- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT02029287
Hospital-Community-Family-Care Management Platform for Chronic Heart Failure (HCF-CMP-CHF)
24 juli 2019 uppdaterad av: Xiang Gu
Remote Prevention and Treatment Based on Community Under the Guidance of Regional Central Hospital for Patients With Chronic Heart Failure
The purpose of this study is to determine whether the Hospital-Community-Family-Care Management Platform for Chronic Heart Failure reduces the mortality, readmission rates and costs of the subjects with CHF.
Studieöversikt
Status
Okänd
Betingelser
Detaljerad beskrivning
(1) Indication: Chronic Heart Failure.
(2) Objectives: Primary objective is to evaluate the efficacy of the Hospital-Community-Family-Care Management Platform online compared with the regular clinic follow up in subjects with CHF (I-IV class by NYHA, of which class IV without strict bed rest).Secondary objectives is to assess the safety of the Management Platform online in subjects with CHF.
(3) Study design: Prospective, randomized, controlled study with two follow up management groups: 1) the Hospital-Community-Family-Care Management Follow up Online; 2) the regular monthly clinic follow up.
Study population: Totally 1000 male and female subjects with CHF (I-IV functional class according to NYHA classification).
(4) Quality assurance plan that addresses data validation and registry procedures, including any plans for site monitoring and auditing.
(5) Data checks to compare data entered into the registry against predefined rules for range or consistency with other data fields in the registry.
(6) Source data verification to assess the accuracy, completeness, or representativeness of registry data by comparing the data to external data sources.
(7) Standard Operating Procedures to address registry operations and analysis activities, such as patient recruitment, data collection, data management, data analysis, reporting for adverse events, and change management.
(8) Duration of follow up: The total follow-up time shall be at least 12 months.
(9) Safety Assessment: Safety of the study will be evaluated by the following assessments: 1) Subject and object examinations (during the follow up period and extending up to 2 week after the end of the study) consisting of a subject interview (including direct questioning about adverse events), physical examination, assessment of body weight, Electrocardiogram (ECG) and echocardiogram (UCG), Left ventricular ejection fraction (LVEF), assessed by echocardiography, The N-terminal prohormone of brain natriuretic peptide (NT-proBNP), a peptide hormone whose plasma concentration is inversely related to the severity of HF, NYHA functional status, assessed by subject interview, 6-minute walk distance (6MWD), Quality of life (QoL), assessed by the Minnesota Living with Heart Failure questionnaire (MLHFQ), a validated questionnaire assessing QoL in subjects with heart failure.
2) Evaluation of clinically relevant safety laboratory parameters, such as complete blood count, serum creatinine, electrolytes, and liver enzymes.
Any Adverse Events (AE) or Serious Adverse Events (SAE) and its potential causal relationship with the study will be recorded and evaluated.
Studietyp
Interventionell
Inskrivning (Förväntat)
1000
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studiekontakt
- Namn: Xiang Gu, Doctor
- Telefonnummer: +86 0514 87373366
- E-post: sbyygx189@gmail.com
Studieorter
-
-
Jiangsu
-
Yangzhou, Jiangsu, Kina, 225001
- Rekrytering
- Department of cardiovascular medicine,Northern Jiangsu Hospital
-
Underutredare:
- Lei Sun, Master
-
Underutredare:
- Ye Zhu, Master
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Underutredare:
- Shuhang Miao, Bachelor
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Underutredare:
- Yi Zhang, Master
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Underutredare:
- Zhengyu Bao, Doctor
-
Kontakt:
- Jianhua Shen, Doctor
- Telefonnummer: +86 0514 87373367
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Underutredare:
- Ming Gu, Master
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Underutredare:
- Hui Li, Bachler
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Underutredare:
- Fei Hang, Master
-
-
Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
18 år och äldre (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Beskrivning
Inclusion Criteria:Inclusion Criteria:to be considered eligible to participate in this study, a subject must meet the inclusion criteria listed below at the time of screening and randomization:
- Male and female are aged 18 years old or over.
- History of CHF for ≥3 months with NYHA functional class I-IV, of which class IV without strict bed rest.
