NCT04591964

Brief Summary

CHF is a most wild-spread and prognostically poor outcome most of cardiovascular and other disease. Despite of significant progress in treatment of CHF for the last years, death from this pathology stayed very high, reaching 60% for men, 45% for women during the 5 years after establishing diagnosis. The purpose of treatment is creating "seamless" system of care the whole continuum stretch CHF, in this connection, the particular relevance take in creating of new way and strategy with IT-technology mHealth. On the whole, mHealth application potentially suggest economic efficiency solution with continuous access for symptoms monitoring, stimulation of patients to self-servicing, self-controlling and achieving better results compare with optimal medical therapy. So, remote monitoring of patients on the base of mobile application must improve clinical and economic efficiency of medical care received. In trial will be studied efficiency of using mobile application for remote monitoring of patients with ischemic etiology HF, also quality of life, commitment to therapy and prognosis (frequency of cardiovascular poor outcomes). Clinical indicators and tests (Quality of Life Minnesota Living with Heart Failure Questionnaire, Hospital Anxiety and Depression Scale, 6-minute walking test) will be evaluated in the beginning of the trial and repeatly after 1 year. Trial financed by Kyrgyz Republic Ministry of Education and Science.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
300

participants targeted

Target at P75+ for early_phase_1

Timeline
Completed

Started Jan 2021

Typical duration for early_phase_1

Geographic Reach
1 country

1 active site

Status
unknown

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

September 24, 2020

Completed
25 days until next milestone

First Posted

Study publicly available on registry

October 19, 2020

Completed
2 months until next milestone

Study Start

First participant enrolled

January 1, 2021

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2022

Completed
1.6 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2023

Completed
Last Updated

April 13, 2022

Status Verified

April 1, 2022

Enrollment Period

1.4 years

First QC Date

September 24, 2020

Last Update Submit

April 5, 2022

Conditions

Keywords

Chronic heart failuretelemedicinemobile healthmobile applicationremote monitoring

Outcome Measures

Primary Outcomes (2)

  • All-cause death

    fixation of reaching the primary endpoint All-cause death

    12 month

  • Recurrent hospitalizations due to chronic heart failure decompensation and/or non-fatal acute coronary syndrome.

    fixation of reaching the primary endpoint recurrent hospitalizations due to chronic heart failure decompensation and/or non-fatal acute coronary syndrome.

    12 month

Secondary Outcomes (3)

  • Quality of Life assesed Minnesota LIVING WITH HEART FAILURE Questionnaire (MLHFQ)

    12 month

  • 6-minute walking test results

    12 month

  • Nt-proBNP levels

    12 month

Other Outcomes (1)

  • Сommitment

    12 month

Study Arms (2)

baseline

ACTIVE COMPARATOR

standard medical therapy + using of mobile application + improving therapy

Combination Product: mobile application "M-Cardio" based on android

Control

NO INTERVENTION

standard medical therapy

Interventions

Mobile apllication "M-Cardio" (android) for remote monitoring of patients with CHF developed on algorithms of clinical indicators, that's give us to evaluate current condition of patient, depends from quantity points of abnormals higher or lower threshold values, with automatically notification for doctor and patient for timely medical service.

baseline

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Aged 18 years or over (not older 70 y.o)
  • Participant willing and able to give informed consent
  • Documented Coronary artery disease (CAD): either angio-graphically documented CAD or a previous history of myocardial infarction/angina.
  • Verified heart failure functional class III (Nt-proBNP levels, 6-min walking test).
  • Receiving basic therapy for CAD and chronic heart failure (CHF).
  • Able (in the investigators opinion) and willing to comply with all study requirements.

You may not qualify if:

  • Cognitive impairments.
  • Unstable course of CAD.
  • Acute heart failure or CHF decompensation.
  • Malignancy (receiving active treatment) or other life threatening disease.
  • Renal dysfunction (stage 3B or worse).
  • Thyroid dysfunction.
  • Pregnancy/lactating females.
  • Any other reason considered inappropriate by a study physician.
  • Participants who have participated in any other clinical trial within the previous 30 days

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

National Centre of Cardiology and Internal Medicine named after academician M.Mirrakhimov

Bishkek, 720001, Kyrgyzstan

RECRUITING

Study Officials

  • Aigul Noruzbaeva, professor

    Head of CHF department

    STUDY DIRECTOR

Central Study Contacts

Akmaral Rustambekova, researcher

CONTACT

Altynai Moldobaeva, researcher

CONTACT

Study Design

Study Type
interventional
Phase
early phase 1
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: Interventional, prospective, open-labled, comparative, randomized clinical trial. Baseline group: standard medical treatment + using of mobile application for remote monitoring, base of self-controlling, 12 month. Control group: standard medical treatment + base of self-controlling.
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Researcher in department of Chronic Heart Failure

Study Record Dates

First Submitted

September 24, 2020

First Posted

October 19, 2020

Study Start

January 1, 2021

Primary Completion

June 1, 2022

Study Completion

December 31, 2023

Last Updated

April 13, 2022

Record last verified: 2022-04

Data Sharing

IPD Sharing
Will not share

Locations