Lung Disease Clinical Trial
Official title:
Lung Allograft Rejection Gene Expression Observational (LARGO) Study
The objective of the LARGO Study protocol is to collect peripheral blood samples, select associated lung biopsy pathology slides, and clinical data from lung transplant recipients to perform molecular analyses in association with the study endpoints. The primary objective is to use gene expression profiling of peripheral blood mononuclear cells to differentiate between the absence and presence of acute cellular rejection. The secondary objectives are to use other genomic and proteomic technologies to analyze RNA and protein in blood samples in relation to related clinical conditions. The overall goal is to apply novel molecular insights in the development of non-invasive molecular diagnostic tests for lung transplantation.
LARGO is a prospective, multi-center, international observational study with participating
centers in the United States, Canada and Europe. The target enrollment for study completion
is 2,100 subjects.
At each study visit, blood specimens are collected from subjects, processed and stored in
the sample archive, with corresponding patient information entered into the clinical
database. The analysis plan for each study objective includes a defined sample selection
protocol that stipulates the inclusion and exclusion criteria for both patients and samples,
and also the required number of blood specimens for the molecular analyses to achieve
statistical significance.
The diagnosis and treatment of acute cellular rejection remains a clinical management
priority that is currently based on transbronchial biopsy. Gene expression profiling is a
technology based on molecular biology that measures changes in the RNA levels of different
genes expressed by circulating mononuclear cells in the peripheral blood. A key goal of the
project is to use gene expression profiling to differentiate between the absence and
presence of lung allograft acute cellular rejection, with the aim of using this novel
information to develop a non-invasive diagnostic testing alternative.
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Observational Model: Cohort, Time Perspective: Prospective
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