NCT00376116

Brief Summary

In spite of success in the management of heart failure, repetitive rehospitalisation and high mortality rate remain a serious problem. Recent studies, especially the COMPANION trial, have demonstrated that cardiac resynchronisation therapy (CRT) reduces mortality and rehospitalisation in heart failure patients. There is also evidence that telemonitoring of heart failure patients potentially reduces both mortality and morbidity. Recently, a Home Monitoring (HM) function has been integrated into BIOTRONIK CRT-defibrillators and CRT-pacemakers with a view of harnessing the powerful combination of CRT with close remote monitoring of heart failure patients. It is possible now to transmit predefined parameters on a daily basis from the implanted devices to a web-based platform accessible by patients' physicians. Our study evaluates clinical usefulness of Biotronik HM function in CRT-defibrillators and CRT-pacemakers.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
513

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Mar 2005

Typical duration for all trials

Geographic Reach
10 countries

82 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2005

Completed
1.5 years until next milestone

First Submitted

Initial submission to the registry

September 13, 2006

Completed
1 day until next milestone

First Posted

Study publicly available on registry

September 14, 2006

Completed
2.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2008

Completed
Last Updated

November 17, 2008

Status Verified

November 1, 2008

First QC Date

September 13, 2006

Last Update Submit

November 14, 2008

Conditions

Keywords

Implantable cardioverter-defibrillatorPacemakerCardiac resynchronisation therapyHeart failurePredictorMortalityRehospitalizationTelemedicineHome Monitoring

Outcome Measures

Primary Outcomes (2)

  • Sensitivity and specificity of (single or combined) HFM-parameters (onset of arrhythmias, duration of physical activity, mean heart rate at rest and over 24h, %CRT, lead impedance)

  • Predictive power of HFM-parameters regarding cardiovascular-based death or rehospitalisation (overnight stay)

Secondary Outcomes (5)

  • Effectiveness of HM (within sub-study)

  • Correlation of HM-values with the clinical status

  • Evaluation of the predictive power of HM parameters not implemented in the HFM and of parameters not transmitted by HM (diagnostic memory of device)

  • Sensitivity of HM-parameter regarding change of drug therapy

  • Incidence and reasons for HM-based interventions

Interventions

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Written patient informed consent
  • Indication for CRT (biventricular or bifocal)
  • Sufficient GSM-network coverage in the patient's area
  • Stable residence during follow-up (anticipated)
  • at least 1 documented hospitalisation due to heart failure within 12 months before enrolment

You may not qualify if:

  • Permanent atrial fibrillation
  • Myocardial infarction or instable Angina Pectoris within the last 3 months
  • Planned cardiac interventions within the next 3 months (e.g. PTCA, CABG, HTX)
  • Acute myocarditis
  • Life expectancy under 6 months
  • Pregnant or breast-feeding woman
  • Participation in another clinical study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (82)

LKH-Universitätsklinikum Graz

Graz, 8036, Austria

Location

Medizinische Universität Wien

Vienna, 1080, Austria

Location

Fakultni nemocnice u Svety Anny

Brno, 65691, Czechia

Location

IKEM

Prague, 14021, Czechia

Location

Petr Neuzil M.D., Ph.D.

