Clinical trial Recruiting at 1 site Observational Ages 18 and up

Multi-omics prediction of graft problems after lung transplant

Official title: Multi-Omics-Based Prediction of Allograft Dysfunction After Lung Transplantation: A Prospective, Multicenter Cohort Study

Run by Shanghai Pulmonary Hospital, Shanghai, China · NCT07243964 · Data updated 2026-11-12

We will test whether repeated blood and lung-fluid multi-omics tests can spot early graft dysfunction in adults after lung transplantation.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment244 (estimated)
SponsorShanghai Pulmonary Hospital, Shanghai, China
Academic / other
Locations1 site (Shanghai)
StatusRecruiting
StartedNovember 1, 2025
Main results expectedDecember 31, 2029
Study endsMarch 1, 2030
Registry record updatedNovember 24, 2025
Trial IDNCT07243964 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) who have received single or double lung transplants, are clinically stable after surgery, can provide informed consent, and can attend scheduled follow-ups and sample collections.

Probably not a fit

Patients with active systemic infection or uncontrolled rejection, recent or untreated malignancy, pregnant or lactating women, those unable to comply with follow-up, or those enrolled in other immune‑impacting interventional trials may not receive 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, multicenter cohort that will collect blood and bronchoalveolar lavage fluid samples from lung transplant recipients over time. Researchers will apply cfDNA fragmentomics, peripheral blood single-cell RNA sequencing, and plasma proteomics and link these data to pulmonary function (FEV1) and clinical information. The goal is to build a multi-omics model to identify acute lung allograft dysfunction (ALAD) early and track progression toward chronic lung allograft dysfunction (CLAD). Longitudinal sampling and integration of multiple molecular layers distinguish this work from prior single-measurement or single-modality studies.

Why it matters

Potential benefit: If successful, this approach could detect graft injury earlier and help guide interventions to reduce acute and chronic rejection and preserve lung function.

How similar studies have gone: Prior single-modality studies using donor-derived cfDNA, single-cell transcriptomics, or proteomics have shown promise for detecting graft injury, but integrated longitudinal multi-omics prediction in lung transplant recipients is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Recipients aged ≥18 years undergoing single or double lung transplantation;
2. Postoperative recipients capable of understanding and providing written informed consent, and willing to comply with scheduled follow-ups and sample collections as required by the study;
3. Postoperative recipients clinically assessed as stable and eligible for routine follow-up and hematological examinations;
4. Recipients able to undergo dynamic pulmonary function monitoring during follow-up;
5. No planned participation in other interventional trials during the study period that may impact immune function or pulmonary function;
6. Retransplant patients will be considered as a new transplant event and may be included in the analysis.

Exclusion Criteria:

1. History of active malignancy or presence of untreated malignancy within 5 years prior to transplantation;
2. Presence of active systemic infection or significant immune rejection;
3. Female patients who are pregnant or lactating;
4. Any other condition deemed by the investigator to be inappropriate for inclusion .

Where it's running

  • Shanghai Pulmonary Hospital
    Shanghai, China
    Recruiting

Study contacts

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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.