- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01851538
The Role of Biomarkers and Echocardiography in Prediction of Prognosis of Chronic Heart Failure Patients (Bio-SHiFT)
Serial Biomarker Measurements and New Echocardiographic Techniques in Chronic Heart Failure Patients Result in Tailored Prediction of Prognosis
The Bio-SHiFT study aims to investigate whether disease progression in individual patients with chronic heart failure (CHF) can be accurately assessed by serial measurements of disease-related (novel) biomarkers. Secondary objectives of the study include comparison of 2D- with real-time 3D-echocardiography in CHF patients and comparison of Speckle tracking with tissue Doppler imaging (TDI) in CHF patients, and relating these echocardiographic measurements to clinical outcome.
Bio-SHiFT is a prospective, observational, multi-center, cohort study in men and women, aged 18 years or older, visiting the outpatient clinic. Blood samples are taken at the day of inclusion and at follow-up visits, which are performed every 3 months until the end of the scheduled follow-up. Clinical data are collected at baseline and at each 3-month follow-up visit. Echocardiography including TDI, Speckle tracking and 3D-echocardiography is performed in a subset of patients, at baseline and during follow-up at 6-month intervals. The primary endpoint is the composite of cardiovascular death, cardiac transplantation, left ventricular assist device implantation, and re-hospitalization for the management of acute or worsened heart failure.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
-
Alkmaar, Netherlands
- Medical Center Alkmaar
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Rotterdam, Netherlands
- Erasmus MC
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Men and women, aged 18 years or older, capable of understanding and signing informed consent
- Diagnosis of chronic heart failure (with diminished ejection fraction or with normal ejection fraction), according to the guidelines of the European Society of Cardiology (ESC)
Exclusion Criteria:
- Heart failure secondary to circulatory high output conditions
- Scheduled for surgery or intervention for both coronary and non-coronary indication
- Severe renal failure for which dialysis is needed
- Known moderate or severe liver disease
- Chronic Obstructive Pulmonary Disease (COPD) Gold stage IV
- Congenital heart disease
- Coexistent condition with life expectancy ≤ 1 year
- Unlikely to appear at all scheduled follow-up visits
- Linguistic barrier
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Chronic heart failure patients visiting the outpatient clinic
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
The composite of cardiovascular death, cardiac transplantation, left ventricular assist device implantation, and re-hospitalization for the management of acute or worsened heart failure.
Time Frame: maximum follow-up is 2.5 years
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maximum follow-up is 2.5 years
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Cardiovascular death
Time Frame: maximum follow-up is 2.5 years
|
maximum follow-up is 2.5 years
|
|
Cardiac transplantation
Time Frame: maximum follow-up is 2.5 years
|
maximum follow-up is 2.5 years
|
|
Left ventricular assist device implantation
Time Frame: maximum follow-up is 2.5 years
|
maximum follow-up is 2.5 years
|
|
Re-hospitalization for acute or worsened heart failure
Time Frame: maximum follow-up is 2.5 years
|
maximum follow-up is 2.5 years
|
|
Cardiovascular disease: myocardial infarction (fatal and non-fatal), stroke (fatal and non-fatal), percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG)
Time Frame: maximum follow-up is 2.5 years
|
Cardiovascular disease, comprising all events specified above, will be examined, as well as all individual components.
|
maximum follow-up is 2.5 years
|
All-cause mortality
Time Frame: maximum follow-up is 2.5 years
|
maximum follow-up is 2.5 years
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Chair: Eric Boersma, MSc, PhD, Erasmus Medical Center
- Study Director: Isabella Kardys, MD, PhD, Erasmus Medical Center
- Principal Investigator: Victor Umans, MD, PhD, Medical Center Alkmaar
- Principal Investigator: Martijn Akkerhuis, MD, PhD, Erasmus Medical Center
Publications and helpful links
General Publications
- Klimczak-Tomaniak D, de Bakker M, Bouwens E, Akkerhuis KM, Baart S, Rizopoulos D, Mouthaan H, van Ramshorst J, Germans T, Constantinescu A, Manintveld O, Umans V, Boersma E, Kardys I. Dynamic personalized risk prediction in chronic heart failure patients: a longitudinal, clinical investigation of 92 biomarkers (Bio-SHiFT study). Sci Rep. 2022 Feb 18;12(1):2795. doi: 10.1038/s41598-022-06698-3.
- Bouwens E, Schuurman AS, Akkerhuis KM, Manintveld OC, Caliskan K, van Ramshorst J, Germans T, Umans VA, Boersma E, Kardys I. Associations of serially measured PCSK9, LDLR and MPO with clinical outcomes in heart failure. Biomark Med. 2021 Mar;15(4):247-255. doi: 10.2217/bmm-2020-0585. Epub 2021 Feb 16.
- Bouwens E, Brankovic M, Mouthaan H, Baart S, Rizopoulos D, van Boven N, Caliskan K, Manintveld O, Germans T, van Ramshorst J, Umans V, Akkerhuis KM, Kardys I. Temporal Patterns of 14 Blood Biomarker candidates of Cardiac Remodeling in Relation to Prognosis of Patients With Chronic Heart Failure-The Bio- SH i FT Study. J Am Heart Assoc. 2019 Feb 19;8(4):e009555. doi: 10.1161/JAHA.118.009555.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- MEC-2011-029
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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