Heart Failure With Preserved Ejection Fraction Clinical Trial
— OPTIMISEHFpEFOfficial title:
Optimising Management of Patients With Heart Failure With Preserved Ejection Fraction in Primary Care
NCT number | NCT03617848 |
Other study ID # | 234872 |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | July 17, 2018 |
Est. completion date | March 30, 2021 |
Verified date | February 2022 |
Source | Cambridge University Hospitals NHS Foundation Trust |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
Heart failure (HF) accounts for 2% of National Health Service (NHS) expenditure, and 5% of emergency hospitalisations. Patients with HF with preserved ejection fraction (HFpEF) are older, have more comorbidities, have similarly poor or worse outcomes compared to patients with reduced ejection fraction (HFrEF), and currently lack an evidence base for treatment. The investigators hypothesise that outcomes of patients with HFpEF can be improved through optimised management and self-management of comorbidities, fluid status and lifestyle delivered in primary care in collaboration with specialists. The primary aim is to develop a programme of optimised management by improving understanding of needs and experiences of patients with HFpEF, clinical decision-making and management in primary care, and integrating research findings with patient and clinical expertise. The main objective for this work package is to identify patients with HFpEF in primary care and assess comorbidities and other factors, management, morbidity and mortality at one year. The methodology employed will be a longitudinal cohort study of 270 patients with HFpEF in primary care followed for 12 months.
Status | Completed |
Enrollment | 153 |
Est. completion date | March 30, 2021 |
Est. primary completion date | November 30, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 16 Years and older |
Eligibility | Inclusion Criteria: Adult patients with diagnosed or suspected HFpEF (defined as: patients diagnosed with non-valvular HF that are i) not diagnosed with left ventricular systolic dysfunction or have a documented ejection fraction < 50%; or ii) do have a reported 'normal' or preserved EF, documented EF > 50%, or reported diastolic dysfunction without moderate to severe systolic dysfunction) who: - Have stable Class I - III New York Heart Association (NYHA) classification for chronic heart failure - Have not been hospitalised for an exacerbation of their heart failure in the 6 weeks prior to screening - Are able to communicate in English (both verbally and in writing) Exclusion Criteria: Any patients who have: - Any severe neuro-psychological or neuro-cognitive conditions that would confound outcome assessment - NYHA Class IV classification for chronic heart failure receiving end of life care, or other life-threatening condition |
Country | Name | City | State |
---|---|---|---|
United Kingdom | Cambridge University Hospital NHS Foundation Trust | Cambridge |
Lead Sponsor | Collaborator |
---|---|
Professor Christi Deaton | Keele University, University of Manchester, University of Oxford |
United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Morbidity | Episodes of diseases | 1 year from recruitment | |
Primary | Mortality | Confirmed death during follow-up | 1 year from recruitment | |
Secondary | Kansas City Cardiomyopathy Questionnaire | Heart failure specific quality of life over time (transformed total score 0 - 100); higher scores indicate better quality of life. 5 point change considered clinically relevant. | Baseline, 6 & 12 months | |
Secondary | 6 Minute Walk Test | physical function changes over time | baseline to 6 & 12 months | |
Secondary | Montreal Cognitive Assessment (MOCA) | cognitive function over time | baseline to 6 & 12 months |
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