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Heart FailureBMAD-TXNCT04096040

Benefits of Microcor in Ambulatory Decompensated Heart Failure

A study testing μCor in people with Heart Failure, run by Zoll Medical Corporation at 83 sites in 4 countries.

Completed

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

Official record
Search all trials

Trial summary

To assess investigator engagement of μCor system data in the context of heart failure management. The μCor system includes a sensor and wearable patch for fluid management. Read more about this study

Who is it for?
Ages 21 years and older
Conditions the study is for
Heart Failure
What is being tested?
μCor
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
265 participants
Where
83 sitesin 4 countries
Study dates
1 Nov 2019to 30 Oct 2023
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

Who may be able to join

  • 4.1.1 Subjects hospitalized for acute decompensated heart failure and enrolled in the study within 10 days post-hospital discharge.
  • 4.1.2 Subjects who have had an acute heart failure event requiring medical management in the previous 180 days of index hospitalization admission. This acute heart failure event admission must be at least 2 weeks apart from the event admission in 4.1.1
  • 4.1.3 Subjects 21 years of age or older on the day of screening.

Who cannot join

  • 4.2.1 Subjects who are wearing the wearable cardioverter defibrillator (WCD)
  • 4.2.2 Subjects not expected to survive one year from enrollment from non-cardiac disease.
  • 4.2.3 Subjects with skin allergy or sensitivity to medical adhesives.
  • 4.2.4 Subjects anticipated to start dialysis within 90 days.
  • 4.2.5 Subjects currently implanted with an subcutaneous implantable cardio defibrillator (S-ICD) system.
  • 4.2.6 Subjects who received a percutaneous coronary intervention (PCI) less than 24 hours after onset of heart failure related symptoms during index hospitalization.
Show all 11Show fewer
  • 4.2.7 Subjects who are unable to participate in all follow up visits.
  • 4.2.8 Subjects participating in research other than a registry at the time of enrollment.
  • 4.2.9 Subjects currently implanted with a Left Ventricular Assist Device (LVAD).
  • 4.2.10 Subjects with self-reported pregnancy.
  • 4.2.11 Subjects currently being actively managed with any device based remote HF monitoring.

Trial locations and contacts

83 sites in 4 countries.

