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NCT Number: NCT07487194

Global Utilization And Registry Database for Improved preservAtion of doNor Pancreata (GUARDIAN-PANCREAS)

The primary objective of this study is to collect real-world clinical performance data to assess the clinical outcomes of patients receiving pancreas transplants using donor pancreata transported via the PancreasPak system. These results will be compared to standard of care outcomes, as well as other preservation methods.

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Key information

About this study

GUARDIAN-PANCREAS is a post-market, observational registry of adult transplant recipient patients whose donor pancreas was preserved and transported within the PancreasPak. The data is being collected retrospectively from medical records of patients already transplanted before the initiation of the registry and any new patients who meet the eligibility criteria.

About 1000 subjects meeting the study inclusion and exclusion criteria will be enrolled into the study at about 15 clinical sites.

Candidates that fit the eligibility criteria and have had their donor pancreas transported with a Paragonix product or a standard of care method can be enrolled. The baseline characteristics and outcomes of the two groups will be compared.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adult or pediatric recipients of pancreas alone, simultaneous pancreas-kidney, or pancreas after kidney transplant

Exclusion criteria

  • Donor pancreata that do not meet institutional clinical requirements for transplantation
  • Simultaneous pancreas-kidney transplant recipients who received donor organs from multiple donors

Treatment and study plan

PancreasPak

Device

The PancreasPak Donor Preservation System is a FDA cleared and CE-marked medical device intended to be used for the static hypothermic preservation of donor pancreata during transportation and eventual transplantation using cold preservation solutions indicated for use in donor pancreata transplantation. The intended organ preservation time for the PancreasPak system is up to 21 hours.

Primary outcomes

  1. Graft dysfunction

    Time frame: Post-transplant through 1 year post-transplant

    The percentage of subjects in each cohort who experience graft dysfunction post-transplant.

  2. Pancreatitis

    Time frame: Post-transplant through 1 year post-transplant

    The percentage of subjects in each cohort who experience pancreatitis post-transplant.

  3. Primary Non-Function

    Time frame: Post-transplant through 7 days post-transplant

    The percentage of subjects in each cohort who primary non-function post transplantation.

  4. Length of Hospital Stay

    Time frame: 1 year

    How many days the patients stays in the hospital post-transplant.

  5. Surgical Complications

    Time frame: Post-transplant through 1 year post-transplant

    The percentage of subjects in each cohort who experience surgical complications.

  6. Insulin Dependence

    Time frame: Post-transplant through 1 year post-transplant

    The percentage of subjects in each cohort who experience insulin dependence post-transplant.

  7. Graft Failure

    Time frame: Post-transplant through 1 year post

    The percentage of subjects in each cohort who develop graft failure post-transplant.

  8. Survival

    Time frame: Post-transplant through 1 year post

    The percentage of subjects in each cohort who survive through 1 year post-transplant.

Secondary outcomes

  1. Length of ICU Stay

    Time frame: 1 year

    How many days the patient stayed in the ICU post-transplant.

  2. Interventions for Anastomotic Complications

    Time frame: Post-transplant through 1 year post-transplant

    The percentage of subjects in each cohort who required interventions due to anastomotic complications.

  3. Intervention for Vascular Complications

    Time frame: Post-transplant through 1 year-post transplant

    The percentage of subjects in each cohort who required interventions due to vascular complications.

  4. Medications

    Time frame: Post-transplant through 1 year post-transplant

    The percentage of subjects in each cohort who required the use of various medications.

Study contacts

Contact information is provided by the study sponsor or research team.

Amanda Schreiner

CONTACT

[email protected]

781-428-4153 ext. 22

Julia Hersum

CONTACT

[email protected]

781-428-4153 ext. 4

Sponsors and collaborators

Lead sponsor

Paragonix Technologies

Industry

Registry information

Important dates

Study start
2026
Primary completion
2031
Study completion
2032
First posted
Mar 23, 2026
Registry last updated
Mar 23, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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