The NHLBI Lung Transplant Consortium 2025 Steering Committee Report

Abstract

The Lung Transplant Consortium (LTC), sponsored by the National Heart, Lung, and Blood Institute (NHLBI) is a 20-center collaboration among lung transplant programs in North America conducting both smaller multicenter projects and one consortium-wide prospective observational cohort study called the Prospective Multicenter Research on Donor and Recipient Management Strategies to Improve Lung Transplant Outcomes (PROMISE) Lung Study.

The LTC conducted a meeting in April 2025 to strategize how to maximize the benefits of the PROMISE study to advance the field of lung transplant. This paper summarizes the key themes that emerged from the meeting: leveraging PROMISE data elements, including biomarkers, imaging, and PROs; clinical syndrome and consensus definitions; variation in management and management strategies; and future interventional trials leveraging the PROMISE consortium. The PROMISE study will serve as the platform for establishing best practices in lung transplant, inform the validity of newly identified syndromes, and support analysis of patient-reported outcomes, image data, and biosamples. The PROMISE study and LTC create a critically needed research platform and multicenter collaborative structure that may be adapted to conduct future multicenter clinical trials that will advance lung transplant medicine.

Lung Transplant Consortium Leadership Details Strategic Direction in New JHLT Report

Lung Transplant Consortium Leadership Details Strategic Direction in New JHLT Report

The authors seek to maximize use of the consortium and advance lung transplantation.

Due the rarity of lung transplantation, the field often lacks clear evidence to guide donor selection, perioperative management and posttransplant practices. In a recent Special Report published in the Journal of Heart and Lung Transplantation, Lung Transplant Consortium (LTC) leaders shared their strategies for maximizing use of the consortium and advancing lung transplantation.

The authors distilled key themes from the LTC Steering Committee Meeting in April – including how to leverage data elements from the PROMISE Lung Study, from biomarkers to PROs; clinical syndrome and consensus definitions; variation in management and management strategies; and future interventional trials leveraging the PROMISE consortium.

“Through analysis of the PROMISE study cohort, which already has enrolled nearly 1000 participants, our research will inform and guide best clinical practices improving care for patients with lung disease and that undergo lung transplant,” said LTC MPI Scott Palmer.

This is the first major publication to come out of the Lung Transplant Consortium, which was established in 2022 to serve as a research platform for rigorous observational and mechanistic studies in lung transplant. The Journal of Heart and Lung Transplantation is the official publication of the International Society for Heart and Lung Transplantation.

The report was a collaborative effort involving members from every corner of the consortium, from MPIs Megan Neely and Jason Christie and DCRI’s Allyn Damman to Steering Committee Cochairs Bryan Whitson and Ramsey Hachem.

Congratulations to the Lung Transplant Consortium investigators and Steering Committee on reaching this milestone!

Read the publication.

Contributors to the white paper included LTC MPIs Megan Neely, Scott Palmer, and Jason Christie; NHLBI Program Officer Emmanuel Mongodin, PhD; Bryan Whitson, MD, PhD; Ramsey Hachem, MD; Michaela Anderson, MD, MS; Courtney Frankel, MS; Michelle Oyster, MS; Ciara Shaver, MD, PhD; Eric Morrell, MD, MA; Meghan Aversa, MD; Allyn Damman, MA; and LTC DCC MPIs Megan Neely, PhD, Scott Palmer, MD, MHS, and Jason Christie, MD, MSCE.

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