83 sites in 4 countries

United States67 sites
  • North Texas Research Associates

    Allen, Texas, 75013

  • Emory University School of Medicine

    Atlanta, Georgia, 30303

  • Aventura Clinical Research LLC

    Aventura, Florida, 33180

  • Sinai Center for Thrombosis Reserach and Drug Development

    Baltimore, Maryland, 21784

  • Macklenberg Heart Specialists / Focus Clinical Research Solutions

    Charlotte, North Carolina, 28207

  • Virtua Health

    Cherry Hill, New Jersey, 08034

  • Columbus Cardiology Associates

    Columbus, Georgia, 31904

  • Bassett Medical Center

    Cooperstown, New York, 13326

  • North Houston Cardiology Center

    Cypress, Texas, 77429

  • Accel Research Sites - Guardian

    Davenport, Florida, 33837

  • Accel Research Sites- Daytona Heart Group

    DeLand, Florida, 32720

  • Accel Research Sites - Guardian Winter Park

    Deltona, Florida, 32725

  • Accel Research Sites - Lake County Medical Group

    Eatonton, Georgia, 31024

  • TriWest Research

    El Cajon, California, 92020

  • Holy Cross Hospital, Medical Group, Cardiology Associates

    Fort Lauderdale, Florida, 33308

  • JPS Health Network

    Fort Worth, Texas, 76104

  • Hackensack University Medical Center

    Hackensack, New Jersey, 07601

  • Heart Clinic of Hammond

    Hammond, Louisiana, 70403

  • Penn State Health Milton S. Hershey Medical Center

    Hershey, Pennsylvania, 17033

  • Elite Cardiac Research Center

    Hialeah, Florida, 33013

  • Inpatient Research Clinic

    Hialeah, Florida, 33013

  • Zillan Clinical Research

    Inglewood, California, 90301

  • Jackson Heart Clinic

    Jackson, Mississippi, 48601

  • Knoxville HMA Cardiology, PPM, LLC

    Knoxville, Tennessee, 37934

  • Carolina Heart Specialists

    Lancaster, South Carolina, 77598

  • Kansas City Cardiology

    Lee's Summit, Missouri, 64064

  • Bryan Heart

    Lincoln, Nebraska, 68506

  • Axis Clinical Trials

    Los Angeles, California, 90036

  • Norton Heart Specialists

    Louisville, Kentucky, 40205

  • Stroobants Cardiovascular Center

    Lynchburg, Virginia, 24501

  • North Texas Research Associates

    McKinney, Texas, 75071

  • Texas Institute of Cardiology

    McKinney, Texas, 75071

  • Homestead Associates in Research

    Miami, Florida, 32032

  • Westchester Research Center at Westchester General Hospital

    Miami, Florida, 33155

  • InvivoCure LLC

    Mission Hills, California, 91345

  • Cardiovascular Research of Northwest Indiana, LLC

    Munster, Indiana, 46321

  • Jersey Shore University Medical Center

    Neptune City, New Jersey, 07753

  • Mission Research Institue

    New Braunfels, Texas, 78130

  • Mercer Bucks Cardiology at Jefferson Health

    Newtown, Pennsylvania, 18940

  • Miramax Clinical Research Inc

    North Miami, Florida, 33169

  • Ocala Cardiovascular Research

    Ocala, Florida, 34471

  • INTEGRIS Baptist Medical Center

    Oklahoma City, Oklahoma, 73112

  • Methodist Physicians Clinical Heart Consultants

    Omaha, Nebraska, 68114

  • Accel Research Sites

    Orlando, Florida, 32837

  • Research Integrity, LLC

    Owensboro, Kentucky, 42303

  • Intervent Clinical Research Center

    Pembroke Hills, Maryland, 33024

  • Cardiovascular Institute

    Pittsburgh, Pennsylvania, 15212

  • Pulse Heart Institute

    Puyallup, Washington, 98372

  • Quincy Medical Group

    Quincy, Illinois, 62301

  • Reid Physician Associates

    Richmond, Indiana, 47374

  • Ascension Providence Rochester Hospital

    Rochester, Michigan, 48307

  • Laurelton Heart Specialist

    Rosedale, New York, 11422

  • Ascension St. Mary's Research Institute

    Saginaw, Michigan, 48601

  • Peninsula Regional Medical Center

    Salisbury, Maryland, 21804

  • ACRC Studies

    San Diego, California, 92119

  • SYED Research Consultants LLC

    Sheffield, Alabama, 35660

  • Frontier Clinical Research, LLC

    Smithfield, Pennsylvania, 15478

  • Beacon Medical Group

    South Bend, Indiana, 46601

  • Heart House Research Foundation

    Springfield, Ohio, 45504

  • Gateway Cardiovascular Research Center, Inc

    St Louis, Missouri, 63128

  • St. Louis Heart and Vascular

    St Louis, Missouri, 63136

  • DBC Research

    Tamarac, Florida, 33321

  • BronxCare Health System at BronxCare Hospital Center

    The Bronx, New York, 10457

  • Mercy Health St. Vincent Medical Center

    Toledo, Ohio, 43608

  • Bay Area Heart

    Webster, Texas, 77598

  • Winter Haven Hospital - BayCare Health System

    Winter Haven, Florida, 33880

  • Accel Research Sites - Guardian Winter Park

    Winter Park, Florida, 32792

Other trials in United States

Germany9 sites
  • Kerckhoff-Klinik GmbH

    Bad Nauheim, 06032

  • Kerckhoff-Klinik GmbH

    Bad Nauheim

  • Universitätsklinikum Frankfurt

    Frankfurt am Main, 60590

  • Universitätsklinikum Gießen und Marburg GmbH

    Giessen, 35392

  • Albertinen Krankenhaus HH

    Hamburg, GG, 22457

  • Albertinen Krankenhaus Hamburg

    Hamburg

  • Medizinische Hochschule Hannover

    Hanover, 30625

  • Medizinische Hochschule Hannover

    Hanover

  • Herzzentrum Leipzig, Universitätsklinik für Kardiologie Abteilung Rhythmologie

    Leipzig, 4289

Other trials in Germany

France5 sites
  • Centre Hospitalier Régional Universitaire de Lille - Hôpital Cardiologique

    Lille, 59037

  • CHU Montpellier - Hopital Arnaud de Villeneuve

    Montpellier, 34295

  • Chu Montpellier - Hopital Arnaud de Villeneuve

    Montpellier

  • Hôpital Européen Georges Pompidou - Centre d'Investigations Cliniques - Pôle D - étage 5

    Paris, 75015

  • Hôpital Européen Georges Pompidou - Centre d'Investigations Cliniques - Pôle D - étage 5

    Paris

Other trials in France

Austria2 sites
  • Klinikum Klagenfurt am Wörthersee

    Klagenfurt, 9020

  • Klinik Favoriten

    Vienna, 1100

Other trials in Austria

About this study

To assess investigator engagement of μCor system data in the context of heart failure management. The μCor system includes a sensor and wearable patch for fluid management.

Read the detailed description

Subjects meeting the inclusion/exclusion criteria will wear the μCor for up to 90 days.

During the study, face to face follow up will occur every 30 days. For all subjects, each scheduled clinic visit will include assessment of cardiac signs, symptoms, and any relevant clinically actionable events.

The subject will be given a daily diary to track symptoms, hospital visits, medication changes, and all other heart failure related clinical events.

