Blood test may spare heart transplant patients from painful biopsies
NCT ID NCT04707872
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study is testing whether a simple blood test called Prospera can detect heart transplant rejection as accurately as the current standard—a biopsy of the heart. Researchers will compare the blood test results with biopsy results and antibody levels in 300 heart transplant recipients. If the blood test works well, it could one day reduce the need for invasive procedures.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Prospera blood test (donor-derived cell-free DNA)
- What this could lead to
- If successful, this could lead to a simple blood test that reduces the need for invasive heart biopsies to check for transplant rejection.
- What could go wrong
- This is an early-stage study focused on calibrating the test, not proving it works in practice. The blood test may not be accurate enough to 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 300 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2021
- Expected to finish
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Jul 2028
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
The study population includes patients with a functioning heart transplant undergoing a biopsy for clinical indications or surveillance (protocol) biopsy.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- 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: * All heart transplant recipients undergoing a biopsy for clinical indications and protocol biopsies, as determined by their physician or surgeon, will be eligible to enroll in the study. * Patients are enrolled based on standard of care biopsies, including surveillance biopsies in high-risk patients, with informed consent. Exclusion Criteria: * Patients will be excluded from the study if they decline participation * Are unable to give informed consent. * Recipients of multiple organs.
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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
12 sites in 7 countries. 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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Advanced Heart Failure Transplant Unit
NOT_YET_RECRUITINGA Coruña, Spain
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Annette C. and Harold C. Simmons Transplant Institute, BaylorScott&White Research Institute
RECRUITINGDallas, Texas, 75246, United States
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Baptist Health Institute for Research and Innovation
RECRUITINGLittle Rock, Arkansas, 72205, United States
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Cardiac Transplantation Laboratory, The Victor Chang Cardiac Research Institute
NOT_YET_RECRUITINGDarlinghurst, NSW 2010, Australia
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Cardiovascular Medicine, University of Utah Health
RECRUITINGSalt Lake City, Utah, 84132, United States
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Columbia University Medical Center, Columbia Interventional Cardiovascular Care
RECRUITINGWest New York, New Jersey, 10032, United States
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Division of Cardiology, University of Alberta
RECRUITINGEdmonton, Alberta, T6G 2R7, Canada
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Heart Failure and Heart Transplant Unit, University of Bologna
NOT_YET_RECRUITINGBologna, 40138, Italy
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Institute for Clinical and Experimental Medicine - IKEM Videnska 1958/9
RECRUITINGPrague, 140 21, Czechia
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Montefiore Medical Center, 3319 Rochambeau Avenue, 2nd FL
RECRUITINGThe Bronx, New York, 10467, United States
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Silesian Center for Heart Diseases (Ś!ąskie Centrum Chorób Serca w Zabrzu
RECRUITINGZabrze, 41-800, Poland
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Tampa General Hospital, 409 Bayshore Blvd.
RECRUITINGTampa, Florida, 33606, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Blood test may replace painful heart biopsies for transplant patients
- Heart transplant monitoring may go needle-free with new MRI technique
- Heart transplant warning: could a simple virus test spot rejection early?
- App aims to keep teen heart transplant patients alive and healthy
- New molecular test could spot heart transplant rejection faster
- Scientists hunt for simple blood test to predict heart rejection