NCT03237858

Brief Summary

The MANAGE-HF study is a multi-center, global, prospective, open label, multi-phase trial intended to evaluate the clinical efficacy of the HeartLogic heart failure diagnostic feature.

Trial Health

90
On Track

Trial Health Score

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

Enrollment
200

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Aug 2017

Typical duration for not_applicable

Geographic Reach
3 countries

30 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

First Submitted

Initial submission to the registry

July 20, 2017

Completed
14 days until next milestone

First Posted

Study publicly available on registry

August 3, 2017

Completed
27 days until next milestone

Study Start

First participant enrolled

August 30, 2017

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 21, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 21, 2020

Completed
3.7 years until next milestone

Results Posted

Study results publicly available

March 27, 2024

Completed
Last Updated

March 27, 2024

Status Verified

November 1, 2023

Enrollment Period

2.9 years

First QC Date

July 20, 2017

Results QC Date

November 21, 2023

Last Update Submit

February 29, 2024

Conditions

Keywords

heart failurediagnosticsheart soundsCRT-DICDremote monitoring

Outcome Measures

Primary Outcomes (1)

  • Manage-HF Phase I

    Phase-I was a single arm non-randomized study used to evaluate and optimize HeartLogic clinical integration and alert management. Phase-I had no outcome measures.

    Data was collected from the time of consent until the last Phase I subject had completed their 12-month visit

Study Arms (2)

HeartLogic ON

ACTIVE COMPARATOR

ICD and CRT-D devices with HeartLogic alerts turned ON

Device: HeartLogic ON

HeartLogic OFF

PLACEBO COMPARATOR

ICD and CRT-D devices with HeartLogic alerts turned OFF

Device: HeartLogic OFF

Interventions

Remote management of patients with CRT-D or ICD devices and the HeartLogic diagnostic feature turned OFF

HeartLogic ON

Remote management of patients with CRT-D or ICD devices and the HeartLogic diagnostic feature turned ON

HeartLogic OFF

Eligibility Criteria

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

You may qualify if:

  • Subject is age 18 or above, or of legal age to give informed consent
  • Implanted with an cardiac resynchronization therapy defibrillator (CRT-D) or implantable cardioverter-defibrillator (ICD) device that has HeartLogic
  • Current symptomatic heart failure or New York Heart Association Class II or III at the time of enrollment
  • Remotely monitored by LATITUDE 5.0 (or future versions)
  • Willing and capable of participating in all study visits and complying with medication/treatment requirements associated with this clinical study at an approved clinical study center.
  • Meet at least one of the three following conditions:
  • At least one documented hospitalization with a primary diagnosis of worsening for heart failure during the 12 months prior to enrollment; or
  • Unscheduled outpatient visit with IV diuretic therapy for acute worsening of HF during 90 days prior to enrollment; or
  • N-terminal-pro brain natriuretic peptide (NT-proBNP) greater than 600 pg/mL or brain natriuretic peptide (BNP) greater than 150 pg/mL at any time during 90 days prior to enrollment

You may not qualify if:

  • The subject is unable to sign or refuses to sign the patient informed consent
  • Symptomatic heart failure at rest or New York Heart Association Class IV at the time of enrollment
  • The subject is implanted with unipolar right atrial or right ventricular leads
  • Subject has received or is scheduled to receive a heart transplant or ventricular assist device within the next 6 months
  • Subject is pregnant or planning to become pregnant during the study
  • Subject is enrolled in any other concurrent study (without prior written approval from Boston Scientific, excluding registries)
  • Glomerular filtration rate \<25 mL/min who are non-responsive to diuretic therapy or are on chronic renal dialysis
  • Regularly scheduled intravenous heart failure therapy (for example inotropes or diuretics)
  • A life expectancy of less than 12 months per clinician discretion
  • APPLICABLE TO PHASE II ONLY: Subject enrolled in Phase I of MANAGE-HF
  • APPLICABLE TO PHASE II ONLY: Subject has been managed with HeartLogic Alerts ON at anytime within the past 6 months.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (30)

Heart Center Research, LLC

Huntsville, Alabama, 35801, United States

Location

Cardiology Associates of Northeast Arkansas

Jonesboro, Arkansas, 72401, United States

Location

University of Southern California Hospital

Los Angeles, California, 90033, United States

Location

Cardiovascular Consultants

Oakland, California, 94609, United States

Location

Sharp Memorial Hospital

San Diego, California, 92123, United States

Location

University of California, San Francisco

San Francisco, California, 94143, United States

Location

University of Colorado

Aurora, Colorado, 80045, United States

Location

Emory University Hospital

Atlanta, Georgia, 30322, United States

Location

Parkview Hospital, Inc.