Prague, 155 00, Czechia

Location

Centre Hospitalier Universitaire d'Angers

Angers, 49000, France

Location

Hôpital Cardiologique du Haut Lévêque

Bordeaux, 33604, France

Location

CHU de Lyon - Hôpital Louis Pradel

Lyon, 69394, France

Location

Groupe Hospitalier de la Timone

Marseille, 13385, France

Location

CHRU Hôpital de Villeneuve, Cardiologie A

Montpellier, 34295, France

Location

CHRU Hôpital de Villeneuve, Cardiologie B

Montpellier, 34295, France

Location

Centre Hospitalier

Pau, 64046, France

Location

Hôpital haut Lévêque

Pessac, 33600, France

Location

CHU des Rennes

Rennes, 35033, France

Location

Universitätsklinik der RWTH Aachen

Aachen, 52074, Germany

Location

Helios Klinikum Aue GmbH

Aue, 08280, Germany

Location

Zentralklinik Bad Berka GmbH

Bad Berka, 99437, Germany

Location

Krankenhaus Bassum

Bassum, 27211, Germany

Location

Evangelisches Krankenhaus

Bergisch Gladbach, 51465, Germany

Location

Gemeinschaftpraxis für Kardiologie und Angiologie

Bergisch Gladbach, 51465, Germany

Location

Universitätsklinikum Charité

Berlin, 10117, Germany

Location

Ambulantes Herzzentrum

Berlin, 12623, Germany

Location

Franz-Volhard-Klinik

Berlin, 13125, Germany

Location

Campus Virchow Klinikum, Charité

Berlin, 13355, Germany

Location

Vivantes Netzwerk für Gesundheit GmbH

Berlin, 13437, Germany

Location

Städtische Kliniken Bielefeld gGmbH

Bielefeld, 33604, Germany

Location

Berufsgenossenschaftliche Kliniken Bergmannsheil

Bochum, 44789, Germany

Location

Praxisgemeinschaft

Braunschweig, 38100, Germany

Location

Städtisches Klinikum Braunschweig gGmbH

Braunschweig, 38118, Germany

Location

Zentralkrankenhaus Links der Weser

Bremen, 28277, Germany

Location

Kardiologische Gemeinschaftspraxis

Chemnitz, 09113, Germany

Location

Klinikum Coburg

Coburg, 96450, Germany

Location

Herzzentrum Coswig

Coswig, 06869, Germany

Location

Carl-Thiem-Klinikum

Cottbus, 03048, Germany

Location

Cardiac Research GmbH

Dortmund, 44225, Germany

Location

Städtisches Klinikum Dresden-Friedrichstadt

Dresden, 01067, Germany

Location

Praxiszentrum Herzkreislauf

Dresden, 01219, Germany

Location

Evangelisches Krankenhaus

Düsseldorf, 40217, Germany

Location

Helios Klinikum Erfurt

Erfurt, 99089, Germany

Location

Universitätsklinikum Essen

Essen, 45122, Germany

Location

Elisabeth Krankenhaus Essen

Essen, 45138, Germany

Location

Klinikum Frankfurt/Oder GmbH

Frankfurt (Oder), 15236, Germany

Location

Ernst-Moritz-Arndt Universität Greifswald

Greifswald, 17489, Germany

Location

Allgemeines Krankenhaus Altona

Hamburg, 22763, Germany

Location

Kardiologische Gemeinschaftspraxis

Hanover, 30159, Germany

Location

Universitätsklinikum Heidelberg

Heidelberg, 69120, Germany

Location

Praxis Dr. med. Natour

Heidelberg, 69520, Germany

Location

Medizinische Universitätsklinik Homburg/Saar

Homburg/Saar, 66424, Germany

Location

Klinikum Hoyerswerda

Hoyerswerda, 02977, Germany

Location

Gemeinschaftspraxis Dr. Kroll/Dr. Rebeski

Kiel, 24116, Germany

Location

Herzzentrum Konstanz GmbH

Konstanz, 78464, Germany

Location

PD Dr. Christoph Karle

Künzelsau, 74653, Germany

Location

Städtisches Klinikum St. Georg

Leipzig, 04129, Germany

Location

Herzzentrum Leipzig GmbH

Leipzig, 04289, Germany

Location

Märkische Kliniken GmbH

Lüdenscheid, 58515, Germany

Location

Klinikum Johannes-Gutenberg-Universität