Weekly phone calls to the subject will be given throughout the duration of the study to remind the patient to use the subject diary and to collect and record heart failure related clinical events.

The subject's health care provider team will receive the μCor data through access to a clinical tool interface. The clinical tool will send data updates that are dependent on the μCor data trends. The data updates will allow the health care provider team to take action when the data indicate worsening heart failure, within the context of standard of care medical practice and patient specific parameters. Weekly data reports will be delivered to the investigators.

Subjects will be contacted six months and one year from initial enrollment to assess the vital status of the subject, any heart failure related clinical events since the end of μCor wear, and any health care utilization since the end of μCor wear.

Conditions
Heart Failure
Being tested
μCor
Medical subject headings
Heart Failure

What participants receive

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

  • μCorDevice

    μCor consists of the following components: A) Patch B) Sensor C) Charger D) Data transmission device (Gateway) E) Server Once activated, the wearable Sensor automatically acquires ECG, RF readings, heart rate, respiration rate, activity, and posture measurements.

Study groups in NCT04096040
Study groupRoleWhat they receive
Device Data Engagement AssessmentExperimentalThis arm will assess the endpoints of investigator engagement with the device data.
Receives: Device: μCor

What is being measured

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

  1. Number of Data Updates Received by the uCor Subject Management System

    Each time a subject's thoracic fluid index (TFI) exceeded a threshold for 3 consecutive days, a data update report was generated by the uCor management system. The site then confirmed its receipt of the data update by completing a case report form. At least 1 of these case report forms was completed for 56 subjects.

    Measured: 90 days

  2. Approximate Time Spent Reviewing Data Reports Assessment Across Sites (PO 2: Part 1/2)

    Sites reviewed data reports in each of the following contexts: planned weekly phone call, planned office visit, unplanned phone call, unplanned office visit, and data update. Sites reported whether they spent less than 5, 5 to 10, or greater than 10 minutes reviewing each report. At least 1 of these case report forms was completed for 214 subjects.

    Measured: 90 days

  3. Approximate Time Spent Reviewing Data Reports Assessment Within Sites (PO 2: Part 2/2)

    Sites reviewed data reports in each of the following contexts: planned weekly phone call, planned office visit, unplanned phone call, unplanned office visit, and data update. Sites reported whether they spent less than 5, 5 to 10, or greater than 10 minutes reviewing each report. At least 1 of these case report forms was completed for 214 subjects.

    Measured: 90 days

  4. The Number of Medication Changes(MC) and Lifestyle Modifications(LS) Recommended to the Subject Based on Evaluating μCor Data and Symptoms (PO 3: Part 1/3)

    Sites reviewed data reports in each of the following contexts: planned weekly phone call, planned office visit, unplanned phone call, unplanned office visit, and data update. In each context, the subject was asked whether their symptoms changed. If yes, the site reported in a case report form whether it took action to treat the subject in the form of a medication change or lifestyle modification. At least one of these case report forms (CRFs) was completed for 214 subjects

    Measured: 90 days

  5. The Number of Medication Changes(MC) and Lifestyle Modifications(LS) Recommended to the Subject Based on Evaluating μCor Data and Symptoms (PO 3: Part 2/3)

    Sites reviewed data reports in each of the following contexts: planned weekly phone call, planned office visit, unplanned phone call, unplanned office visit, and data update. In each context, the subject was asked whether their symptoms changed. If yes, the site reported in a case report form whether it took action to treat the subject in the form of a medication change or lifestyle modification. At least one of these case report forms (CRFs) was completed for 214 subjects.

    Measured: 90 days

  6. The Number of Medication Changes(MC) and Lifestyle Modifications(LS) Recommended to the Subject Based on Evaluating μCor Data and Symptoms (PO 3: Part 3/3)

    Sites reviewed data reports in each of the following contexts: planned weekly phone call, planned office visit, unplanned phone call, unplanned office visit, and data update. In each context, the subject was asked whether their symptoms changed. If yes, the site reported in a case report form whether it took action to treat the subject in the form of a medication change or lifestyle modification. At least one of these case report forms (CRFs) was completed for 214 subjects

    Measured: 90 days

  7. The Number of Medication Changes Based on Subject Incidental Findings

    During weekly planned phone calls, planned office visits, and unplanned office visits, sites asked subjects whether they underwent any changes to their heart failure and/or cardiac medications since the last phone call and reported the result in a case report form. At least 1 of these case report forms was completed for 241 subjects.

