A Needle-Free future for kids after heart transplants?
NCT ID NCT07770659
First seen Aug 18, 2026 · Last updated Aug 21, 2026 · Updated 3 times
Summary
This study looks at whether cardiac MRI and blood tests can detect acute rejection in children and young adults who have had a heart transplant. Currently, doctors often use invasive heart biopsies to check for rejection, which can be uncomfortable and risky. The goal is to see if these non-invasive methods could be a reliable alternative, potentially reducing the number of biopsies needed.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Cardiac MRI and blood tests (cell-free DNA) as non-invasive alternatives to heart biopsies
- What this could lead to
- If successful, this could reduce the need for invasive heart biopsies in pediatric heart transplant patients, making rejection monitoring safer and less stressful.
- What could go wrong
- This is an observational study, so it won't directly test a treatment. The accuracy of these non-invasive methods is still uncertain and may not fully replace biopsies.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2023
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Pediatric heart transplant recipients undergoing endomyocardial biopsy either for concerns of rejection or for routine surveillance.
- Ages
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6 to 25 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Received heart transplant at age \< 21 years old * \> 2 months from transplant * ≥6 years old and ≤ 25 years old and able to undergo cardiac MRI (CMR) * CMR can be scheduled within 5 days from heart biopsy\* * Heart catheterization with biopsy is scheduled "for cause" to confirm suspected AR or Heart catheterization with biopsy is scheduled for surveillance Exclusion Criteria: * No endomyocardial biopsy scheduled * Other illness or disease process that could potentially lead to myocardial edema or fibrosis * Contraindication to CMR with contrast * Previously enrolled in this study, UNLESS previous enrollment was heart biopsy scheduled for surveillance with no suspicion of AR AND final study status was documented as "no AR" AND current enrollment is heart biopsy is scheduled "for cause" to confirm suspected AR * Multiple transplanted organs * Requires anesthesia for CMR
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
22 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Arkansas Children's Hospital
RECRUITINGLittle Rock, Arkansas, 72202, United States
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Boston Children's Hospital
RECRUITINGBoston, Massachusetts, 02115, United States
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Children's Hospital Colorado
RECRUITINGDenver, Colorado, 13123, United States
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Children's Hospital of Atlanta
RECRUITINGAtlanta, Georgia, 30322, United States
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Children's Hospital of Los Angeles
RECRUITINGLos Angeles, California, 90027, United States
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Columbia University
RECRUITINGNew York, New York, 10032, United States
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Joe DiMaggio Children's Hospital
RECRUITINGHollywood, Florida, 33021, United States
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Lucile Packard Children's Hospital at Stanford
RECRUITINGPalo Alto, California, 94304, United States
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Lurie Children's Hospital
RECRUITINGChicago, Illinois, 02115, United States
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Medical College of Wisconsin
RECRUITINGMilwaukee, Wisconsin, 53226, United States
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Mount Sinai Kravis Children's Hospital
RECRUITINGNew York, New York, 10029, United States
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Nationwide Children's Hospital
RECRUITINGColumbus, Ohio, 43205, United States
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Rady Children's Hospital
RECRUITINGSan Diego, California, 92123, United States
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Riley Children's Hospital
RECRUITINGIndianapolis, Indiana, 46202, United States
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Seattle Children's Hospital
RECRUITINGSeattle, Washington, 98105, United States
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Texas Children's Hospital
RECRUITINGHouston, Texas, 77030, United States
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UCLA
RECRUITINGLos Angeles, California, 90095, United States
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UT Health Houston
RECRUITINGHouston, Texas, 77030, United States
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University of Florida
RECRUITINGGainesville, Florida, 32608, United States
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University of Michigan
RECRUITINGAnn Arbor, Michigan, 48109, United States
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Vanderbilt University Medical Center
RECRUITINGNashville, Tennessee, 37232, United States
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Washington University
RECRUITINGSt Louis, Missouri, 63110, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Could cleaning the gums protect a transplanted heart?
- Could skipping the breathing tube make heart transplants safer?
- A simple blood test could spot kidney transplant rejection early
- Heart scans may soon replace Needle-Based catheter tests
- Strength training may boost heart transplant candidates' fitness and quality of life
- Harmless virus may hold key to safer kidney transplants