Withings Heart Function Risk Notification Retrospective Study
HFRN
Validation of the Withings Heart Function Risk Notification (HFRN): A Retrospective Study of Diagnostic Performance for Heart Failure Detection in US Consumer Smart-Scale Users
1 other identifier
observational
9,000
1 country
1
Brief Summary
This is a fully decentralized retrospective, non-interventional study evaluating the diagnostic performance of the Withings Heart Function Risk Notification (HFRN), a software-only medical device (SaMD) that analyzes longitudinal weight / BMI, body-water-percent variability, and activity (step) data collected passively by Withings connected smart scales and the Withings activity-tracking ecosystem. The study estimates Sensitivity (Se) and Specificity (Sp) of HFRN against a US claims-based (HealthVerity) heart-failure reference standard, evaluated on a pre-specified holdout test set. The findings support a 510(k) substantial-equivalence determination to the predicate Viz HCM (DEN230003) within the Cardiovascular machine learning-based notification software generic type (21 CFR 870.2380).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jun 2026
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2026
CompletedFirst Submitted
Initial submission to the registry
June 12, 2026
CompletedFirst Posted
Study publicly available on registry
June 17, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 1, 2026
June 17, 2026
June 1, 2026
3 months
June 12, 2026
June 12, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Sensitivity (Se) and its 95% CI of the HFRN algorithm for heart-failure detection, evaluated on the pre-specified holdout test set.
13 weeks
Specificity (Sp) and its 95% CI of the HFRN algorithm for heart-failure detection, evaluated on the pre-specified holdout test set.
13 weeks
Study Arms (2)
HF Cases
Withings smart-scale users with US HealthVerity claims linkage who meet the claims-based heart-failure case definition (\>= 1 inpatient HF ICD-10 code, or \>= 2 distinct outpatient-visit HF ICD-10 codes; per the first-match-wins claims algorithm). Holdout test set: 545 HF cases.
Control
Withings smart-scale users with US HealthVerity claims linkage who meet the claims-based control definition (\>= 2 years of continuous enrollment, no heart-failure ICD-10 evidence). Holdout test set: 8,548 controls. Case/control mix is calibrated to the 2021 NHANES-estimated heart-failure prevalence for US adults \>= 45 years.
Interventions
Software-only medical device (SaMD): an algorithm that analyzes quarterly-aggregated features computed from data passively captured by Withings connected smart scales and step counts synced into the Withings activity-tracking ecosystem. When the predicted heart-failure risk probability exceeds a calibrated decision threshold, the device emits a notification directing the user to seek confirmatory clinical evaluation. The notification is non-diagnostic.
Ground-truth heart-failure case / control status derived from US HealthVerity administrative claims by a deterministic, pre-specified rule set. Per-user features (counts of HF ICD-10 codes split by inpatient vs. distinct outpatient visits, continuous-enrollment duration, supporting CPT and laboratory evidence) are passed through an ordered first-match-wins classifier. Each user is additionally assigned a claims-operationalized ACC/AHA heart-failure stage (0 / A / B / C). Adjudication is fully automated; no clinician adjudication is performed.
Eligibility Criteria
Adult US consumer users (\>= 45 years) of Withings connected smart scales (Body Cardio, Body Scan, Body Comp) with a source of step counts synced into the Withings ecosystem and successful linkage to US HealthVerity administrative claims, enabling heart-failure ground-truth ascertainment and covariate analyses. The development dataset comprises 54,717 individuals (52,736 controls and 1,981 HF cases). The pre-specified holdout test set comprises 9,093 individuals (8,548 controls and 545 HF cases), with case/control mix calibrated to the 2021 NHANES-estimated HF prevalence for US adults \>= 45 years.
You may qualify if:
- Users of commercially purchased, consumer-grade Withings smart scales (e.g. Body Cardio \[WBS04\], Body Scan \[WBS08\], Body Comp \[WBS12 / WBS12C\]) used in a standard home environment
- A source of step counts synced into the Withings ecosystem (a Withings activity tracker, a smartphone, or a third-party activity tracker)
- US HealthVerity claims linkage available, enabling heart-failure ground-truth ascertainment
- Age \>= 45 years
- At least one 13-week quarter in which at least one of the three quarterly features (mean BMI, standard deviation of body-water percent, 90th-percentile daily steps) can be computed
You may not qualify if:
- Users for whom heart-failure status cannot be determined from claims (unknown label; e.g. controls with \< 2 years of continuous enrollment)
- Users with no usable measurement after per-reading plausibility screening (weight outside 20-400 kg, BMI outside 10-60 kg/m2, body-water percent outside 40-80%, daily steps outside 0-100,000, height outside 100-250 cm, or age outside 45-120 years)
- Users without an individual Withings account (shared accounts excluded to prevent data contamination)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Withingslead
Study Sites (1)
Withings (Sponsor) - Decentralized Retrospective Study, No Physical Sites
Issy-les-Moulineaux, Île-de-France Region, 92130, France
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Pierre Escourrou, MD, PhD
Centre Interdisciplinaire du Sommeil, Paris, France
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 12, 2026
First Posted
June 17, 2026
Study Start
June 1, 2026
Primary Completion (Estimated)
September 1, 2026
Study Completion (Estimated)
September 1, 2026
Last Updated
June 17, 2026
Record last verified: 2026-06
Data Sharing
- IPD Sharing
- Will not share