PMID- 32012441 OWN - NLM STAT- MEDLINE DCOM- 20210621 LR - 20230124 IS - 1600-6143 (Electronic) IS - 1600-6135 (Linking) VI - 20 IP - 6 DP - 2020 Jun TI - First-in-human use of a marine oxygen carrier (M101) for organ preservation: A safety and proof-of-principle study. PG - 1729-1738 LID - 10.1111/ajt.15798 [doi] AB - The medical device M101 is an extracellular hemoglobin featuring high oxygen-carrying capabilities. Preclinical studies demonstrated its safety as an additive to organ preservation solutions and its beneficial effect on ischemia/reperfusion injuries. OXYgen carrier for Organ Preservation (OXYOP) is a multicenter open-label study evaluating for the first time the safety of M101 added (1 g/L) to the preservation solution of one of two kidneys from the same donor. All adverse events (AEs) were analyzed by an independent data and safety monitoring board. Among the 58 donors, 38% were extended criteria donors. Grafts were preserved in cold storage (64%) or machine perfusion (36%) with a mean cold ischemia time (CIT) of 740 minutes. At 3 months, 490 AEs (41 serious) were reported, including two graft losses and two acute rejections (3.4%). No immunological, allergic, or prothrombotic effects were reported. Preimplantation and 3-month biopsies did not show thrombosis or altered microcirculation. Secondary efficacy end points showed less delayed graft function (DGF) and better renal function in the M101 group than in the contralateral kidneys. In the subgroup of grafts preserved in cold storage, Kaplan-Meier survival and Cox regression analysis showed beneficial effects on DGF independent of CIT (P = .048). This study confirms that M101 is safe and shows promising efficacy data. CI - (c) 2020 The American Society of Transplantation and the American Society of Transplant Surgeons. FAU - Le Meur, Yannick AU - Le Meur Y AUID- ORCID: 0000-0001-8913-415X AD - Department of Nephrology, CHU de Brest, Brest, France. AD - UMR1227, Lymphocytes B et Autoimmunite, Universite de Brest, Inserm, Labex IGO, Brest, France. FAU - Badet, Lionel AU - Badet L AD - Department of Urology and Transplant Surgery, Hopital Edouard-Herriot, Hospices Civils de Lyon, Lyon, France. FAU - Essig, Marie AU - Essig M AD - Department of Nephrology and Renal Transplantation, CHU de Limoges, Limoges, France. FAU - Thierry, Antoine AU - Thierry A AD - Department of Nephrology, CHU de Poitiers, Poitiers, France. FAU - Buchler, Matthias AU - Buchler M AD - Department of Nephrology and Clinical immunology, CHU de Tours, Tours, France. FAU - Drouin, Sarah AU - Drouin S AD - Departement D'urologie, Nephrologie et Transplantation, Sorbonne Universite, Assistance Publique - Hopitaux de Paris AP-HP, Hopitaux Universitaires Pitie Salpetriere - Charles Foix, Paris, France. FAU - Deruelle, Charles AU - Deruelle C AD - Department of Urology, CHU de Brest, Brest, France. FAU - Morelon, Emmanuel AU - Morelon E AD - Department of Transplantation, Nephrology and Clinical Immunology, Hopital Edouard Herriot, Hospices Civils de Lyon, Lyon, France. FAU - Pesteil, Francis AU - Pesteil F AD - Department of Vascular Surgery, CHU de Limoges, Limoges, France. FAU - Delpech, Pierre-Olivier AU - Delpech PO AD - Department of Urology, CHU de Poitiers, Poitiers, France. FAU - Boutin, Jean-Michel AU - Boutin JM AD - Department of Urology, CHU de Tours, Tours, France. FAU - Renard, Felix AU - Renard F AD - Department of Nephrology, CHU de Brest, Brest, France. FAU - Barrou, Benoit AU - Barrou B AD - Departement D'urologie, Nephrologie et Transplantation, Sorbonne Universite, Assistance Publique - Hopitaux de Paris AP-HP, Hopitaux Universitaires Pitie Salpetriere - Charles Foix, Paris, France. LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20200221 PL - United States TA - Am J Transplant JT - American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons JID - 100968638 RN - 0 (Organ Preservation Solutions) RN - S88TT14065 (Oxygen) SB - IM MH - Graft Survival MH - Humans MH - Kidney MH - *Kidney Transplantation MH - Organ Preservation MH - *Organ Preservation Solutions MH - Oxygen MH - Perfusion MH - Tissue Donors OTO - NOTNLM OT - clinical research/practice OT - clinical trial OT - delayed graft function (DGF) OT - ischemia reperfusion injury (IRI) OT - kidney transplantation/nephrology OT - organ transplantation in general EDAT- 2020/02/06 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/02/04 06:00 PHST- 2019/08/01 00:00 [received] PHST- 2020/01/02 00:00 [revised] PHST- 2020/01/15 00:00 [accepted] PHST- 2020/02/06 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/02/04 06:00 [entrez] AID - S1600-6135(22)22372-7 [pii] AID - 10.1111/ajt.15798 [doi] PST - ppublish SO - Am J Transplant. 2020 Jun;20(6):1729-1738. doi: 10.1111/ajt.15798. Epub 2020 Feb 21.