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The sponsor terminated the study following an internal review of program priorities.
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This study evaluates whether healthcare providers without specialized ultrasound training can use UltraSight's machine learning based Guidance Software to perform limited transthoracic echocardiography in patients with hypertrophic obstructive cardiomyopathy (HOCM), who are receiving or eligible for mavacamten (Camzyosâ„¢). Participants will undergo two heart scans on the same day, one by a non-sonographer using the software and one by a trained sonographer. The study aims to determine if the software-guided images are comparable in quality, with the goal of expanding access to heart monitoring for HCM patients.
This study is evaluating whether healthcare providers without specialized ultrasound training can use UltraSight's Guidance Software to perform heart ultrasound exams (limited transthoracic echocardiography) in patients with hypertrophic obstructive cardiomyopathy (HOCM) who are receiving or eligible for treatment with Camzyosâ„¢ (mavacamten). The study aims to determine if the software-guided images are comparable to those taken by the sonographers, in quality. Participants will receive two echocardiography scans on the same day (one by a non-sonographer using UltraSight's Guidance Software and one by a sonographer), and the image quality will be reviewed by expert cardiologists. The study aims to increase patients' access to cardiac monitoring, especially for this patient population, by enabling more healthcare professionals to perform these echocardiography exams safely and effectively.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hypertrophic obstructive cardiomyopathy (HOCM) Patients Undergoing two Echo Exams | Hypertrophic obstructive cardiomyopathy (HOCM) patients who are eligible for or currently receiving Camzyosâ„¢ (mavacamten) will undergo two limited transthoracic echocardiography (LTTE) exams on the same day: one performed by a trained sonographer, and the other by a non-sonographer healthcare provider using the UltraSight Guidance Software. The study will compare the image quality and diagnostic agreement between the two sets of scans to evaluate the software's ability to support non-experts in performing cardiac ultrasound. |
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| Measure | Description | Time Frame |
|---|---|---|
| Agreement in Left Ventricular Ejection Fraction (LVEF) | To demonstrate agreement in echocardiography data between limited transthoracic echocardiography (LTTE) exams performed by non-sonographer healthcare professionals (HCPs) using the UltraSight Software and exams performed by trained sonographers. LVEF will be assessed using Simpson's Method and categorized into predefined groups. The expert cardiologists evaluating the LVEF will be blinded to the exam performer's identity. | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| Agreement in Quality level of Specific Echocardiographic Views Between Non-Sonographer HCPs and Sonographers, using ACEP echocardiography images' quality scale | To demonstrate agreement in the quality of specific echocardiographic views obtained by non-sonographer healthcare professionals (HCPs) using the UltraSight Software compared to those obtained by trained sonographers. Quality will be assessed by blinded expert cardiologists using the 5-point American College of Emergency Physicians [ACEP] scale), for each of the following views: Parasternal Long-Axis (PLAX), Apical 2-Chamber (Apical 2C), Apical 3-Chamber (Apical 3C), Apical 4-Chamber (Apical 4C), Apical 5-Chamber (Apical 5C). |
| Measure | Description | Time Frame |
|---|---|---|
| Agreement in Left Ventricular Outflow Tract (LVOT) Gradient Categories Between Non-Sonographer HCPs and Sonographers | To assess agreement in the classification of LVOT gradient (in mmHg) during rest and Valsalva maneuver between exams performed by non-sonographer healthcare professionals using the UltraSight Software. | 1 day |
Inclusion Criteria:
Exclusion Criteria:
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Hypertrophic obstructive cardiomyopathy (HOCM) patients eligible for mavacamten (Camzyosâ„¢) treatment
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| Name | Affiliation | Role |
|---|---|---|
| Milind Desai, MD. | Cleveland Clinic, Cardiovascular Medicine Department | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cleveland Clinic, Cardiovascular Medicine Department | Cleveland | Ohio | 44195 | United States |
The decision to share individual participant data (IPD) has not yet been finalized. While the study data will be de-identified, additional considerations such as the proprietary nature of the investigational device, regulatory strategy, and potential for future publications or secondary analyses are still being evaluated. IPD sharing may be considered after study completion and internal review.
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| 1 day |
| Number of participants with adverse events (AEs) as assessed by CTCAE v4.0 | The number of AEs, SAEs, and device related AEs will be captured as well as the number of subjects who discontinue due to an AE. | 1 day |
| ID | Term |
|---|---|
| D002312 | Cardiomyopathy, Hypertrophic |
| ID | Term |
|---|---|
| D009202 | Cardiomyopathies |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D001020 | Aortic Stenosis, Subvalvular |
| D001024 | Aortic Valve Stenosis |
| D000082862 | Aortic Valve Disease |
| D006349 | Heart Valve Diseases |
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