Clinical trial Recruiting at 7 sites Observational Ages Any age to 18

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.

More Cardiac Failure trials

Quick facts

Study typeObservational
AgesAny age to 18 Years
SexAll
Enrollment150 (estimated)
SponsorNorthwestern University
Academic / other
Locations7 sites (Aurora, Colorado and 6 other locations)
StatusRecruiting
StartedFebruary 6, 2025
Main results expectedOctober 1, 2029
Study endsOctober 1, 2029
Registry record updatedAugust 25, 2026
Trial IDNCT06532890 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

  • 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
  • Texas Children's Hospital
    Houston, Texas, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • 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.

    Recruiting at 6 sites Northwestern University · Los Angeles, California and 5 other locations · NCT06939751

  • 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.

    Recruiting Lisbon Academic Medical Center - Centro Académico de Medicina de Lisboa · Lisbon and 1 other locations · NCT07415447

  • 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.

    Recruiting University Hospital, Strasbourg, France · Strasbourg · NCT07334457

  • 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.

    Recruiting Medical University of Vienna · Vienna, State of Vienna · NCT06982404

  • 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.

    Recruiting at 13 sites Phase 4 Università Vita-Salute San Raffaele · Alessandria, Piedmont and 12 other locations · NCT06793670

  • 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.

    Recruiting Phase 4 Hospital Universitari Vall d'Hebron Research Institute · Barcelona · NCT06676696

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.