NCT07103057

Brief Summary

To describe the clinical, economic, and population characteristics of newly diagnosed, previously diagnosed, and suspected patients evaluated by Viz HCM. HCM is underdiagnosed in the community and AI algorithms have been developed as screening tools. However, it is not well understood how to best integrate AI screening tools and their potential impact.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
500

participants targeted

Target at P75+ for all trials

Timeline
31mo left

Started Jun 2025

Typical duration for all trials

Geographic Reach
1 country

3 active sites

Status
recruiting

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 Progress26%
Jun 2025Dec 2028

First Submitted

Initial submission to the registry

May 13, 2025

Completed
1 month until next milestone

Study Start

First participant enrolled

June 13, 2025

Completed
2 months until next milestone

First Posted

Study publicly available on registry

August 5, 2025

Completed
3.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2028

Last Updated

August 17, 2025

Status Verified

August 1, 2025

Enrollment Period

3.5 years

First QC Date

May 13, 2025

Last Update Submit

August 12, 2025

Conditions

Keywords

Artificial IntelligenceHCM

Outcome Measures

Primary Outcomes (10)

  • Clinical characteristics of Viz HCM AI screening on HCM diagnosis

    To describe the clinical characteristics of patients who were alerted for suspected HCM by an AI-based ECG tool and newly diagnosed, previously diagnosed, or suspected for HCM.

    Up to 3 years

  • Clinical characteristics of Viz HCM AI screening on medical workup.

    To describe the clinical characteristics of medical workup for patients who were alerted for suspected HCM by an AI-based ECG tool and newly diagnosed, previously diagnosed, or suspected for HCM.

    Up to 3 years

  • Clinical characteristics of Viz HCM AI screening on treatment plans.

    To describe the clinical characteristics of treatment plans for patients who were alerted for suspected HCM by an AI-based ECG tool and newly diagnosed, previously diagnosed, or suspected for HCM.

    Up to 3 years

  • Clinical characteristics of Viz HCM AI screening on closed care pathways

    To describe the clinical characteristics of closed care pathways (patients diagnosed who receive treatment) for patients who were alerted for suspected HCM by an AI-based ECG tool and newly diagnosed, previously diagnosed, or suspected for HCM.

    Up to 3 years

  • Population evaluation for access to care by socioeconomic status at the time of diagnosis.

    To describe HCM access to care by socioeconomic status at the time of diagnosis.

    Up to 3 years

  • Population evaluation for access to care by clinical stage of HCM at time of diagnosis.

    Population evaluation for access to care by clinical stage of HCM at time of diagnosis.

    Up to 3 years

  • Healthcare utilization and health economic outcomes- medical clinic visits

    To describe healthcare utilization and economic outcomes as captured by medical clinic visits, associated testing (e.g., echocardiogram, cardiac MRI, laboratory and genetic screening), hospitalization, and ICD placement for primary and secondary prevention for sudden cardiac death.

    Up to 3 years

  • Health economics outcome as captured by associated testing modalities

    To describe healthcare utilization and economic outcomes as captured by associated testing

    Up to 3 years

  • Health economics outcome as captured by hospitalization data

    To describe healthcare utilization and economic outcomes as captured by hospitalization data

    Up to 3 years

  • Health economics outcome as captured by ICD placement data

    To describe healthcare utilization and economic outcomes as captured by ICD placement for primary and secondary prevention for sudden cardiac death.

    Up to 3 years

Secondary Outcomes (3)

  • Implementation science - percentage of alerts viewed

    Up to 2 years

  • Implementation science - number of active users over time

    Up to 2 years

  • Implementation science - reasons for user-indicated actions, where documented

    Up to 2 years

Study Arms (5)

Cohort 1- Newly Diagnosed Patients

This cohort will consist of individuals who are newly diagnosed with HCM after the site began using Viz HCM. These patients will serve as a key population to assess the AI tool's impact on diagnoses, timeliness, and subsequent initiation of treatment. Data collected will include pre-diagnostic clinical indicators, diagnostic pathways, and treatment decisions following diagnosis. This cohort will begin to describe patient access to care and the clinical outcomes following a new HCM diagnosis in an AI-augmented clinical workflow.

