Lung transplants from A2 donors to O recipients

Blood Group A2 Donor to Blood Group O Recipient Lung Transplantation

Not applicable Interventional University Health Network, Toronto · NCT05581745

This study is testing if lung transplants from A2 blood type donors can safely help people with O blood type who are waiting for a transplant.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment10 (estimated)
Ages18 Years and up
SexAll
SponsorUniversity Health Network, Toronto Academic / other
Locations1 site (Toronto, Ontario)
Trial IDNCT05581745 on ClinicalTrials.gov

What this trial studies

This study investigates the feasibility and safety of lung transplants from blood group A2 donors to blood group O recipients. It aims to address the longer wait times and higher mortality rates faced by blood group O candidates by expanding the donor pool. The study will involve a prospective approach, assessing the outcomes of these ABO-incompatible transplants while utilizing peri-operative antibody-depleting therapies. This is the first prospective study of its kind worldwide, focusing on improving transplant accessibility for blood group O patients.

Who should consider this trial

Good fit: Ideal candidates for this study are first-time lung transplant recipients with blood group O and low pre-operative anti-A antibody titers.

Not a fit: Patients who may not benefit include those requiring re-transplants, multiorgan transplants, or those with a positive virtual crossmatch at the time of transplant.

Why it matters

Potential benefit: If successful, this approach could significantly reduce wait times and improve survival rates for blood group O lung transplant candidates.

How similar studies have performed: Other studies have shown success with ABO-incompatible kidney and liver transplants, but this approach for lung transplants is novel and untested.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* first lung transplant
* blood group O recipient
* low pre-operative anti-A antibody titers
* consent to study participation

Exclusion Criteria:

* re-transplant
* multiorgan transplant
* positive virtual crossmatch at time of transplant

Where this trial is running

Toronto, Ontario

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Lung TransplantABO Incompatibility
Last reviewed 2026-06-13 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.