- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02952781
Comparison of Continuous Sternal ECG Patch Monitors (Carnation and Zio) Trial
March 3, 2017 updated by: EvergreenHealth
The purpose of this research is to test the clinical value of a new P-wave sensitive recording vector compared to a standard ECG limb lead II vector from similar easy-to-use long-term cardiac rhythm monitoring patch systems, the Carnation TM Ambulatory Monitoring (CAM) System and the Zio-XT iRhythm.
The P-wave is a critical aspect of the electrocardiogram.
The purpose of this study is to see if the P-wave centric focus of the CAM system improves arrhythmia diagnosis.
Study Overview
Status
Completed
Intervention / Treatment
Detailed Description
This study is intended to compare the new Carnation patch monitoring system with the Zio patch, which represents the current standard for continuous recording of the ECG over extended periods.
The primary endpoint for this comparison will be diagnostic yield with secondary endpoints being ease of use and comfort.
Study Type
Observational
Enrollment (Actual)
30
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Washington
-
Kirkland, Washington, United States, 98034
- EvergreenHealth Heart and Vascular Care
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
14 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Cardiac patients followed at the study site's location.
Description
Inclusion Criteria:
- Male or female
- Written informed consent
Patients with one or more of the following:
- Syncope of uncertain etiology; or
- Pre-syncope of uncertain etiology; or
- Palpitations of uncertain etiology; or
- Management of known AF/SVT patients
Exclusion Criteria:
- Any dermatitis or infected skin over the sternum (Carnation patch) or left upper anterior thorax (Zio patch).
- A sternal or thoracic incision that extends under the patch within 3 months from the date of enrollment.
- Cognitive deficits that would interfere with the subject's ability to give informed consent or perform study testing
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Case-Only
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
ECG signal quality
Time Frame: 7 days
|
ECG signal quality = scoring the ability of each system to record electrical activity from the atrium (P-waves).
The Physician Event Committee will independently score the P-waves from all recordings.
|
7 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Skin comfort or discomfort: Was skin irritated?
Time Frame: 7 days
|
User will rate skin comfort on pre-determined scale: None, Mild, Moderate, Severe.
|
7 days
|
|
Device Comfort
Time Frame: 7 days
|
Was device comfortable to wear?
User will rate on a predetermined scale: Very Uncomfortable, Mildly Uncomfortable, Comfortable.
|
7 days
|
|
Device Stability and Contact
Time Frame: 7 days
|
Did the device stay in place in the chest location where it was attached for the time period indicated?
Clinician will evaluate visually, and rate on a predetermined scale: Yes, No.
|
7 days
|
|
Diagnostic Yield
Time Frame: 7 days
|
Diagnostic Yield: proportion of patients for whom an arrhythmogenic source of symptoms is established or eliminated as a diagnosis.
|
7 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Mark Vossler, MD, EvergreenHealth Heart and Vascular Care
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Bass EB, Curtiss EI, Arena VC, Hanusa BH, Cecchetti A, Karpf M, Kapoor WN. The duration of Holter monitoring in patients with syncope. Is 24 hours enough? Arch Intern Med. 1990 May;150(5):1073-8.
- Clinical value of vectorcardiography, Holter monitoring and quantitative electrocardiology. Belgian Society of Cardiology. Working Group on Electrocardiology, Exercise Testing and Cardiac Rehabilitation. Acta Cardiol. 2000 Jun;55(3):157-62. doi: 10.2143/AC.55.3.2005733.
- Bell C, Kapral M. Use of ambulatory electrocardiography for the detection of paroxysmal atrial fibrillation in patients with stroke. Canadian Task Force on Preventive Health Care. Can J Neurol Sci. 2000 Feb;27(1):25-31. doi: 10.1017/s0317167100051933.
- Brown AP, Dawkins KD, Davies JG. Detection of arrhythmias: use of a patient-activated ambulatory electrocardiogram device with a solid-state memory loop. Br Heart J. 1987 Sep;58(3):251-3. doi: 10.1136/hrt.58.3.251.
- Calkins H, Byrne M, el-Atassi R, Kalbfleisch S, Langberg JJ, Morady F. The economic burden of unrecognized vasodepressor syncope. Am J Med. 1993 Nov;95(5):473-9. doi: 10.1016/0002-9343(93)90329-n.
- Clark PI, Glasser SP, Spoto E Jr. Arrhythmias detected by ambulatory monitoring. Lack of correlation with symptoms of dizziness and syncope. Chest. 1980 Jun;77(6):722-5. doi: 10.1378/chest.77.6.722.
- Cumbee SR, Pryor RE, Linzer M. Cardiac loop ECG recording: a new noninvasive diagnostic test in recurrent syncope. South Med J. 1990 Jan;83(1):39-43. doi: 10.1097/00007611-199001000-00013.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
October 1, 2016
Primary Completion (Actual)
January 1, 2017
Study Completion (Actual)
January 1, 2017
Study Registration Dates
First Submitted
October 13, 2016
First Submitted That Met QC Criteria
October 31, 2016
First Posted (Estimate)
November 2, 2016
Study Record Updates
Last Update Posted (Actual)
March 7, 2017
Last Update Submitted That Met QC Criteria
March 3, 2017
Last Verified
March 1, 2017
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Heart Diseases
- Cardiovascular Diseases
- Nervous System Diseases
- Neurologic Manifestations
- Neurobehavioral Manifestations
- Arrhythmias, Cardiac
- Cardiac Conduction System Disease
- Unconsciousness
- Consciousness Disorders
- Atrial Fibrillation
- Tachycardia
- Syncope
- Tachycardia, Supraventricular
Other Study ID Numbers
- CZ2016
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
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.