NCT04176926

Brief Summary

The goal of this study is to validate the Fitbit ECG software algorithm's ability to detect atrial fibrillation using data derived from a Fitbit wrist-worn consumer device that features a single lead ECG. The performance of the software application will be measured against centralized Core Lab physician-adjudicated 12-lead ECG tracings from FDA cleared ECG monitors as reference standards. The Fitbit software is intended as a pre-screening technology. It should identify candidates who may benefit from further evaluation. The software is not intended to be a diagnostic system.

Trial Health

90
On Track

Trial Health Score

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

Enrollment
472

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Oct 2019

Shorter than P25 for all trials

Geographic Reach
2 countries

10 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

October 29, 2019

Completed
23 days until next milestone

First Submitted

Initial submission to the registry

November 21, 2019

Completed
4 days until next milestone

First Posted

Study publicly available on registry

November 25, 2019

Completed
25 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 20, 2019

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 2, 2020

Completed
Last Updated

April 9, 2020

Status Verified

April 1, 2020

Enrollment Period

2 months

First QC Date

November 21, 2019

Last Update Submit

April 7, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Evaluate the software algorithm's ability to classify a heart rhythm as sinus rhythm or atrial fibrillation from a waveform equivalent to a Lead I ECG.

    Sensitivity and specificity of the software algorithm in classifying sinus rhythm and atrial fibrillation from the equivalent of a Lead I ECG waveform, compared with physician's interpretation of a standard 12-lead ECG. Performance goals are 90% (sensitivity) and 92% (specificity)

    Through study completion, an average of 4 months

Secondary Outcomes (1)

  • Confirm the software's ability to produce a waveform clinically equivalent to a Lead I ECG from a clinical reference device (12-lead ECG).

    Through study completion, an average of 4 months

Study Arms (2)

Group 1: SR

Group 1: Subjects in the sinus rhythm (SR) cohort should not have any history of atrial fibrillation and should not be in atrial fibrillation or other atrial arrhythmia at the time of enrollment based on the screening ECG.

Diagnostic Test: Electrocardiogram

Group 2: AF

Group 2: Subjects in the atrial fibrillation (AF) cohort must have a known history of AF and must be in AF at the time of enrollment based on the screening ECG.

Diagnostic Test: Electrocardiogram

Interventions

ElectrocardiogramDIAGNOSTIC_TEST

Diagnostic Test: Simultaneous assessment of heart rhythm by 12-lead ECG and wearable device characterization of heart rhythm.

Group 1: SRGroup 2: AF

Eligibility Criteria

Age22 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Subjects will be recruited at the individual clinical sites. Subjects may be recruited during routine clinic visits or may be asked to come in specifically for this study.

You may qualify if:

  • Women and men 22 years of age or older
  • Capable of giving informed consent
  • Sufficient manual dexterity to capture an ECG from the Fitbit wrist-worn device.
  • Subjects in the atrial fibrillation (AF) cohort must have a known history of AF and must be in -AF at the time of enrollment based on the screening ECG

You may not qualify if:

  • Anti-arrhythmic (rhythm control) medication use (such as amiodarone or flecainide)
  • Cardiac pacemaker or implantable cardioverter-defibrillator
  • History of a life-threatening rhythm such as ventricular tachycardia or ventricular fibrillation
  • Subjects in the sinus rhythm (SR) cohort should not have any history of atrial fibrillation and should not be in atrial fibrillation or other atrial arrhythmia at the time of enrollment based on the screening ECG

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (10)

MedStar Washington Hospital Center

Washington D.C., District of Columbia, 20010, United States

Location

Bioclinica Research Orlando

Orlando, Florida, 32806, United States

Location

Bioclinica Research The Villages

The Villages, Florida, 32162, United States

Location

PMG Research of Dupage

Winfield, Illinois, 60190, United States

Location

PMG Research of McFarland

Ames, Iowa, 50010, United States

Location

PMG Research of Rocky Mount

Rocky Mount, North Carolina, 27804, United States

Location

PMG Research of Piedmont Healthcare

Statesville, North Carolina, 28625, United States

Location

PMG Research of Wilmington

Wilmington, North Carolina, 28401, United States

Location

PMG Research of Charleston

Mt. Pleasant, South Carolina, 29407, United States

Location

Onassis Cardiac Surgery Center

Kallithea, Greece

Location

MeSH Terms

Conditions

Atrial Fibrillation

Interventions

Electrocardiography

Condition Hierarchy (Ancestors)

Arrhythmias, CardiacHeart DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Heart Function TestsDiagnostic Techniques, CardiovascularDiagnostic Techniques and ProceduresDiagnosisElectrodiagnosis

Study Officials

  • Venkatesh Raman, MD

    Medstar Health Research Institute

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 21, 2019

First Posted

November 25, 2019

Study Start

October 29, 2019

Primary Completion

December 20, 2019

Study Completion

March 2, 2020

Last Updated

April 9, 2020

Record last verified: 2020-04

Data Sharing

IPD Sharing
Will not share

Locations