Device: Viz HCM

Cohort 2 - Previously Diagnosed Patients

Patients in this cohort will have an existing diagnosis of HCM prior to the start of using Viz HCM. This group will allow for the evaluation of how the AI tool may influence ongoing management strategies, such as treatment adjustments, monitoring practices, risk stratification, and clinical outcomes. The cohort will also help assess whether the AI tool facilitates optimization of care by identifying missed opportunities or previously unrecognized complications.

Device: Viz HCM

Cohort 3 - Suspected and Not Diagnosed Patients

This cohort will include patients who were suspected by Viz HCM users of having underlying HCM, but clinical work-up sufficient to produce a diagnosis of HCM (including imaging and/or genetic testing) did not occur within the data collection period. Data collected will focus on diagnostic pathways, attempts made to coordinate care, and categorical barriers to care.

Device: Viz HCM

Cohort 4 - Unlikely HCM

This cohort will look at a subset of randomly selected patients who are suspected by Viz HCM of having underlying HCM but are moved to the subgroup 'Unlikely HCM' within the Viz app/web by a clinician. After 1 year of study enrollment, a list will be created by Viz and shared with study teams for collection of additional minimal data including age, sex, reason for unlikely HCM (via chat), demographics (race, ethnicity) and reason for ECG.

Device: Viz HCM

Cohort 5 - Alerts Not Reviewed

This cohort will look at a subset of randomly selected patients who are suspected by Viz HCM of having underlying HCM, but the alert is never reviewed by a clinician. After 1 year of study enrollment, a list will be created by Viz and shared with study teams for collection of additional minimal data including age, sex, demographics (race, ethnicity) and reason for ECG.

Device: Viz HCM

Interventions

Viz HCMDEVICE

Viz HCM is a Software as a Medical Device (SaMD) intended to receive 12-lead ECG recordings collected as part of a routine clinical assessment and analyze them in parallel to the standard of care. The device uses a machine learning based algorithm to analyze 12-lead ECGs and identify ECGs with suspected HCM.

Cohort 1- Newly Diagnosed PatientsCohort 2 - Previously Diagnosed PatientsCohort 3 - Suspected and Not Diagnosed PatientsCohort 4 - Unlikely HCMCohort 5 - Alerts Not Reviewed

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Individuals who have an ECG that has been flagged by Viz HCM.

All Cohorts * Patients aged 18+ years at time of arrival to healthcare facility * Patients with a resting 12-lead digital electrocardiogram (ECG) that is flagged by Viz HCM for HCM suspicion Additional cohort-specific criteria: Cohort 1 - Newly Diagnosed Patients * Patients have been diagnosed with HCM after the Viz HCM implementation * Written informed consent is obtained prior to data collection Cohort 2 - Previously Diagnosed Patients ● Prior diagnosis of HCM as evidenced by clinical diagnosis documentation prior to Viz HCM implementation Cohort 3 - Suspected and Not Diagnosed Patients ● Patients did not receive sufficient clinical workup for HCM diagnosis confirmation Cohort 4 - Unlikely HCM ● Patient ECG moved to 'Unlikely HCM' group within Viz by site study staff following HCM alert review Cohort 5 - Alerts Not Reviewed ● HCM alert not reviewed by site study staff during study enrollment period

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

Study Sites (3)

Emory University

Atlanta, Georgia, 30322, United States

NOT YET RECRUITING

North Shore University Health System

Evanston, Illinois, 60201, United States

RECRUITING

Thomas Jefferson University

Philadelphia, Pennsylvania, 19107, United States

RECRUITING

MeSH Terms

Conditions

Cardiomyopathy, Hypertrophic

Condition Hierarchy (Ancestors)

CardiomyopathiesHeart DiseasesCardiovascular DiseasesAortic Stenosis, SubvalvularAortic Valve StenosisAortic Valve DiseaseHeart Valve Diseases

Study Officials

  • Milind Desai, MD

    The Cleveland Clinic

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Sloane Smith-Saunders, MBA, MPH

CONTACT

Study Design

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

Study Record Dates

First Submitted

May 13, 2025

First Posted

August 5, 2025

Study Start

June 13, 2025

Primary Completion (Estimated)

December 1, 2028

Study Completion (Estimated)

December 1, 2028

Last Updated

August 17, 2025

Record last verified: 2025-08

Data Sharing

IPD Sharing
Will not share

Locations