A new roadmap to transplant: could standardizing care save more congenital heart patients?
NCT ID NCT07799272
First seen Sep 02, 2026 · Last updated Sep 03, 2026 · Updated 1 time
Summary
This trial tests a structured care pathway called TORCH-ITAP in Latin America. The pathway standardizes how patients with congenital heart disease are identified, referred, evaluated, and matched for heart or lung transplants. Researchers will compare hospitals using the pathway to those using usual care, measuring whether more patients complete a transplant evaluation within 90 days. The goal is to reduce gaps in access and help more eligible patients reach transplant.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- TORCH Integrated Transplant Access Pathway (TORCH-ITAP), a health-services intervention that standardizes referral, evaluation, and organ-matching steps for transplant access
- What this could lead to
- If it works, this pathway could help more people with congenital heart disease get timely transplant evaluations and potentially receive life-saving heart or lung transplants.
- What could go wrong
- This is a health-services trial, not a drug test, so success depends on many hospitals adopting the pathway consistently. It may not overcome broader shortages of donor organs or differences in national transplant rules.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 600 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Mar 2027
An estimate. Start dates often move.
- Expected to finish
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Jun 2031
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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0 days and older
- 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: * Confirmed congenital heart disease. * Age from birth with no protocol-defined upper age limit. * Advanced cardiac, pulmonary vascular, or cardiopulmonary deterioration meeting contemporary international criteria for transplant referral/evaluation, or previously documented transplant candidacy by an authorized program. * Clinical presentation within the TORCH scope: heart transplantation; heart-lung transplantation; or, in selected congenital heart disease, bilateral lung transplantation with cardiac repair after multidisciplinary adjudication. * Availability of the minimum baseline dataset required for standardized multidisciplinary evaluation and risk stratification. * Written informed consent from the participant or legally authorized representative, with assent and re-consent as applicable under local requirements. * Ability to undergo protocol-defined longitudinal follow-up. * For participants referred from a non-transplant site, an operational referral route within the participating network to at least one authorized transplant center must exist. Prior acceptance by that transplant center is not required for trial enrollment; completion of specialist evaluation and the candidacy decision are post-enrollment trial processes/outcomes. Exclusion Criteria: * Absence of congenital heart disease or a transplant indication outside the TORCH congenital-heart-disease scope. * No protocol-defined indication for transplant referral/evaluation after standardized review. * A contemporary absolute contraindication to all transplant strategies applicable to the participant that is confirmed by multidisciplinary adjudication and is not considered reversible or re-evaluable under the protocol. * Inability to obtain required informed consent/assent or to collect the minimum essential baseline dataset. * A legal, regulatory, or safety condition that prohibits participation in research at the enrolling site.
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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 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.
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