Telemedical Interventional Monitoring in Heart Failure (TIM-HF)
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Chronic Heart Failure
- Sponsor
- Charite University, Berlin, Germany
- Enrollment
- 710
- Locations
- 2
- Primary Endpoint
- all cause mortality
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
Superiority of additional Remote Patient Monitoring in patients with CHF In comparison to usual care in terms of:
- reduction of mortality rate
- reduction of hospitalizations
- increasement of patients' quality of life
Detailed Description
The clinical trial assesses 710 patients over a period of at least 15 months each (2008 until 2010); all participants will continue to receive usual care from their GP. All patients will be examined at the beginning of the study and will undergo a check-up every 3 months. 355 of the patients will be randomly allocated to receive devices for Remote Patient Monitoring which will measure various parameters on a daily basis (e.g., weight, blood pressure, heart rate). The devices are mobile and can be used at home or elsewhere.
Investigators
Friedrich Koehler
Senior Physician
Charite University, Berlin, Germany
Eligibility Criteria
Inclusion Criteria
- •Ambulatory CHF NYHA II or III
- •LVEF ≤ 35% and cardiac decompensation with hospitalization for heart failure or therapy with intravenous diuretics (.40 mg furosemide/day) within 24 months prior to enrolment or LVEF ≤ 25%, measured twice within past 6 months
- •Optimal medical treatment for CHF (b-blocker, ACE-inhibitor/ ARB, diuretics) including ICD/CRT if indicated
- •Age ≥ 18 years
- •Informed consent
Exclusion Criteria
- •Existence of any disease (HF excluded) reducing life expectancy to less than 1 year
- •Insufficient compliance to telemonitoring or study visits
- •Impairment to use the telemonitoring equipment or appear to study visits (e.g. dementia, impaired self-determination, lacking ability to communicate)
- •Concurrent participation in other therapy trials
- •Hospitalization for cardiac decompensation within 7 days before inclusion in trial
- •Implanted cardiac assist system
- •Unstable angina pectoris
- •Congenital heart defect
- •Primary heart valve disease
- •Hypertrophic or restrictive cardiomyopathy
Outcomes
Primary Outcomes
all cause mortality
Secondary Outcomes
- comp of the combined rate of cv death and hosp. for worsening HF;days lost due to cv death or HF hosp;cv mortality;Rate of cv hosp;Rate of hosp for HF;hosp for any reason;cv hosp;hosp for HF;duration of all hosp for HF;NYHA class; SF-36; PHQ-9 score