Heart Failure Efficacy and Research Trial (HEART) Platform
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 1,000
- 主要终点
- Time to first occurrence of all-cause death or cardiovascular hospitalization
研究概览
简要总结
The Heart Failure Efficacy and Research Trial (HEART) Platform is a multicenter, randomized platform study designed to improve outcomes for patients with heart failure through the simultaneous and sequential evaluation of multiple interventions across the spectrum of heart failure.
详细描述
The Heart Failure Efficacy and Research Trial (HEART) Platform is a multicenter, randomized platform clinical trial infrastructure designed to improve outcomes for adults with heart failure through the efficient and continuous evaluation of multiple interventions. The platform enables the simultaneous and sequential testing of therapies across the spectrum of heart failure, with the ability to add, modify, or close interventions ("domains") over time as evidence accumulates and new research questions emerge.
HEART uses a master protocol framework with Domain-Specific Appendices (DSAs) that provide intervention-specific eligibility criteria, procedures, safety monitoring, and outcomes, while using shared platform-wide processes for governance, operations, data collection, and participant protections. This modular documentation structure allows platform updates and domain evolution without requiring complete revisions to all platform components, supporting long-term sustainability and reduced regulatory burden.
Participants are enrolled into one of two mutually exclusive patient states at the time of randomization: (1) State 1: Worsening Heart Failure (WHF), which includes patients hospitalized or treated in the emergency department for acute heart failure requiring active management; and (2) State 2: Ambulatory Heart Failure, which includes stable outpatients with established heart failure receiving ongoing management and without recent heart failure hospitalization. Patient state determines eligibility for specific domains and supports state-specific analyses.
Each HEART domain operates as a semi-autonomous trial within the broader infrastructure, with domain-specific scientific leadership and funding, while benefiting from shared core trial procedures. Domains may be conducted as vanguard/feasibility studies, Phase II trials, or Phase III trials, depending on the maturity of evidence and research objectives, and interventions may advance ("graduate") to later-phase evaluations within the platform.
The default primary endpoint for Phase III trials within the platform is time to first event of death or cardiovascular hospitalization; however, specific primary outcomes are determined at the domain level to match the intervention and development phase.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- None
盲法说明
Depends on domains
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •(HEART Platform)
- •Participants are eligible for inclusion if they meet all of the following:
- •Age ≥18 years (or legal age of majority in participant's country of residence).
- •Diagnosis of heart failure, and eligible to be classified into one of the HEART platform states at the time of randomization:
- •State 1: Worsening Heart Failure (WHF): currently hospitalized for acute decompensated heart failure or emergency department patients requiring intravenous therapy for heart failure; OR
- •State 2: Ambulatory Heart Failure: stable outpatients with established heart failure diagnosis, receiving ongoing HF management and without HF hospitalization within the prior 30 days.
- •Able and willing to provide written informed consent (or consent via a legally authorized representative, where applicable).
- •Meets all applicable domain-specific eligibility criteria for at least one active HEART Platform domain at the time of screening/randomization.
排除标准
- •(HEART Platform)
- •Participants will be excluded if any of the following apply:
- •Inability to provide informed consent (and no legally authorized representative available when applicable).
- •Not eligible for assignment to either HEART platform state (State 1 or State 2).
- •Presence of conditions or circumstances that, in the investigator's opinion, would make study participation unsafe or not feasible (e.g., inability to comply with study procedures or follow-up).
- •Does not meet the eligibility requirements for any active HEART Platform domain.
- •Any domain-specific exclusion criteria applicable to the intervention/domain(s) for which the participant would otherwise be eligible.
- •Additional inclusion and exclusion criteria apply for each individual HEART Platform domain and will be specified in the relevant domain protocol(s).
研究组 & 干预措施
Active Domain Intervention(s)
Participants will be randomized to receive one of the active intervention strategies being evaluated within eligible HEART Platform domains at the time of randomization. Eligible domains and interventions may change over time as domains are initiated, modified, or closed.
干预措施: Domain Intervention(s) (Other)
Control / Standard of Care Comparator
Participants will be randomized to a concurrent control group within eligible HEART Platform domains. The control group may include placebo and/or standard-of-care management, as specified in each active domain protocol.
干预措施: Control / Standard of Care Comparator (Other)
结局指标
主要结局
Time to first occurrence of all-cause death or cardiovascular hospitalization
时间窗: Up to 180 days (or as defined in domain-specific protocol)
Time from randomization to the first event of all-cause death or cardiovascular hospitalization. This represents the platform default primary endpoint for Phase III domain evaluations. Outcomes for each intervention are defined within each HEART Platform domain protocol. The outcome measures listed in this registration represent platform-level outcomes and default endpoints used across domains where applicable.
次要结局
- Quality-adjusted days alive and out of the hospital(Up to 365 days)
- Kansas City Cardiomyopathy Questionnaire (KCCQ) Overall Summary Score(Up to 365 days)
- EQ-5D-5L Health Utility Score(Up to 365 days)
- Cardiovascular hospitalization(Up to 180 days)
- All-cause mortality(Up to 180 days)
- Heart failure hospitalization(Up to 180 days)
- Days Alive and Out of Hospital(Up to 180 days)