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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05006105
Other study ID # CTU2019106
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date October 12, 2020
Est. completion date February 2025

Study information

Verified date September 2022
Source Ziekenhuis Oost-Limburg
Contact David Verhaert, Dr.
Phone +3289 32 70 91
Email david.verhaert@zol.be
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to demonstrate the added value of mobile health (mHealth) to detect atrial fibrillation (AF) early in the care path of cryptogenic stroke and transient ischemic attack (TIA) patients.


Description:

The use of photoplethysmography (PPG)-based mHealth (with smartphone and smartwatch) is compared to the guideline-recommended insertable loop recorders (ILR) in the detection of AF in cryptogenic stroke or TIA patients.


Recruitment information / eligibility

Status Recruiting
Enrollment 225
Est. completion date February 2025
Est. primary completion date February 2025
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Diagnosis of cryptogenic ischemic stroke or TIA - The patient or its legal representative is willing to sign the informed consent Exclusion Criteria: - History of AF or atrial flutter - Life expectancy of less than one year - Not qualified for ILR insertion - Indication or contraindication for permanent oral anticoagulants (OAC) at enrolment - Untreated hyperthyroidism - Myocardial infarction or coronary bypass grafting less than one month before the stroke onset - Presence of patent foramen ovale (PFO) and it is or was an indication to start OAC according to the European Stroke Organization guidelines - Inclusion in another clinical trial that will affect the objectives of this study - Not able to understand the Dutch language - Patient or partner not in possession of a smartphone

Study Design


Intervention

Device:
seven-day ECG Holter
Participants receive a seven-day ECG Holter after hospital discharge.
24-hour blood pressure monitor
Participants receive a 24-hour blood pressure monitor, approximately four weeks after hospital discharge.
Other:
Questionnaire: vision of mHealth
Participants receive a questionnaire concerning their vision of mHealth, approximately four weeks after hospital discharge.
Questionnaire: user experience & feeling of safety
Participants receive a questionnaire concerning their user experience and feeling of safety of using mHealth, after using mHealth for six months.
Device:
Insertable loop recorder
Participants receive an insertable loop recorder, approximately six weeks after hospital discharge.

Locations

Country Name City State
Belgium Ziekenhuist Oost-Limburg Genk Limburg
Belgium Jessa Hospital Hasselt Limburg

Sponsors (3)

Lead Sponsor Collaborator
Ziekenhuis Oost-Limburg Hasselt University, Jessa Hospital

Country where clinical trial is conducted

Belgium, 

Outcome

Type Measure Description Time frame Safety issue
Primary AF detection with mHealth versus ILR - Percentage Percentage of patients with AF detected After 6 months of having an ILR inserted and using mHealth.
Secondary AF detection with ILR - Percentage Percentage of patients with AF detected After 12 months of having an ILR inserted.
Secondary AF detection with mHealth versus ILR - Time to first AF detection Time to first AF detection Baseline until end of study (after 12 months of having an ILR inserted).
Secondary AF detection with mHealth versus ILR - Frequency Frequency of AF episodes Baseline until end of study (after 12 months of having an ILR inserted).
Secondary AF detection with mHealth versus ILR - Duration Duration of AF episodes Baseline until end of study (after 12 months of having an ILR inserted).
Secondary User experience and feeling of safety questionnaire Questionnaire with a 7 point Likert scale After 6 months of having an ILR inserted and using mHealth.
Secondary Correlation between baseline characteristics and AF detection Baseline characteristics include comorbidities, results of standard of care in-hospital stroke examinations and scores, relevant in-hospital therapy Baseline until end of study (after 12 months of having an ILR inserted).
Secondary Correlation between follow-up characteristics and AF detection Follow-up characteristics include changes in therapy, number of relevant readmissions, mortality and healthcare-related costs Baseline until end of study (after 12 months of having an ILR inserted).
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