Warm liver transplants: could ditching the ice bath reduce organ damage?

NCT ID NCT07692490

First seen Jul 09, 2026 · Last updated Jul 15, 2026 · Updated 3 times

Summary

This study tests a new approach for liver transplantation: after keeping the donor liver warm on a machine, doctors skip the usual cold flush before implanting it. Instead, they use a room-temperature albumin rinse. The goal is to see if avoiding sudden temperature changes reduces early liver injury (called early allograft dysfunction). The trial includes 170 adult liver transplant recipients across multiple centers and follows them for 90 days after surgery.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
No recooling procedure (room-temperature albumin flush)
What this could lead to
If successful, this simpler approach could reduce early liver damage after transplant, potentially improving patient recovery and graft survival.
What could go wrong
This is a relatively small, early-stage trial (170 participants) testing a procedural change. The benefit may be modest or not appear, and there is a risk of unforeseen complications from omitting the standard cold preservation step.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

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Locations

  • ASST Papa Giovanni XXIII

    NOT_YET_RECRUITING

    Bergamo, 24127, Italy

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  • Azienda Ospedale-Università di Padova

    NOT_YET_RECRUITING

    Padova, 35128, Italy

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    Contact

  • Azienda Ospedaliera San Camillo Forlanini

    NOT_YET_RECRUITING

    Roma, 00152, Italy

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  • Azienda Ospedaliera Universitaria Integrata Verona

    NOT_YET_RECRUITING

    Verona, 37126, Italy

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  • Azienda Ospedaliero Universitaria Pisana

    NOT_YET_RECRUITING

    Pisa, 56126, Italy

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  • Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari - Ospedale Giovanni XXIII

    NOT_YET_RECRUITING

    Bari, 70124, Italy

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  • Azienda Ospedaliero-Universitaria Policlinico Umberto I - Sapienza Università di Roma

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    Roma, 00161, Italy

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  • Fondazione PTV - Policlinico Tor Vergata

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    Roma, 00133, Italy

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  • Fondazione Policlinico "Agostino Gemelli" IRCCS

    NOT_YET_RECRUITING

    Roma, 00168, Italy

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  • IRCCS Azienda Ospedaliero-Universitaria di Bologna

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    Bologna, 40138, Italy

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  • IRCCS ISMETT - Istituto Mediterraneo per i Trapianti e le Terapie ad Alta Specializzazione

    RECRUITING

    Palermo, 90127, Italy

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  • Ospedale Università Policlinico San Martino - IRCCS

    NOT_YET_RECRUITING

    Genova, 16132, Italy

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  • Università Politecnica delle Marche, AUO delle Marche

    NOT_YET_RECRUITING

    Ancona, 60126, Italy

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  • Università di Modena e Reggio Emilia

    NOT_YET_RECRUITING

    Modena, 41124, Italy

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