    Measured: 90 days

  8. Number of Times High μCor Measurements Were Reduced Below Threshold Levels After Medication Was Titrated or Lifestyle Modifications Were Recommended

    482 medication changes or lifestyle (MC/LS) modifications occurred within the first 90 days of the study. To include only medication changes preceded and followed by sufficient µCor data to determine a threshold crossing, medication changes within the first 2 weeks of the study or the final 3 weeks of device wear were discarded. This resulted in in 262 analyzable changes. Changes occurring within 1 week of another change were grouped together. This resulted in 192 change events. Time windows were defined as 0-13 days before the first change in a change event vs. 8-21 days after the last change in a change event. A high μCor measurement was defined as the receipt of a data update by the site. A low μCor measurement was defined as the absence of a data update received by the site.

    Measured: 90 days

Secondary outcomes (8)
  1. Strength of Association Between μCor Measurements and Clinically Related Heart Failure Events.

    Definitions:

    Daytime: 7:00 AM - 12:00 AM Nighttime: 12:00 AM - 7:00 AM

    For each day on which the subject wore the device, the following values were calculated:

    Daytime activity: The proportion of minutes while wearing the device that the subject spent active (unitless).

    Nighttime heart rate: The median heart rate while wearing the device during the night (beats/min) Thoracic fluid index: The median proportion of ratio of radiofrequency-measured lung fluid readings compared to the subject's baseline (unitless).

    Nighttime posture: The median pitch angle while wearing the device during the night (degrees, where 0 is the horizontal).

    Nighttime respiration: The median respiration rate while wearing the device during the night (breaths/min)

    HF event: a hospitalization, emergency room visit, observation unit visit, unplanned clinic visit, or death primarily due to heart failure.

    Measured: 90 days

  2. Strength of Association Between μCor Measurements and Subject Reported Symptoms

    During office visits at months 1, 2, and 3, subjects reported their degrees of dyspnea, orthopnea, and fatigue on the following scale: [none, seldom, frequent, continuous]. Each day that the subject wore the device, a daily median was calculated for the following measures: [thoracic fluid index, nighttime heart rate, nighttime respiration rate]. Nighttime was defined as 12:00 AM - 7:00 AM.

    Measured: 90 days

  3. Correlations Between uCor Measurements and Patient Reported Symptoms: Mild/Severe Symptoms

    During office visits at months 1, 2, and 3, subjects reported their degrees of dyspnea, orthopnea, and fatigue on the following scale: [none, seldom, frequent, continuous].

    Measured: 90 days

  4. Hospital Readmission Rate, Physician Visit Rate, and Outpatient Clinic Visit Rate During the Study Period

    For each weekly phone call and monthly office visit, each subject reported whether they experienced a hospitalization or emergency room visit since their last call/visit. An adjudication committee of physicians determined whether each event was due to HF or not.

    Measured: 90 days

  5. Mortality Rate, Heart Failure Related Events, Quality of Life (QoL) and Healthcare Utilization Data at 6 Months and One Year Post Enrollment: Mortality Data

    On each subject's final date of study participation, their survival status was recorded.

    Measured: 6 months and 1 year

  6. Mortality Rate, Cause of Death, Quality of Life (QoL) and Healthcare Utilization Data at 6 Months and One Year Post Enrollment: Cause of Death

    On each subject's final date of study participation, in the case of death, the cause of death was recorded.

    Measured: 6 months and 1 year

  7. Mortality Rate, Heart Failure Related Events, Quality of Life (QoL) and Healthcare Utilization Data at 6 Months and One Year Post Enrollment: Quality of Life Data

    At 0 months, 6 months, and 1 year after enrollment, subjects completed a Kansas City Cardiomyopathy Questionnaire (KCCQ-12). Quality of life is calculated as:

    KCCQ12-QL = 100*[(average of Questions 6 and 7) - 1]/4 Score is scaled 0-100, where 0 denotes the lowest reportable health status and 100 the highest.

    Measured: 6 months and 1 year

  8. Mortality Rate, Heart Failure Related Events, Quality of Life (QoL) and Healthcare Utilization Data at 6 Months and One Year Post Enrollment: Healthcare Utilization Data

    For each weekly phone call, monthly office visit, 6-month phone call, and 1-year phone call, each subject reported whether they experienced a hospitalization, emergency room visit, or unplanned doctor's office visit since their last call/visit.

    Measured: 6 months and 1 year

Timeline

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

  1. First posted19 Sep 2019
  2. Study start1 Nov 2019
  3. Primary completion30 Jun 2023
  4. Study completion30 Oct 2023

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
Diagnosis
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
265 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04096040
Sponsor's protocol ID
90D0202
Acronym
BMAD-TX
Status last verified
Dec 2024
First submitted
12 Sep 2019
Last updated
8 Jan 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing μCor in people with Heart Failure, run by Zoll Medical Corporation at 83 sites in 4 countries.

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 3 inclusion and 11 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 8 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 83 sites in United States, Germany, France, Austria. 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?

Yes. Results are posted in the registry (first posted 9 Oct 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Number of Data Updates Received by the uCor Subject Management System (time frame: 90 days). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 8 Jan 2025.

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