- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05957406
SMART TRENDS Study
March 5, 2024 updated by: Edwards Lifesciences
Acumen HPI Smart Alerts and Smart Trends to Improve Compliance With an Intra-operative Hemodynamic Management Algorithm and Reduce Renal Injury Following Major Elective Noncardiac Surgery.
A multicenter, interventional, feasibility comparison with historical controls
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
122
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Cristina Johnson
- Phone Number: 949-250-0858
- Email: SMART_TRENDS_Study@edwards.com
Study Locations
-
-
California
-
Sacramento, California, United States, 95817
- Completed
- UC Davis Medical Center
-
-
Michigan
-
Ann Arbor, Michigan, United States, 48109
- Recruiting
- University of Michigan
-
Contact:
- Akshar Patel
-
Detroit, Michigan, United States, 48202
- Recruiting
- Henry Ford Health System
-
Contact:
- Katherine Nowak, PhD
-
-
North Carolina
-
Durham, North Carolina, United States, 27705
- Recruiting
- Duke University
-
Contact:
- Miriam Treggiari, MD
-
Winston-Salem, North Carolina, United States, 27157
- Completed
- Wake Forest Baptist Medical Center
-
-
Oregon
-
Portland, Oregon, United States, 997239
- Completed
- Oregon Health & Science University
-
-
South Carolina
-
Greenville, South Carolina, United States, 29615
- Recruiting
- Prisma Health
-
Contact:
- Kyle J Adams
-
-
Washington
-
Seattle, Washington, United States, 98195
- Completed
- University of Washington
-
-
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
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Signed informed consent
- Age ≥ 18 years
- ASA Physical Status ≥ 2
- Elective noncardiac surgery with expected surgery duration ≥ 3 hours and expected post-operative length of stay of ≥ 3 days
- Planned monitoring with an arterial catheter
- General anesthesia with tracheal intubation and positive pressure ventilation
Exclusion Criteria:
- Inability to comply with the study intra-operative hemodynamic management algorithm such as surgeon request for relative hypotension or fluid restriction or avoidance of vasopressors
- Planned vasopressor or inotrope infusion during surgery
- Contraindication to intra-arterial blood pressure monitoring
- Has previously participated in the SMART TRENDS study
- Serum creatine > 2.0 mg/dL (> 175 μmol/L) or CKD stage > 3A
- Scheduled for intracranial or cardiac surgery
- Patient who is known to be pregnant
- Patients on mechanical circulatory support
- Emergency surgery
- Planned beach-chair positioning
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
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: SMART TRENDS Arm
Acumen HPI Smart Alerts and Smart Trends Software Feature to guide hemodynamic management in moderate-to-high-risk noncardiac surgery.
|
Device: Acumen HPI Smart Alerts and Smart Trends Software The Acumen HPI Smart Alerts and Smart Trends Software provides the clinician with physiological insight into a patient's likelihood of trending toward a hypotensive event.
The Acumen HPI Smart Alerts and Smart Trends Software suite is enabled by the minimally invasive Acumen IQ sensor.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
HPI Smart Alert
Time Frame: From start to end of non-cardiac surgery
|
The proportion of HPI Smart Alert prompts displayed resulting in initiation of action within 5 minutes consistent with an intra-operative hemodynamic management algorithm.
|
From start to end of non-cardiac surgery
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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 (Actual)
July 11, 2023
Primary Completion (Estimated)
August 1, 2024
Study Completion (Estimated)
September 30, 2024
Study Registration Dates
First Submitted
July 14, 2023
First Submitted That Met QC Criteria
July 14, 2023
First Posted (Actual)
July 24, 2023
Study Record Updates
Last Update Posted (Actual)
March 7, 2024
Last Update Submitted That Met QC Criteria
March 5, 2024
Last Verified
March 1, 2024
More Information
Terms related to this study
Other Study ID Numbers
- 2023-05
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
Yes
product manufactured in and exported from the U.S.
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.
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