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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05176899
Other study ID # 2021.12
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date March 11, 2022
Est. completion date November 2023

Study information

Verified date June 2023
Source Eko Devices, Inc.
Contact Cody Hitchcock, MSc
Phone 1-844-356-3384
Email cody.hitchcock@ekohealth.com
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The purpose of this research is to evaluate the impact of Eko AI plus EMAS (Eko Murmur Analysis Software) on a clinician's referral decision in a real-world primary care setting. There is an additional objective of understanding patient outcomes when patients are referred for cardiology follow-up and/or echocardiogram.


Description:

Eko has developed a platform to aid in screening for cardiac conditions using a digital stethoscope and machine-learning algorithms to detect the presence or absence of heart conditions such as heart murmurs and atrial fibrillation. In June 2022, the US Food and Drug Administration (FDA) granted Eko a 510(k) clearance for the marketing of "Eko Murmur Analysis Software" (EMAS), a set of machine learning algorithms that are able to screen signal quality and identify fundamental heart sounds, distinguish structural murmurs from absent or innocent murmurs, and provide a structural murmur's timing in the cardiac cycle. This study sets out to evaluate the impact of EMAS on a clinician's referral decision in a real-world primary care setting, with the additional objective of understanding patient outcomes when patients are referred for cardiology follow-up and/or echocardiogram. Providers will receive access to the EMAS screening tool, called the SENSORA™ Disease Detection Platform, which features the FDA cleared 3M™ Littmann® CORE stethoscope paired with the FDA cleared SENSORA™ enterprise application and EMAS AI running on an iPad, which is mounted on a Tryten stand. SENSORA™ will be used by medical assistants or equivalent as part of the initial patient intake process (e.g., during vitals acquisition). EMAS influence on individual providers will be assessed by reviewing each provider's number of referrals to cardiology and number of echocardiogram orders for the 6 months preceding study start. These values will be compared to cardiac referral and order rates at the end of the study. Patient outcomes data (e.g., cardiology appointment notes, echocardiogram findings, follow up visits scheduled) will be pulled 6 months after the patient is seen by their primary care provider. Secondary objectives include the continued assessment of algorithm performance on a point-of-care population.


Recruitment information / eligibility

Status Recruiting
Enrollment 1200
Est. completion date November 2023
Est. primary completion date November 2023
Accepts healthy volunteers No
Gender All
Age group 50 Years and older
Eligibility Inclusion Criteria: - Patient verbally consents to participation - Patient is willing to have heart sounds recorded with an electronic stethoscope - Patient is age 50 years or older Exclusion Criteria: - Patient is unwilling or unable to give verbal informed consent - Patients experiencing a known or suspected acute cardiac event - Patient is under the age of 50 years old

Study Design


Related Conditions & MeSH terms


Intervention

Device:
Use of Eko CORE electronic stethoscope
Recording of heart sounds using electronic stethoscope

Locations

Country Name City State
United States MedStar Washington Hospital Center Washington District of Columbia

Sponsors (1)

Lead Sponsor Collaborator
Eko Devices, Inc.

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Impact of EMAS on echocardiogram order rates Echocardiogram order rates before and after SENSORA implementation, for individual providers and aggregated for the site as a whole 01/17/2022 - 11/30/2023
Primary Impact of EMAS on cardiologist consult order rates Cardiology consultation referral rates before and after SENSORA implementation, for individual providers and aggregated for the site as a whole 01/17/2022 - 11/30/2023
Primary Impact of EMAS on provider decision-making Impact of EMAS on provider decision to refer to echocardiogram, cardiologist, or other workup related to cardiac murmur. Measured via a survey administered to each provider after each patient is screened, which asks if SENSORA AI influenced their decision to refer or not to refer. Measured for individual providers and aggregated for the site as a whole. 01/17/2022 - 11/30/2023
Secondary Impact of EMAS on patient outcomes VHD discovery rates before and after SENSORA platform implementation, for individual providers and aggregated for the site as a whole 01/17/2022 - 11/30/2023
Secondary Sensitivity and specificity EMAS' accuracy (sensitivity and specificity) in detecting structural murmur, compared to an annotator panel 01/17/2022 - 11/30/2023
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