 30 days (± 10 days) post-transplant to Prospera surveillance versus EMB surveillance in a 2:1 ratio. Rejection surveillance (Prospera Group and EMB Group) will be performed at times corresponding to the institutional standard of care schedule for rejection surveillance.

Official title: A Comparative Effectiveness Study in Heart Transplant Patients of Rejection Surveillance With Cell-free DNA Versus Endomyocardial Biopsy (ACES-EMB)

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

250

Start Date

2024-06-10

Completion Date

2027-02

Last Updated

2026-02-27

Healthy Volunteers

No

Interventions

DIAGNOSTIC_TEST

The Prospera™ Test

The Prospera™ test is a non-invasive test intended to detect and quantify the fraction of donor-derived cell-free DNA (dd-cfDNA) to supplement management and surveillance of allograft rejection in patients who have undergone organ transplantation. It employs Next Generation Sequencing (NGS), which is performed on cell-free DNA (cfDNA) that is extracted from the patient's plasma to discriminate between the patient's DNA and the solid organ-allograft DNA. In study 23-069-TRP, the Prospera test is indicated for heart allograft rejection surveillance in lieu of surveillance endomyocardial biopsy. Prospera results should be considered together with clinical evaluations and other diagnostic testing or imaging results. Prospera will be run as a centralized laboratory developed test that is developed and validated under Design Controls. The test will be run within Natera's CLIA-certified and CAP-accredited laboratory.

Locations (16)

Cedars-Sinai Medical Center

Los Angeles, California, United States

University of California, San Diego

San Diego, California, United States

University of Colorado

Aurora, Colorado, United States

Mayo Clinic

Jacksonville, Florida, United States

AdventHealth Orlando

Orlando, Florida, United States

Kansas University Medical Center

Kansas City, Kansas, United States

Brigham and Women's Hospital

Boston, Massachusetts, United States

University of Michigan

Ann Arbor, Michigan, United States

NYU Langone Health

New York, New York, United States

Duke University

Durham, North Carolina, United States

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Medical University of South Carolina

Charleston, South Carolina, United States

University of Texas, Southwestern Medical Center

Dallas, Texas, United States

Baylor Scott White - Temple

Temple, Texas, United States

University of Utah

Salt Lake City, Utah, United States

Inova Schar Heart and Vascular Institute

Falls Church, Virginia, United States