Identifying microRNAs to improve heart transplant outcomes in children
Official title: Optimal Pediatric Heart Transplant Immunosuppression With MicroRNAs
Run by Northwestern University · NCT06532890 · Data updated 2026-11-12
This study is trying to find specific microRNAs in the blood of children who have had heart transplants to see if they can help predict infections and rejection of the new heart.
Quick facts
| Study type | Observational |
|---|---|
| Ages | Any age to 18 Years |
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | Northwestern University Academic / other |
| Locations | 7 sites (Aurora, Colorado and 6 other locations) |
| Status | Recruiting |
| Started | February 6, 2025 |
| Main results expected | October 1, 2029 |
| Study ends | October 1, 2029 |
| Registry record updated | August 25, 2026 |
| Trial ID | NCT06532890 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are pediatric patients aged 18 years or younger who have received a heart transplant within the last month.
✕Probably not a fit
Patients who have received multi-organ transplants or have ongoing infections may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to identify circulating microRNAs that can help characterize the immune state in pediatric heart transplant patients and predict the likelihood of developing infections and graft rejection. It will involve a prospective, multicenter cohort of 100-150 patients from various transplant centers across the United States, with blood samples collected at specified intervals and during clinical events. The goal is to develop a non-invasive genomic blood test to monitor patients post-transplant, thereby reducing complications associated with immunosuppression.
Why it matters
Potential benefit: If successful, this study could lead to improved monitoring and management of pediatric heart transplant patients, reducing the risk of infections and rejection.
How similar studies have gone: Other studies have shown promise in using microRNAs as biomarkers in various conditions, suggesting potential success for this novel approach in pediatric heart transplantation.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≤ 18 years at time of transplant listing * Subject is within 10-50 days post-orthotopic heart transplant at time of enrollment. * Planned follow-up at the transplant center for a minimum of one-year. * Caregiver able and willing to comply with the study visit schedule, study procedures, and study requirements. Exclusion Criteria: * Recipient of a multi-organ transplant * History of prior solid organ transplant before the index heart transplant * Ongoing mechanical circulatory support or hemodynamic instability after transplant * Active infection requiring either a) hospitalization or b) treatment with antimicrobial drugs (does not include prophylaxis for infection or suppressive antibiotics given after transplant) * History of treated rejection prior to study enrollment * Inability to collect specified blood volume after enrollment and prior to 50 days post-transplant
Where it's running
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Children's Hospital Colorado
Aurora, Colorado, United States Recruiting -
Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, United States Recruiting -
University of Michigan
Ann Arbor, Michigan, United States Recruiting -
Columbia University
New York, New York, United States Recruiting -
University of Pittsburgh
Pittsburgh, Pennsylvania, United States Recruiting -
Vanderbilt University
Nashville, Tennessee, United States Recruiting
Show 1 more location
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Texas Children's Hospital
Houston, Texas, United States Recruiting
Study contacts
- Study coordinator: Palak Shah, MD
- Email: optima@northwestern.edu
- Phone: 312-694-7805
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Personalizing adult heart transplant immunosuppression using blood microRNA levels
This project will try to use blood microRNA patterns to monitor immune status in adults after heart transplant and predict who will develop infection or rejection.
-
Heart remodeling after endovascular aortic repair
We will see if endovascular aortic repair changes heart size, shape, or function in adults treated for aortic aneurysms or related aortic problems.
-
Platelet population changes during ECMO circulatory support
This will test whether the proportions of different platelet types change during ECMO in adults with cardiac or respiratory failure.
-
Predicting heart transplant outcomes using donor heart biopsies
This study is testing if looking at tissue samples from donor hearts can help predict how well the transplanted hearts will work and if they'll be rejected by the recipient's body.
-
Using Landiolol to improve outcomes in mitral valve surgery
This study is testing if the medication Landiolol can help people having mitral valve surgery recover better and have fewer heart problems afterward.
-
Comparing immunosuppression strategies in patients with late renal graft failure
This study is testing whether continuing low-dose immunosuppression or stopping it after six months is better for people with late kidney transplant failure.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.