HEMOTAG® Assessment for Short-term Outcomes of Heart Failure [HATS-OFF]
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 420
- 试验地点
- 2
- 主要终点
- The number of recurrent HF readmissions. [Monitoring period: 30 days]
研究概览
简要总结
Evaluation of the HEMOTAG® system in a less controlled environment and concurrently develop the system for use by patients with heart failure.
详细描述
The overall objective of research is to test, adapt, refine and validate the HEMOTAG® system to be used outside the usual medical care environments to reduce hospital readmissions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 22 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age greater than or equal to 22 years old.
- •An index hospital admission for ADHF presenting with symptoms, clinical signs, and chest x-ray (CXR) findings of pulmonary congestion, receiving IV diuretics or vasoactive drugs and having a BNP > 350 or NT-pro BNP > 1800 pg/ml.
- •Able to give informed consent.
- •Participant's residence has adequate cellular data coverage.
- •Participants with previous diagnosis of left ventricular ejection fraction (LVEF) <40% prior to the index hospitalization must have been treated for at least 90 days prior to enrollment with diuretics and beta-blocker (unless intolerant or contraindicated) and an ACE inhibitor or ARB or ARNi (unless intolerant or contraindicated).
排除标准
- •Participants unable to provide informed, voluntary decision to participate in research study as determined by the investigator. (Exclude participants who necessitate the involvement of a legally authorized representative.)
- •Terminal condition with life expectancy less than 6 months as determined by investigator.
- •Participants with cardiac tamponade or constrictive pericarditis.
- •Participants with left ventricular assistance device (LVAD device) or had a cardiac transplantation or listed for transplantation.
- •Implantation of a CRT (cardiac resynchronization therapy) device during index hospitalization or intent to implant a CRT device.
- •Presence of hemodynamically significant mitral and/or aortic valve disease, except mitral regurgitation secondary to left ventricular dilatation, as determined by investigator.
- •Presence of hemodynamically significant obstructive lesions of left ventricular outflow tract, including aortic and sub-aortic stenosis, as determined by investigator.
- •Severe primary pulmonary, renal or hepatic disease, as determined by investigator.
- •Women of childbearing age (Age <50).
- •History of pulmonary embolism of less than 3 months.
- •Dialysis dependent or dialysis initiation expected within three months.
- •Chronic home IV therapy or cardiac inotropes or diuretics.
- •Physical deformity in the chest area or lesion that may prevent proper HEMOTAG application or adjustment.
- •Illness/ Condition which may be aggravated or cause significant discomfort by the application of the HEMOTAG (skin issues, e.g. Intolerance to use of skin electrodes).
- •Impaired cognitive ability or any other state that may prevent full compliance with the study protocol, according to investigator's assessment.
- •Congenital heart malformations (Complex, or uncorrected congenital heart disease).
- •Participant enrolled in another interventional study (observational or registries are not excluded).
- •Participant HF is managed remotely with another monitoring device or program (for example: Pulmonary/ Lt Atrial pressure monitoring, lung fluid monitoring. BNP/pro-BNP or bioimpedance or ICD or biventricular pacemaker with impedance monitoring will be allowed unless it is part of another research protocol).
- •Prisoners and wards of the state.
- •Inability to provide informed consent (Must speak English or Spanish or Creole).
研究组 & 干预措施
Randomized Standard of Care
Standard of Care
Randomized Standard of Care with HEMOTAG
Standard of Care with HEMOTAG
干预措施: Standard of Care with Hemotag (Diagnostic Test)
结局指标
主要结局
The number of recurrent HF readmissions. [Monitoring period: 30 days]
时间窗: 30 Days
Determine if HEMOTAG can reduce the relative number of HF readmissions or ER visits versus standard of care. \[Monitoring period: 30 days from time of participant's discharge from initial index hospitalization\]
次要结局
- Number of total days lost to hospitalization due to HF events [Monitoring period: Expected average of 30 days, 3 months, 6 months](6 Months)
- Skin irritation from HEMOTAG use [Time Frame: over the measurement period of 30 days] (Determine if subjects had skin irritation from use.)(30 Days)
- Time from discharge until the first event of HF readmissions [Monitoring period: Event time assessed up to 3 months and 6 months from discharge.(6 Months)
- Time from discharge to all-cause mortality [Monitoring period: 30 days, 3 months,6 months](6 Months)
