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Heart FailurePRADO-ICNCT03396081

Efficacy of PRADO Heart Failure in Occitania

A study testing PRADO-IC in people with Heart Failure, run by University Hospital, Montpellier at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Patients with heart failure (IC), after hospitalization, have a marked fragility: in France, in the first year, 29% die and 45% are readmitted to IC. Interventions improving the coordination of care providers at the time of discharge from hospitalization were tested; they showed a reduction in readmissions for IC… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Heart Failure
What is being tested?
PRADO-IC
Could I receive a placebo?
No, everyone receives an active treatment
How many people
404 participants
Where
1 siteFrance
Study dates
4 May 2018to 9 May 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18 years or older
  • Hospitalization for heart failure
  • Subject living at home
  • Informed consent

Who cannot join

  • discharge to a rehabilitation clinic or to medical home for elderly people
  • subject without health insurance
  • terminal kidney failure
  • programmed heart surgery
  • waiting for heart transplantation
  • psycho-cognitive impairment
Show all 12Show fewer
  • patient not autonomous for mobility at home
  • supportive care
  • planned move to medical home for elderly people in the coming 6 months
  • no fluent french
  • not able to provide informed consent
  • participating to other study

Trial locations and contacts

1 site in 1 country.

France1 site
  • CHU Montpellier

    Montpellier, 34295

Other trials in France

About this study

Patients with heart failure (IC), after hospitalization, have a marked fragility: in France, in the first year, 29% die and 45% are readmitted to IC. Interventions improving the coordination of care providers at the time of discharge from hospitalization were tested; they showed a reduction in readmissions for IC (relative risk (RR) from 0.51 to 0.74) and all-cause mortality (RR 0.75 to 0.87). The Patient Return Program IC (PRADO IC), set up by the Health Insurance, offers assistance in the initiation of outpatient medical monitoring, and a nursing follow-up of 2 to 6 months depending on the patient's severity. The trial of PRADO began in the second half of 2013, and the first evaluation showed that the time to first treatment was significantly shorter, and that the readmissions rate and the 6-month death rate were unchanged.

This study was of epidemiological type, comparative before-elsewhere. The difficulty of controlling for confounders in this type of study limits the scope of these conclusions. The efficacy hypothesis of PRADO IC is therefore always posed in the French context

Conditions
Heart Failure
Being tested
PRADO-IC, No intervervention Usual Care
Keywords
Heart Failure, Care pathway, Transition program, Efficiency
Medical subject headings
Heart Failure

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PRADO-ICBehavioural

    1. Help of administrative employees to schedule the first medical visits after an hospitalization for heart failure.
    2. Home nurse's visiting program, during 2 to 6 months after the hospitalization for heart failure.
  • No intervervention Usual CareBehavioural

    Advices about the care pathway, provided by care givers. Prescription of home nurse's visits if needed.

Study groups in NCT03396081
Study groupRoleWhat they receive
PRADO-ICExperimentalNot described
Receives: Behavioral: PRADO-IC
Usual careOtherNot described
Receives: Behavioral: No intervervention Usual Care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Cost-efficacy ratio

    Cost to avoid an hospitalization for heart failure

    Measured: 12 months

Secondary outcomes (6)
  1. Cost-utility ratio

    Cost will be performed from the society perspective. Utility will be derived from the French EQ5D, measured at 0, 6 and 12 months

    Measured: 12 months

  2. Number of hospitalization for heart failure

    Hospitalizations for heart failure will be defined using claim data.

    Measured: 12 months

  3. Number of all causes hospitalization

    Measured: 12 months

  4. Rate of death from cardiovascular disease

    Measured: 12 months

  5. Number of general practitionner

    Claim data

    Measured: 12 months

  6. Number of cardiologist visits

    Claim data

    Measured: 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Jan 2018
  2. Study start4 May 2018
  3. Primary completion9 May 2022
  4. Study completion9 May 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
404 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03396081
Sponsor's protocol ID
RECHMPL17_0113
Other IDs
2017-A01732-51
Acronym
PRADO-IC
Status last verified
May 2022
First submitted
26 Dec 2017
Last updated
30 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Roubille F, Labarre JP, Georger F, Galinier M, Herman F, Berdague P, Nogue E, Petroni T, Delbaere Q, Malak A, Robin M, Prunet E, Leclercq F, Pasquie JL, Papinaud L, Mercier G, Ricci JE, Cayla G, Duflos C. PRADOC: A Multicenter Randomized Controlled Trial to Assess the Efficiency of PRADO-IC, a Nationwide Pragmatic Transition Care Management Plan for Hospitalized Patients With Heart Failure in France. J Am Heart Assoc. 2024 Aug 6;13(15):e032931. doi: 10.1161/JAHA.123.032931. Epub 2024 Jul 18.

    PubMed 39023055

Questions about this trial

What is this clinical trial studying?

A study testing PRADO-IC in people with Heart Failure, run by University Hospital, Montpellier at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cost-efficacy ratio (time frame: 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03396081, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Sep 2025.

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Efficacy of PRADO Heart Failure in Occitania | AzTrials