Fort Wayne, Indiana, 46805, United States

Location

Community Health Network

Indianapolis, Indiana, 46250, United States

Location

Advanced Cardiovascular Specialists

Shreveport, Louisiana, 71105, United States

Location

Centra Care Heart and Vascular Center

Cold Spring, Minnesota, 56320, United States

Location

United Heart and Vascular

Saint Paul, Minnesota, 55102, United States

Location

Catholic Medical Center

Manchester, New Hampshire, 03102, United States

Location

Strong Memorial Hospital of the University of Rochester

Rochester, New York, 14642, United States

Location

Montefiore Medical Center

The Bronx, New York, 10467, United States

Location

Duke University Medical Center

Durham, North Carolina, 27705, United States

Location

Rex Hospital

Raleigh, North Carolina, 27607, United States

Location

Lindner Center for Research and Education at Christ Hosp

Cincinnati, Ohio, 45219, United States

Location

Bethesda North Hospital

Cincinnati, Ohio, 45220, United States

Location

PeaceHealth Sacred Heart Medical Center

Springfield, Oregon, 97477, United States

Location

Penn State Milton S Hershey Medical Center

Hershey, Pennsylvania, 17033, United States

Location

Cardiology Consultants of Philadelphia

Yardley, Pennsylvania, 19067, United States

Location

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

Stern Cardiovascular

Germantown, Tennessee, 38138, United States

Location

Southeast Texas Clinical Research Center

Beaumont, Texas, 77702, United States

Location

Sentara Norfolk General Hospital

Norfolk, Virginia, 23507, United States

Location

L'Hôpital privé du Confluent

Nantes, 44277, France

Location

CHU Pontchaillou

Rennes, 35033, France

Location

Universitätsklinikum Würzburg AöR

Würzburg, 97080, Germany

Location

Related Publications (2)

  • Hernandez AF, Albert NM, Allen LA, Ahmed R, Averina V, Boehmer JP, Cowie MR, Chien CV, Galvao M, Klein L, Kwan B, Lam CSP, Ruble SB, Stolen CM, Stein K; MANAGE-HF Study. Multiple cArdiac seNsors for mAnaGEment of Heart Failure (MANAGE-HF) - Phase I Evaluation of the Integration and Safety of the HeartLogic Multisensor Algorithm in Patients With Heart Failure. J Card Fail. 2022 Aug;28(8):1245-1254. doi: 10.1016/j.cardfail.2022.03.349. Epub 2022 Apr 21.

  • Heggermont WA, Van Bockstal K. HeartlogicTM: ready for prime time? Expert Rev Med Devices. 2022 Feb;19(2):107-111. doi: 10.1080/17434440.2022.2038133. Epub 2022 Feb 12. No abstract available.

Related Links

MeSH Terms

Conditions

Heart Failure

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Limitations and Caveats

Patients that were included in Phase I of MANAGE-HF were required to meet inclusion and exclusion criteria. This included evidence of worsened heart failure prior to enrollment, patients with severe kidney impairment or short life expectancy were excluded. Thus, the results are limited to the population that was studied. Furthermore, the small sample size and lack of a control group severely limits the interpretation of the results.

Results Point of Contact

Title
Joe Hobbs, Clinical Trial Manager
Organization
Boston Scientific

Study Officials

  • Adrian Hernandez, MD

    Duke University

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 20, 2017

First Posted

August 3, 2017

Study Start

August 30, 2017

Primary Completion

July 21, 2020

Study Completion

July 21, 2020

Last Updated

March 27, 2024

Results First Posted

March 27, 2024

Record last verified: 2023-11

Data Sharing

IPD Sharing
Will not share

Locations