Evidence map›Paper›PMID 41473042›Full record

ArticleJTCVS open2025

Regadenoson in the rehabilitation of marginal donor lungs on ex vivo lung perfusion: A blinded multicenter randomized controlled clinical trial.

Emily Fleischmann, Mark Conaway, Joseph Rabin, Kaitlyn Vecere, Kaitlyn Masih, Yunge Zhao, Ashling Zhang, Mohammad Khan, Valeria Mas, Alexander Krupnick and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in JTCVS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04521569 (A Randomized, Blinded, Multi-site, Pilot Study to Evaluate Adenosine 2A Receptor Agonist), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04521569 early_phase1completednot on this map

A Randomized, Blinded, Multi-site, Pilot Study to Evaluate Adenosine 2A Receptor Agonist (REGADENOSON) in the Rehabilitation of Marginal Donor Lungs.

TypeinterventionalSponsorUniversity of Maryland, BaltimoreRan2020 to 2024Enrolled47ConditionsLung TransplantArmsRegadenoson, Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Emily FleischmannDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Md.
Mark ConawayDivision of Translational Research and Applied Statistics, University of Virginia, Charlottesville, Va.
Joseph RabinDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Md.
Kaitlyn VecereDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Md.
Kaitlyn MasihDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Md.
Yunge ZhaoDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Md.
Ashling ZhangDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Md.
Mohammad KhanDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Md.
Valeria MasDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Md.
Alexander KrupnickDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Md.
Joel LindenDepartment of Medicine, University of Virginia, Charlottesville, Va.
Toshihiro OkamotoDepartment of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio.
Kamal AyyatDepartment of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio.
Kenneth McCurryDepartment of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio.
Christine LauDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Md.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: We hypothesized that regadenoson, an adenosine A2A receptor agonist, will increase the use rate after ex vivo lung perfusion and reduce ischemic reperfusion injury. Methods: This randomized (2:1), multicenter, blinded, placebo-controlled trial (NCT04521569) treated donor lungs with a regadenoson infusion (1.44 μg/kg/h, n = 26) or placebo (n = 8) during ex vivo lung perfusion. Eligibility criteria were adapted from the NOVEL trial. The rate of use of donor lungs was the primary end point. Secondary end points were primary graft dysfunction scores and 30-day safety. Results: Comparing regadenoson with placebo, 10 of 26 (38%) versus 0 of 8 (0%) donor lungs had a PaO Conclusions: There was no significant increase in the use of marginal donor lungs or a decrease in ischemic reperfusion injury in lungs undergoing ex vivo lung perfusion with regadenoson compared with placebo. Regadenoson is a safe ex vivo lung perfusion adjunct. The use rate of the placebo group was greater than the expectation set in the NOVEL trial of 51%, making it difficult for the regadenoson group to have a significant increase in use.

Indexed as

EVLPischemic reperfusion injuryprimary graft dysfunctionregadenoson

Identifiers

PMID41473042
PMCPMC12745136

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Registered trials

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