Preclinical Evidence

Head-to-Head Preclinical Data Demonstrates Delayed Graft Function is Eliminated with OrganBank Kidney

Compared to hypothermic machine preservation, OrganBank Kidney (OBK) platform showed consistent early graft performance in a preclinical auto-transplant model.

Study Overview

A head-to-head comparison of preservation methods

Study Model
DCD porcine auto-transplant

Warm Ischemia
 30 minutes

 Comparator
 OrganBank vs. LifePort

 Primary Endpoint
 Delayed graft function

In a preclinical porcine auto transplant study, the OrganBank Kidney platform was associated with more consistent early graft function and a reduction in delayed graft function compared with the standard-of-care hypothermic machine preservation1,2.

The study used a donation after circulatory death (DCD) porcine kidney auto-transplant model with 30 minutes of induced warm ischemia, designed to directly compare preservation approaches. Kidneys were preserved either using hypothermic machine preservation or using room-temperature machine perfusion with the OrganBank Kidney platform, then transplanted and evaluated for early graft performance.

This head-to-head design was selected to reflect real-world clinical preservation workflows and to generate data relevant to regulatory and clinical evaluation.

Key Findings

Reduced delayed graft function

In this preclinical model:

  • No delayed graft function (0%) was observed in kidneys preserved using OrganBank Kidney

  • Delayed graft function occurred in 40% of kidneys preserved using hypothermic machine preservation

  • Kidneys preserved with OrganBank Kidney demonstrated more consistent early graft performance

Rate of Delayed Graft Function
(preclinical data)*

Delayed graft function—defined as inadequate kidney function immediately following transplant, remains a persistent challenge in kidney transplantation and is associated with longer hospital stays, increased healthcare costs, and poorer long-term outcomes. Reducing DGF is a key unmet need, particularly in higher-risk donor populations.

Why It Matters

Addressing Limitations of Traditional Preservation

Conventional hypothermic preservation slows metabolism but limits organ viability data during transport. As a result, transplant teams often must make high-stakes decisions with limited real-time information about organ quality.

The OrganBank Kidney platform is designed to preserve kidneys at room-temperature using an oxygenated, acellular solution rather than blood, with the goal of maintaining active metabolism during preservation. This approach is intended to better support early graft function while providing viability assessment prior to transplant.

Supporting Confidence, Not Just Preservation

Beyond preservation alone, BMI OrganBank is developing its platform to support real-time functional assessment, enabling transplant teams to better understand how an organ is performing during the preservation window.

Conclusion of Preclincial study

This study demonstrates that OrganBank Kidney provided superior preservation outcomes compared to the LifePort device in a porcine kidney auto-transplantation model.

Using a survival-based definition of delayed graft function, the OrganBank Kidney group achieved 0% DGF incidence compared to 40% in the LifePort group.

Secondary outcome analysis further supports these findings:

  1. Peak serum creatinine was lower in the OrganBank Kidney group, with accelerated return to baseline renal function

  2. Urine output was sustained and higher across the postoperative period

  3. Potassium homeostasis was comparable across groups, suggesting targeted preservation of glomerular and tubular function without impacting systemic electrolyte balance

All predefined acceptance criteria were fully met. No adverse events attributable to OrganBank Kidney preservation were observed. Grafts preserved using the OrganBank system consistently met or outperformed control benchmarks across clinical and biochemical outcomes.

These results provide a compelling preclinical rationale for further translational evaluation of the OrganBank Kidney system.

Where the program stands

GRANTED

FDA Breakthrough Device Designation

Reflects the FDA's recognition of the unmet need in kidney transplantation.

PLANNED

Investigational Device Exemption (IDE) submission

Projected Q4 2026
PLANNED

Initiation of pivotal clinical study, following IDE clearance

OrganBank Kidney is investigational and is not yet approved for clinical use. BMI OrganBank does not currently hold an Investigational Device Exemption (IDE); IDE submission and initiation of a pivotal clinical study are planned.

Want to know more about our clinical program?

Clinicians, researchers, and transplant centers are welcome to reach out.
Keeping more paths to transplant open.

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Blood-free perfusate

Proprietary acellular perfusate designed to support metabolically active preservation—enabling oxygen delivery, nutrient support, and management of oxidative stress without the need for donor-matched blood.

Real-time visibility across the journey

Tracks organ status and location during preservation and transport, supporting coordination and assessment across teams.

Portable perfusion. Continuous preservation.

Automated, portable device designed to maintain kidneys in a metabolically active state during preservation and transport.
Operates at room temperature without donor-matched blood.