NCT04546763

Brief Summary

This is a multi-center, prospective, non-randomized study to evaluate the performance of the study watch PPG algorithm in detecting irregular rhythms suggestive of atrial fibrillation (AF) in subjects at risk of having an event of AF in the free living (home) environment.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
117

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Sep 2020

Shorter than P25 for all trials

Geographic Reach
1 country

5 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

September 3, 2020

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

September 4, 2020

Completed
10 days until next milestone

First Posted

Study publicly available on registry

September 14, 2020

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 14, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 14, 2021

Completed
Last Updated

October 6, 2021

Status Verified

October 1, 2021

Enrollment Period

8 months

First QC Date

September 4, 2020

Last Update Submit

October 5, 2021

Conditions

Outcome Measures

Primary Outcomes (2)

  • Accuracy of AF detection - Sensitivity

    Accuracy of AF detection based on sensitivity observed in a 14-day followup period

    14 days

  • Accuracy of AF detection - Specificity

    Accuracy of AF detection based on specificity observed in a 14-day followup period

    14 days

Secondary Outcomes (8)

  • A sensitivity analysis estimating the range of sensitivities

    14 days

  • A sensitivity analysis estimating the range of specificities

    14 days

  • Estimates of sensitivity by protocol-defined subgroups

    14 days

  • Estimates of specificity in subgroups

    14 days

  • Estimates of positive predictive value (PPV) on the AF-burden

    14 days

  • +3 more secondary outcomes

Study Arms (1)

Paroxysmal Atrial Fibrillation Patients

This will be a single arm study of patients with paroxysmal atrial fibrillation. Subjects will be wearing the Study Watch and Zio XT Patch concurrently for up to 14 days.

Device: Study WatchDevice: Zio XT

Interventions

The Study Watch is a miniaturized wearable device made with biocompatible contact materials containing various sensors capable of measuring physiological and environmental metrics.

Paroxysmal Atrial Fibrillation Patients
Zio XTDEVICE

The Zio XT Patch, the reference device, is a FDA-cleared single-patient use, continuously recording ECG monitor that can be worn up to 14 days.

Paroxysmal Atrial Fibrillation Patients

Eligibility Criteria

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

At risk of having an AF event, as determined by having a diagnosis of paroxysmal AF (PAF)

You may qualify if:

  • At least 22 years old
  • Able to read and speak English
  • Able and willing to sign written Informed Consent
  • Interest in participating in the study
  • At risk of having an AF event, as determined by having a diagnosis of paroxysmal AF (PAF) and meeting one of the following: (a) scheduled or to be scheduled to undergo AF ablation, (b) with implantable loop recorder (ILR), implantable cardioverter defibrillator (ICD), permanent pacemaker (PPM), holter monitor, or adhesive monitoring patch with documented AF burden of ≥25% in the 3 months prior to consent date, (c) CHA2DS2VASc ≥3, (d) Left atrial diameter ≥4.4 cm
  • Without significant limitation in ability to participate in the study, in the opinion of the investigator

You may not qualify if:

  • Currently in a paced rhythm
  • Currently on class Ic or class III antiarrhythmic medication that has been successful in eliminating AF (no documented AF of more than 30 seconds since the initiation of the medication)
  • Had successful AF ablation (no documented AF of more than 30 seconds post procedure)
  • Known severe allergy to nickel or metal jewelry
  • Known allergic reaction to adhesives or hydrogels or with family history of adhesive skin allergies
  • Are diagnosed with persistent AF
  • Use of implantable neuro-stimulator
  • Open injury or rash where the study device or comparator will be worn

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

San Diego Cardiac Center

San Diego, California, 92123, United States

Location

Colorado Heart and Vascular

Lakewood, Colorado, 80228, United States

Location

Ascension Providence Hospital

Southfield, Michigan, 48075, United States

Location

UPMC Pinnacle Harrisburg

Harrisburg, Pennsylvania, 17011, United States

Location

UT Southwestern Medical Center

Dallas, Texas, 75390, United States

Location

Related Publications (1)

  • Poh MZ, Battisti AJ, Cheng LF, Lin J, Patwardhan A, Venkataraman GS, Athill CA, Patel NS, Patel CP, Machado CE, Ellis JT, Crosson LA, Tamura Y, Plowman RS, Turakhia MP, Ghanbari H. Validation of a Deep Learning Algorithm for Continuous, Real-Time Detection of Atrial Fibrillation Using a Wrist-Worn Device in an Ambulatory Environment. J Am Heart Assoc. 2023 Oct 3;12(19):e030543. doi: 10.1161/JAHA.123.030543. Epub 2023 Sep 26.

MeSH Terms

Conditions

Atrial Fibrillation

Condition Hierarchy (Ancestors)

Arrhythmias, CardiacHeart DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Hamid Ghanbari

    Verily Life Sciences

    PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

First Submitted

September 4, 2020

First Posted

September 14, 2020

Study Start

September 3, 2020

Primary Completion

May 14, 2021

Study Completion

May 14, 2021

Last Updated

October 6, 2021

Record last verified: 2021-10

Locations