Metabolic deterioration after heart transplant determines outcomes
Official title: METAB-HTX: Prospective, Longitudinal Cohort Study Evaluationg Cardiac and Systemic Metabolism After Heart Transplantation
Run by Heinrich-Heine University, Duesseldorf · NCT07372820 · Data updated 2026-11-12
We'll test whether worsening cardiac and systemic metabolism after a heart transplant predicts heart function and long-term survival in adult transplant recipients.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 270 (estimated) |
| Sponsor | Heinrich-Heine University, Duesseldorf Academic / other |
| Locations | 1 site (Düsseldorf, North Rhine-Westphalia) |
| Status | Recruiting |
| Started | July 24, 2025 |
| Main results expected | April 1, 2030 |
| Study ends | February 1, 2032 |
| Registry record updated | January 28, 2026 |
| Trial ID | NCT07372820 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 or older who have had or are planned to undergo heart transplantation and can provide informed consent are eligible.
✕Probably not a fit
People who are not heart transplant recipients or those unable to attend serial imaging/biopsy visits or provide informed consent are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective, longitudinal cohort of adult heart transplant recipients using advanced, multi-modal phenotyping to link metabolic changes with cardiac and systemic organ function. Participants undergo serial cardiac imaging (echocardiography, cardiac MRI, and MR spectroscopy), coronary angiography, protocol endomyocardial biopsies, and detailed metabolic testing including oral glucose tolerance tests, insulin-resistance measures, diabetes endotyping, and muscle biopsies. The study tracks changes over time to determine how metabolic deterioration relates to coronary allograft vasculopathy, rejection, renal and hepatic dysfunction, and clinical outcomes. Findings aim to define optimal metabolic surveillance and timing for interventions after transplant.
Why it matters
Potential benefit: If successful, the study could identify metabolic markers that predict decline and guide earlier, targeted interventions to improve post-transplant outcomes.
How similar studies have gone: Previous research has linked obesity, diabetes, and renal impairment to worse post-transplant outcomes, but few longitudinal studies combine cardiac metabolic imaging with systemic phenotyping, so this multi-modal approach is partially novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age: ≥ 18 years * Planned or already conducted heart transplantation * Informed consent Exclusion Criteria: * Absence of informed consent
Where it's running
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University-Hospital Düsseldorf Division of Cardiology, Pneumology and Angiology
Düsseldorf, North Rhine-Westphalia, Germany Recruiting
Study contacts
- Study coordinator: Amin Polzin, Prof.
- Email: amin.polzin@med.uni-duesseldorf.de
- Phone: 0211 81 18801
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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.