- Left ventricular ejection fraction (LVEF) ≤45% as assessed by echocardiogram. However, LVEF can be above 45% for patients with cardiac insufficiency caused by atrial fibrillation, valvular heart disease, hypertrophic cardiomyopathy and et al;
- Treatment of CHF with stable and optimal pharmacological therapy according to Chinese guidelines for treatment of CHF. In general, optimal treatment will include a beta-blocker and an ACE inhibitor and/or an angiotensin receptor blocker, unless not tolerated. Medical therapy is defined as stable, if the subject has not started a new CHF drug class and the dose of drugs taken have not been changed during the 3 months prior to screening and randomization.
- Ability to understand the requirements of the study and willingness to provide written informed consent (IC), and agreement to abide by the study restrictions and return for the required assessments.
- Subjects are located in our coverage of the remote monitoring system.
Exclusion Criteria:To be eligible for entry into the study, the subject must not meet any of the exclusion criteria listed below at screening and randomization:
- Some secondary cardiomyopathy: hyperthyroid heart disease and anemic heart disease, and et al;
- A history of malignancy, and life expectancy is less than 1 year;
- Severe primary hepatic and renal insufficiency (alanine aminotransferase≥100 u/L, serum creatinine >3.0mg/dL, serum albumin <2.5g/L);
- Refusal to participate;
- Unable to visit outpatient clinics periodically;
- Ambulatory population;
- Patients were considered inappropriate to participate by researchers.
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Övrig
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
---|---|
Experimentell: Subjects with CHF follow-up
Subjects with Hospital-Community-Family-Care Management Platform online and those with the clinic follow up.In the program, participants were educated on the use of smart health-tracking devices and mobile application (APP) to collect and upload comprehensive data elements related to the risk of CHF self-care management.
They were also instructed to send text messages, view notifications, and receive individualized guidance on the mobile APP.
The general practitioners viewed index of each participant on mobile APP and provided primary care periodically, and cardiologists in regional central hospital offered remote guidance and management if necessary.
Outcomes assessed included accomplishments of the program, usability and satisfaction, engagement with the intervention, and changes of heart failure-related health behaviors.
|
Hospital-Community-Family-Care Management Platform Online: the remote monitoring service platform on line based on community and family for subjects with CHF under the guidance of the regional central hospital
Andra namn:
Subjects with CHF via conventional clinic visit according to the latest relevant guidelines
|
Aktiv komparator: Subjects with CHF conventional clinic visit
Subjects with standardized treatment according to latest guidelines via conventional visit.
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Subjects with CHF via conventional clinic visit according to the latest relevant guidelines
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
all cause mortality
Tidsram: one year
|
Number of subjects with all cause death
|
one year
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Heart failure morbidity
Tidsram: one year
|
number of subjects with heart failure - related visits
|
one year
|
Andra resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Engagemang av interventionen
Tidsram: 4 månader
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Det utvärderades objektivt via dagliga webbportalinloggningar och användning av den mobila APP
|
4 månader
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heart failure worsening
Tidsram: one year
|
Number of subjects requiring drug or dose changes to intensify concomitant therapy due to worsening of heart failure (HF).
|
one year
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Hospitalization rate
Tidsram: one year
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Hospitalization rate associated with heart failure
|
one year
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Average hospitalization time
Tidsram: one year
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Average hospitalization time associated with heart failure
|
one year
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Costs of medications
Tidsram: one year
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Costs of medications associated with heart failure
|
one year
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Usability of the HCF intervention for patients
Tidsram: 4 months
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it was assessed based on the Perceived Health Web Site Usability Questionnaire (PHWSUQ-12)
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4 months
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Changes of self-management
Tidsram: 4 months
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Lifestyle and health behaviors of participants were collected by interview
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4 months
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Participants perceptions of intervention components
Tidsram: 4 months
|
During the interview, qualitative method was used to examine participants perceptions of intervention components
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4 months
|
Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Samarbetspartners
Utredare
- Huvudutredare: Xiang Gu, Docter, Department of cardiovascular medicine
- Huvudutredare: Jianhua Shen, Docter, Department of cardiovascular medicine
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart
1 december 2013
Primärt slutförande (Förväntat)
1 augusti 2020
Avslutad studie (Förväntat)
1 december 2020
Studieregistreringsdatum
Först inskickad
21 december 2013
Först inskickad som uppfyllde QC-kriterierna
5 januari 2014
Första postat (Uppskatta)
7 januari 2014
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
26 juli 2019
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
24 juli 2019
Senast verifierad
1 juli 2019
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- BL2013022
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .
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