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Nyt bærbart apparat til behandling af hjertesvigt

3. november 2026 opdateret af: Jingyi Ren, China-Japan Friendship Hospital

Klinisk translationel forskning af nyt bærbart udstyr baseret på patenteret sensorteknologi i ikke-invasiv behandling af hjertesvigt

Heart failure (HF) is a major cardiovascular disease with high readmission and mortality rate. A wearable device that could remotely monitor and detect the worsening HF early before the symptoms appear will help reduce HF readmissions effectively. The purpose of the current study is to examine the efficiency of a novel wearable device based on flexible strain sensor comparing to the clinical 'gold standard,' and then transform it into a clinical application.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

The prospective cohort study aims to examine the efficiency of a novel wearable device based on a flexible strain sensor to improve the outcomes of patients with HF compared to the standard-of-care without wearable device monitoring.

The primary and secondary endpoints will be examined in subgroups determined by baseline variables reflecting demography,NYHA functional class,left ventricular ejection fraction,natriuretic peptide,additional co-morbidities,and others.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

108

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  1. Diagnosis of HF ≥ 3 months
  2. Diagnosis of NYHA Class III HF
  3. Subjects with age ≥ 18 years
  4. At least 1 HF hospitalization within 12 months prior to enrollment
  5. Subjects with elevated ambulatory levels of BNP/NT-proBNP

Exclusion Criteria:

  1. Subjects unable to cooperate to complete the trial.
  2. Subjects with severe arrhythmia.
  3. Subjects with cardiac shock.
  4. Subjects with acute myocardial infarction.
  5. Subjects with local skin infections and injuries in the jugular vein area
  6. Subjects with active uncontrolled infections
  7. Subjects with eGFR < 25 mL/min/1.73m2
  8. Pregnant women, or women likely to undergo pregnancy
  9. Subjects with life expectancy less than 6 months

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Screening
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Novel wearable device strategy group

Patients with a novel wearable device for monitoring and uploading data daily to collect monitoring data such as jugular vein pressure and exercise steps.

Patients with a novel wearable device for monitoring and uploading data daily to collect monitoring data such as jugular vein pressure and exercise steps after discharge.

Ingen indgriben: Control group

Patients receive a standard of care for heart failure without a wearable device.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Rate of Hospital Readmissions for Heart Failure
Tidsramme: Up to 6 months

Total hospitalizations for heart failure will be monitored via follow-up.

Up to 6 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Concordance of the Jugular Vein Pressure with the RHC Measurement
Tidsramme: Up to 6 months

Accuracy of jugular vein pressure measurements by the novel wearable device compared to right heart catheterization.

Up to 6 months
Change From Baseline N-terminal Pro-brain Natriuretic Peptide(NT-proBNP) or Brain Natriuretic Peptide(BNP)
Tidsramme: Up to 6 months

Change from baseline to 6 months in N-terminal pro-brain natriuretic peptide (NT-proBNP) or Brain Natriuretic Peptide(BNP). NT-proBNP/BNP level will be measured using commercial kits system during the follow-up period. Change from baseline was defined as the value of NT-proBNP/BNP at 6 months minus the baseline value. Baseline value was defined as the mean of all available measurements from the screening visit.

Up to 6 months
Change in Exercise Capacity as Measured by the 6-Minutes-Walking-Test (6MWT) Distance.
Tidsramme: Up to 6 months

Change from baseline to 6 months in exercise capacity as measured by the distance walked in 6 minutes in standardised conditions.

Up to 6 months
Compliance Percentage of Patients
Tidsramme: Up to 6 months

Patient adherence to daily measurement and transmission of sensor readings will be recorded.

Up to 6 months
Change in Quality of Life
Tidsramme: Up to 6 months

Quality of life will be measured with the Kansas City Cardiomyopathy Questionnaire (KCCQ) answered by the patients directly on a patient application.KCCQ is a 23-item, self-administered instrument that quantifies physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. The KCCQ total symptom score incorporates the symptom domains into a single score. Scores are transformed to a range of 0-100, in which higher scores reflect better health status.

Up to 6 months
Change in New York Heart Association (NYHA) functional class.
Tidsramme: Up to 6 months

NYHA class will be evaluated according to the patients' clinical characteristics during the follow-up.NYHA Functional Classification places patients in one of four categories based on how much they are limited during physical activity; Class I being best and Class IV being the worst functional class. Class I has no limitation to physical activity, Class II has slight limitation to physical activity, Class III has marked limitation of physical activity, and Class IV is unable to carry out any physical activity without severe discomfort.

Up to 6 months
Freedom From a Device/System-related Complication
Tidsramme: Up to 6 months

Device/System-related Complications refer to adverse events such as device failure and allergy.

Up to 6 months

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Subjects Included the Endpoint of Cardiovascular Mortality
Tidsramme: Up to 6 months

Rate of cardiovascular mortality will be monitored via follow-up.

Up to 6 months
Subjects Included the Endpoint of all-cause Mortality
Tidsramme: Up to 6 months

Rate of all-cause mortality will be monitored via follow-up.

Up to 6 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

28. april 2027

Primær færdiggørelse (Anslået)

28. april 2029

Studieafslutning (Anslået)

28. april 2029

Datoer for studieregistrering

Først indsendt

15. november 2022

Først indsendt, der opfyldte QC-kriterier

30. november 2022

Først opslået (Faktiske)

8. december 2022

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

5. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

3. november 2026

Sidst verificeret

1. november 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 2022-NHLHCRF-YXHZ-01

Plan for individuelle deltagerdata (IPD)

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