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This study aims to evaluate the utility of a wearable heart monitoring patch that can be worn on the body to collect various measurements related to heart failure and develop a concept to potentially be used as a new measurement. It is crucial to test out new ways that make it easier to do research for new drugs and increase our chances of knowing how well they will work early on in the development process. Results from this study will be useful in planning future development programs for drugs aimed at treating patients with heart disease.
This study will be conducted in three hospitals, it is non-randomised (not chosen by chance), exploratory, study in the United Kingdom. It aims to involve up to 80 men and women recently admitted due to sudden, severe heart failure symptoms. Participants will be part of the study for about two months, with one hospital visit after discharge, as commonly done in heart failure centres.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ECG Patch | Device | Wearable ECG Patch designed to record and transmit physiological parameters to a mobile device or a data cloud. The device stores data locally in a memory cache designed for >96 hours of continuous data. It continuously records a one-lead ECG and has a three-axis accelerometer. On-board algorithms use those data to compute heart rate, heart rate variability, RR-interval, respiratory rate, and an activity level indicator. The company also provides optional arrhythmia detection and reporting services, the results of which may be delivered to healthcare professionals. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in patch-measured variables between baseline and follow-up at 6-8 weeks (multiple variables) using the ECG patch. | 6-8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Data completeness overall and per ECG patch variable, participant adherence, signal to noise ratio, day versus night assessment of quality using the ECG patch. | 6-8 weeks | |
| Correlation between a change in ECG patch variables (multiple) and change in KCCQ at 6-8 weeks after discharge from hospital following admission for ADHF. |
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Inclusion Criteria:
Exclusion Criteria:
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Potential study participants will be identified through review of hospital inpatient lists, conversations with healthcare providers and review of medical notes. Participants who meet the study eligibility criteria will be approached whilst still in the hospital but due to be discharged by the research team who will enquire whether they are interested in participating in the study.
Up to 80 male and female participants over 18 years old will be enrolled in the study.
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| Name | Affiliation | Role |
|---|---|---|
| Prof Iain Squire, BSc MBChB MD | Glenfield Hospital, University Hospitals of Leicester NHS Trust | Principal Investigator |
| Dr Owais Dar, MD PhD | Royal Brompton & Harefield Hospitals,Guy's and St Thomas' Foundation Trust | Principal Investigator |
| Dr Joseph Cheriyan, MD PhD | Cambridge University Hospitals NHS Foundation Trust | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Cambridge | CB2 0QQ | United Kingdom | |||
| Research Site |
Qualified researchers can request access to anonymized individual participant-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All requests will be evaluated as per the AZ disclosure commitment:
https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
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AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please refer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool. Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
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| ID | Term |
|---|---|
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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Blood samples will be collected and analysed for standard clinical chemistry and haematology, NT-proBNP sample, high sensitivity Troponin sample.
Urine will also be collected for uACR-urine albumin-creatinine ratio and urine sodium.
Blood samples for biomarker research such as O-Link and Proteomics will also be collected. The analysis is not limited to these methods and can encompass other relevant approaches.
DNA/RNA analysis will not be performed in this study.
| 6-8 weeks |
| Correlation between clinical parameters e.g. NT-pro BNP, KCCQ, BP, HR and the patch variables using data from Visit 1 (multiple comparisons). | 6-8 weeks |
| Correlation between change in NT-proBNP, BP, HR, body weight, peripheral oedema extent, NYHA class etc. and change in the patch variables (multiple comparisons). | 6-8 weeks |
| Correlation between change in one minute sit to stand test, frailty score, hand grip test and the change in patch variables (multiple comparisons). | 6-8 weeks |
| Harefield |
| UB9 6JH |
| United Kingdom |
| Research Site | Leicester | LE3 9PQ | United Kingdom |