Feasibility and Efficacy Study of the CardioPulmonary Management (CPM) System in Patients With Chronic Heart Failure ( BETA )

Heart Failure Clinical Trial

Official title:

Feasibility and Efficacy Study of the CardioPulmonary Management (CPM) System in Patients With Chronic Heart Failure

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06007131
• Other study ID #: BETA-ORLANDOHEALTH
• Status: Recruiting
• Phase: N/A
• Start date: December 15, 2023
• Est. completion date: November 1, 2025

Study information

• Verified date: February 2024
• Source: Analog Device, Inc.
• Contact: Emily Wycallis
• Phone: 9784351644
• Email: emily.wycallis[@]analog.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The primary purpose for this study is to support the hypothesis (pilot data) that the use of the CPM system reduces the rate of HF related events and the related healthcare cost. The study will also measure the impact on quality of care and patient satisfaction. In order to support the primary objective, the study will compare the outcomes and costs for patients using the CPM system against those who are not. This can either be done using institutions averages, if available, or through a control group.

Description:

This study is meant primarily to determine the clinical and financial efficacy of the CPM system in reducing HF events and their associated cost. Although patients will use an investigational device as part of this pilot, the device is passive and of minimal risk to the patient. No treatment changes will be decided on the CPM data solely. All CPM data will be confirmed with a symptomology assessment and the patient's care provider will make the final determination whether a change of treatment is appropriate or not.

There will be two groups, the study cohort and the control cohort. After informed consent is obtained, the patient will be randomized. The randomization will occur in the EDC and will be 2:1.

The study group will receive all aspects of the CPM monitoring system as a supplement to their normal care routine. They will have one visit at the beginning of the study and one visit 6 months later. Patients in the study group will receive the CPM device at visit 1 and use the CPM device once a day during the monitoring period of the study (6 months) and the data will be monitored by the ADI Care Team. During this period, the research team will monitor the patient's chart, recommended once every 2 weeks, looking for CHF outcomes (i.e. medicine changes, hospitalizations, ER visits, clinic visits). After the 6-month monitoring period, visit 2 will occur. The site research team will continue to monitor the patient's chart for an additional 4 weeks after visit 2 to capture clinical outcomes. Patients using the device will also have the phone number for ADI Tech Support. Patients will be instructed to call this number if they believe their device is malfunctioning or if they have questions on how to use it. Device malfunctions that can be fixed remotely are not classified as adverse events (unless they result in harm). Device malfunctions that require subject to return for an office visit are considered adverse events.

The control group will not receive the CPM monitoring system and will not participates in the visit activities. They will sign the consent form and go through the screening process as usual. Their chart will be monitored for 7 months, recommended once every 2 weeks, to have their outcomes captured. At the beginning of the study, they will receive a phone call to confirm their medications and past medical history (as detailed in the medical history section below). They will receive a call after 6 months to terminate the study, followed by an additional one month of monitoring.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 75
• Est. completion date: November 1, 2025
• Est. primary completion date: December 1, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

Heart failure patients regardless of ejection fraction (HFpEF or HFrEF) with one or more of the following:

• NYHA Class III-IV

• NYHA Class II HF with one or more of the following:

• Chronic Kidney Disease (eGFR<60 within the past 6 months)

• HF hospitalization (defined as HF listed as the major reason for hospitalization) within 9 months prior to screening visit and NT-proBNP > 200 pg/ml for patients not in AF or > 600 pg/m for patients in AF on screening ECG

• NT-proBNP > 300 pg/ml for patients not in AF or > 900 pg/ml for patients in AF on the screening visit ECG.

• Chronic obstructive pulmonary disease (COPD)

Exclusion Criteria:

• Under 18 years of age

• Patients with severe COPD (GOLD stage III or IV)

• Limited mobility preventing application of device

• Cognitive impairments that would limit the application and proper use of the device

• Skin allergies or skin sensitivities to silicone-based adhesives

• Pregnancy

• Skin breakdown on the left chest or breast area

• Not willing to shave chest hair if needed to apply device

• Patients on chronic ionotropic therapy

• Patients with any condition that might limit the survival to less than 1 year as assessed by the investigator

• No cellular coverage (Patient's Home)

Related Conditions & MeSH terms

• Heart Failure

Intervention

Device:
• CardioPumlonary Management System
The CPM Device measures and trends a variety of physiologic parameters including thoracic impedance, respiration rate, tidal volume, ECG, heart rate, and diastolic heart sounds, all in an unobtrusive patch form factor.

Locations

Country	Name	City	State
United States	Orlando Health	Orlando	Florida

Sponsors (2)

Lead Sponsor	Collaborator
Analog Device, Inc.	Orlando Health, Inc.

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Admission Rate	Admission rate for HF and HF related events in the study group vs. the institution's averages (and/or control group)	7 months
Primary	Readmission Rate	Readmission rate for HF and HF related events in study group vs. the institution's average (and/or control group)	7 months
Primary	Healthcare utilization	Healthcare utilization for HF related events, including number of practice visits, ER visits, outpatient visits, skilled nursing facility (SNF) days and Hospital Admissions	7 months
Primary	Patient Satisfaction	patient satisfaction obtained through survey questions; ease of use, impact and satisfaction; scale of 1-7 used with 1 being negative and 7 being positive	7 months
Primary	Cost of Care	Total cost per capita for HF related care	7 months (during study) and 12 months prior to the study
Primary	Quality of Care	Impact on quality of care using Consumer Assessment of Healthcare Providers and Systems survey	6 months
Secondary	Usability	Usability data obtained through questionnaires given to the healthcare providers assessing the usability of the CPM system	6 months