- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06335264
Screening for Heart Failure Using a Multimodal Wearable Device (WEAR-HF)
Study Overview
Detailed Description
Heart Failure (HF) is a multi-faceted and life-threatening syndrome characterized by significant morbidity and mortality, poor functional capacity and quality of life, and high costs. Logistic and economic difficulties prove screening for HF challenging for some populations, such as people with reduced mobility and the elderly. Sensor technologies and data processing algorithms, including artificial intelligence, represent an opportunity to systematically identify patients suffering from HF as a complementary tool for echocardiography. The ability to compute digital biomarkers using complex models from wearable data requires identifying the key parameters that are associated with the presence of HF. A multisensorial wearable device can be utilized to develop digital biomarkers for population-based screening of HF. The present study aims to evaluate the best signals from a wearable device to identify digital signals (aka digital biomarkers) that are most associated with HF, including all ejection fraction types.
For this study, investigators will recruit 27 participants with HF and 27 without HF. The primary objective of this study is to analyze the key physiological parameters recorded from the platform devices that can develop a digital biomarker for the presence of prevalent HF.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Abhinav Sharma, MD
- Phone Number: 35414 5149341934
- Email: abhinav.sharma@mcgill.ca
Study Locations
-
-
Quebec
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Montreal, Quebec, Canada, H4A 3J1
- Recruiting
- McGill University Health Centre
-
Contact:
- Abhinav Sharma, MD
- Phone Number: 514 934-1934
- Email: dreamcvlab@muhc.mcgill.ca
-
Principal Investigator:
- Abhinav Sharma, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
- Case group will be enrolled from the cardiology clinics at the Royal Victoria Hospital (located at MUHC). Patients will be screened for on the clinic lists on a daily basis. The attending physician will be asked if the patient is suitable for enrollment. The participant will be approached, and the informed consent will be taken before enrollment.
- Control group will be recruited from both the cardiology clinics (patients without heart failure) and Cortois Cardiovascular Signature Program, also at the Royal Victoria Hospital. Patients will be screened for on the clinic lists on a daily basis. The attending physician will be asked if the patient is suitable for enrollment. The participant will be approached, and the informed consent will be taken before enrollment.
Description
Inclusion Criteria:
- Able to follow up with the study protocol schedule
- Life expectancy > 1 year
Case group only
- Clinical signs and/or symptoms of heart failure caused by a structural and/or functional cardiac abnormality, as defined by Bozkurt et al. [2021], diagnosed at the cardiovascular clinic
- NT-proBNP levels > 125 pg/L or objective evidence of cardiogenic pulmonary or systemic congestion
- One of the following;
i. For HFpEF, LVEF ≥ 50% ii. For HFmrEF, LVEF 41-49% iii. For HFrEF, LVEF ≤ 40%
Control group only
- Absence of known clinical heart failure history.
- Absence of criteria above in the case group.
Exclusion Criteria:
- Any person who does not meet the above criteria or who refuses to participate
- Undergoing chemotherapy or dialysis
In addition, the following list of criteria are specific to accurate wrist wearable measurements:
- Skin burns or rashes on the measurement locations (wrist for wearable, finger for oximeter, chest for Polar ECG)
- Patients with tremors
- Recent use of dermatological creams, ointments, or lotions at the recording area
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Case group (HF)
i. For HFpEF, LVEF ≥ 50% ii. For HFmrEF, LVEF 41-49% iii. For HFrEF, LVEF ≤ 40% |
A multisensorial wearable smartwatch that measures actigraphy (motion), skin temperature, heart rate variability (PPG), electrodermal activity, and voice (via App)
|
Control group (non-HF)
|
A multisensorial wearable smartwatch that measures actigraphy (motion), skin temperature, heart rate variability (PPG), electrodermal activity, and voice (via App)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Presence or absence of heart failure
Time Frame: up to 3 months, between two clinical visits
|
the diagnosis of heart failure in the clinic based on the Canadian Heart Failure Society guidelines
|
up to 3 months, between two clinical visits
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
left ventricular ejection fraction (LVEF)
Time Frame: up to 3 months, between two clinical visits
|
The classification of HF includes HF with reduced ejection fraction (HFrEF): HF with LVEF ≤40%; HF with mildly reduced ejection fraction (HFmrEF): HF with LVEF 41-49%; HF with preserved ejection fraction (HFpEF): HF with LVEF ≥50%; and HF with improved ejection fraction (HFimpEF): HF with a baseline LVEF ≤40%, a ≥10 point increase from baseline LVEF, and a second measurement of LVEF >40%.
|
up to 3 months, between two clinical visits
|
Natriuretic peptide (NT-proBNP) level
Time Frame: up to 3 months, between two clinical visits
|
A hormone molecule that plays a crucial role in the regulation of the cardiovascular system, used as a biomarker for heart failure.
|
up to 3 months, between two clinical visits
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Abhinav Sharma, MD, McGill University Health Centre/Research Institute of the McGill University Health Centre
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2024-9987
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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