Status:

ENROLLING_BY_INVITATION

Efficacy of the Integration of Digital Therapeutics and Home-based Cardiac Rehabilitation in High-Risk Post-PCI Patients

Lead Sponsor:

West China Hospital

Conditions:

Coronary Artery Disease

Myocardial Infarction

Eligibility:

All Genders

18-75 years

Phase:

NA

Brief Summary

The DTx-HBCR trial will randomize 366 high-risk patients who undergo PCI at the West China Hospital of Sichuan University to either the 6-month DTx-guided HBCR group (intervention group) or the 6-mont...

Eligibility Criteria

Inclusion

  • To be eligible to participate in this study, a participant must meet all of the following criteria:
  • Women or men, the ages of 18 and 75 years.
  • Have sufficient reading and writing language skills in Chinese.
  • Be willing to participate the study and sign informed consent.
  • Patients must have at least one clinical feature and one angiographic feature:
  • A. Clinical features: age ≥ 65 years, female sex, troponin positive acute coronary syndrome, established vascular disease (prior myocardial infarction, coronary revascularization or peripheral arterial disease) , diabetes mellitus requiring medication and chronic kidney disease (estimated glomerular filtration rate \< 60 ml/min/1.73 m2 or creatinine clearance \< 60 cc/min) .
  • B. Angiographic features: multivessel coronary artery disease, total stent length \> 30 mm, thrombotic target lesion, bifurcation lesion requiring two stents, obstructive left main or proximal left anterior descending lesion and calcified target lesion requiring atherectomy.

Exclusion

  • A potential participant who meets any of the following criteria will be excluded from participation in this study:
  • Contraindications to exercise rehabilitation (e.g., untreated ventricular tachycardia, severe heart failure (New York Heart Association class III or IV heart failure, or ejection fraction \< 40%), uncontrolled hypertension or hypotension, active hemorrhage, severe liver failure, significant exercise limitations).
  • Vision, hearing, cognition-related or mental impairment leading to inability to cooperate.
  • Patients with established planned Phase II PCI.
  • Having pre-existing comorbid disease with a life expectancy of \< 1 year.
  • Poor compliance and unable to complete the expected follow-up.
  • Unable to access WeChat via a smartphone after training.

Key Trial Info

Start Date :

December 4 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2026

Estimated Enrollment :

366 Patients enrolled

Trial Details

Trial ID

NCT06542575

Start Date

December 4 2024

End Date

May 1 2026

Last Update

January 14 2025

Active Locations (1)

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1

West China Hospital

Chengdu, Sichuan, China, 610041