Status:

UNKNOWN

International Multi-center Study to Validate an Early Warning Algorithm for Worsening Heart Failure

Lead Sponsor:

Chronolife

Conditions:

Chronic Heart Failure

Eligibility:

All Genders

18+ years

Brief Summary

The study is a multi-center, prospective, non-randomized, observational study to collect data to develop and validate a machine learning algorithm for early detection of worsening heart failure events...

Detailed Description

The study is an international, multicenter, prospective, open-label, non-randomized single group study, with no control group. The study has 2 phases: the first phase is to train and develop the auto...

Eligibility Criteria

Inclusion

  • 18 years of age and above
  • New York Heart Association(NYHA) functional class II-IV
  • Reduced ejection fraction (HFrEF) with left ventricular ejection fraction (LVEF) ≤40%
  • History of chronic HF as evidenced by
  • LVEF ≤40% measured at least 30 days before enrollment
  • N-terminal-pro hormone brain-type natriuretic peptide (NT-proBNP) \> 500 pg/mL OR brain-type natriuretic peptide (BNP) \>150 pg/mL; tested no longer than one month prior to inclusion.
  • At increased risk for HF decompensation as defined by
  • currently inpatient with hospital admission due to HF decompensation (acute on chronic heart failure), or
  • history of hospitalization for HF decompensation in the last 6 months
  • Understands the study requirements and the study procedures and provides written informed consent before any trial-specific tests or procedures are performed

Exclusion

  • Known allergy to any component of the study device (cotton, elastane, polyester)
  • Current HF hospitalization due to acute de novo heart failure
  • Current HF decompensation due to triggers like surgery or perioperative complications, pulmonary embolic episode or acute myocardial infarction
  • Severe chronic kidney disease with glomerular filtration rate (GFR) \<30 ml/ min/1.73 m2 and/or renal replacement therapy
  • Evidence of hepatic disease as determined by any one of the following: serum glutamic-oxaloacetic transaminase (SGOT/AST) or serum glutamic-pyruvic transaminase (SGPT/ALT) values exceeding 3x upper limit of normal, bilirubin \>1.5 mg/dl
  • Body mass index (BMI)\>35 kg/m2
  • Planned surgery or other procedures within 6 months after the inclusion
  • Severe uncorrected valvular heart disease, or hypertrophic obstructive cardiomyopathy, active myocarditis, constrictive pericarditis, or clinically significant congenital heart disease
  • Receiving mechanical circulatory support
  • Candidates on heart transplant list
  • Factors or conditions, that according to investigator assessment may affect compliance with protocol or cause confound data interpretation. Examples may include but are not limited to:
  • Cardiac conditions or interventions such acute coronary syndrome, major cardiovascular surgery including coronary artery bypass graft (CABG), percutaneous coronary intervention (PCI) or implantation of a cardiac resynchronization therapy (CRT) device within 3 months prior to inclusion, or having certain implanted cardiac devices that affect cardiac condition or circulation,
  • Other serious medical illness (e.g., cancer) with estimated life expectancy of less than 12 months.
  • Current problems with substance addiction
  • Participating in another investigational drug or device clinical trial
  • Pregnant or nursing

Key Trial Info

Start Date :

May 31 2021

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

May 31 2022

Estimated Enrollment :

552 Patients enrolled

Trial Details

Trial ID

NCT04758429

Start Date

May 31 2021

End Date

May 31 2022

Last Update

February 17 2021

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