Mainz, 55131, Germany

Location

Praxis Dr. Patrizia Kindler

Meiningen, 98617, Germany

Location

Kliniken Maria Hilf GmbH

Mönchengladbach, 41063, Germany

Location

Stiftsklinik Augustinum

München, 81375, Germany

Location

Ruppiner Klinikum GmbH

Neuruppin, 16816, Germany

Location

Klinikum Pirna GmbH

Pirna, 01796, Germany

Location

St. Adolf-Stift

Reinbek, 21465, Germany

Location

St. Elisabeth Klinik

Saarlouis, 66740, Germany

Location

Kardiologische Gemeinschaftspraxis Dr. Hoh u. Dr. Tamm

Wittenberg/Lutherstadt, 06886, Germany

Location

Universitätsklinikum Würzburg

Würzburg, 97080, Germany

Location

Haemek Medical Center

Afula, 18101, Israel

Location

Barzilai Medical Center, ICCU

Ashkelon, 78306, Israel

Location

Ben Gurion University

Beersheba, 84170, Israel

Location

Hadasit Medical Research Services & Development Ltd.

Jerusalem, 12000, Israel

Location

Rabin Medical Center

Petah Tikva, 49100, Israel

Location

Azienda Ospedaliera "Santi Antonio e Biagio e Cesare Arrigo

Allessandria, 15100, Italy

Location

P. Stradina Clinical University Hospital

Riga, 1002, Latvia

Location

VU Amsterdam

Amsterdam, 1081 HV, Netherlands

Location

Erasmus Medical Center

Rotterdam, 3015, Netherlands

Location

Zaandam Medisch Centrum

Zaandam, 1500 EE, Netherlands

Location

Hospital Nra. Sra. de Sonsoles

Ávila, 5071, Spain

Location

Selly Oak Hospital

Birmingham, B29 6JD, United Kingdom

Location

St. Peter's Hospital / St. George's

Chertsey, KT 16 OQA, United Kingdom

Location

Russels Hall Hospital

Dudley, DY1 2HQ, United Kingdom

Location

University of Hull

Hull, HU16 5JQ, United Kingdom

Location

Good Hope

Sutton Coldfield, B75 7RR, United Kingdom

Location

Swansea NHS Trust

Swansea, SA6 6NL, United Kingdom

Location

Related Publications (2)

  • Ellery S, Pakrashi T, Paul V, Sack S. Predicting mortality and rehospitalization in heart failure patients with home monitoring--the Home CARE pilot study. Clin Res Cardiol. 2006;95 Suppl 3:III29-35. doi: 10.1007/s00392-006-1306-6.

    PMID: 16598601BACKGROUND
  • Sack S, Wende CM, Nagele H, Katz A, Bauer WR, Barr CS, Malinowski K, Schwacke H, Leyva F, Proff J, Berdyshev S, Paul V. Potential value of automated daily screening of cardiac resynchronization therapy defibrillator diagnostics for prediction of major cardiovascular events: results from Home-CARE (Home Monitoring in Cardiac Resynchronization Therapy) study. Eur J Heart Fail. 2011 Sep;13(9):1019-27. doi: 10.1093/eurjhf/hfr089.

MeSH Terms

Conditions

Heart Failure

Interventions

Cardiac Resynchronization TherapyDefibrillators, Implantable

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

Cardiac Pacing, ArtificialElectric Stimulation TherapyTherapeuticsDefibrillatorsElectrodesElectrical Equipment and SuppliesEquipment and SuppliesElectrodes, ImplantedProstheses and Implants

Study Officials

  • Stefan Sack, Associate Prof. Dr.

    Division of Cardiology, University of Essen, Germany

    PRINCIPAL INVESTIGATOR
  • Vincent Paul, MD

    Cardiology Department, St. Peter's Hospital, Chertsey Surrey, United Kingdom

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY

Study Record Dates

First Submitted

September 13, 2006

First Posted

September 14, 2006

Study Start

March 1, 2005

Study Completion

November 1, 2008

Last Updated

November 17, 2008

Record last verified: 2008-11

Locations