AzTrials
AzTrials

Congestive Heart FailureNCT04394754

Evaluating Efficacy of Digital Health Technology in the Treatment of Congestive Heart Failure

A study testing BodyPort, Noom and Conversa in people with Congestive Heart Failure, run by Yale University at 1 site in United States.

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

The purpose of this study is to determine the efficacy of three novel digital health technologies versus usual care in the management of congestive heart failure, as assessed by a primary outcome of improvement in quality of life, and a variety of secondary outcomes that include metrics measuring patient and provider… Read more about this study

Who is it for?
Ages 18 to 79 years
Conditions the study is for
Congestive Heart Failure
What is being tested?
BodyPort, Noom and Conversa
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
182 participants
Where
1 siteUnited States
Study dates
21 Sep 2020to 1 Dec 2021
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 18 to 79 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults greater than or equal to 18 and less than 80 years of age
  • Enrolled in one of Yale New Haven Hospital's Disease Management or Heart Failure-focused cardiology clinics
  • Diagnosed with congestive heart failure (preserved or reduced ejection fraction with or without diabetes)

Who cannot join

  • Class IV heart failure
  • Stage 4 or end stage renal disease (eGFR < 30)
  • Recipient of a heart transplant of ventricular assist device
  • Under hospice care
  • Dementia
  • Incarceration
Show all 14Show fewer
  • Pregnancy
  • Currently homeless or residing in an unstable living situation (i.e., transitional housing, rehab facility, etc.)
  • Inability to consent
  • Currently enrolled in a study investigating a digital health product or technology
  • Life expectancy of less than 6 months as determined by clinical judgement of primary treating physician
  • weight greater than 400 pounds
  • unable to stand straight up for 30 seconds without assistance, such as from a cane, walker, or wall.
  • non-English speaking

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Yale New Haven Hospital

    New Haven, Connecticut, 06520

Other trials in United States

About this study

Official title: Assessing the Efficacy of Digital Health Technology in the Management of Congestive Heart Failure: An Evaluation of Three Novel Digital Health Products

The purpose of this study is to determine the efficacy of three novel digital health technologies versus usual care in the management of congestive heart failure, as assessed by a primary outcome of improvement in quality of life, and a variety of secondary outcomes that include metrics measuring patient and provider satisfaction, clinical efficiency, and patient outcomes.

Read the detailed description

Heart failure is the most common cause of mortality and morbidity in the United States and in Western Europe. However, patient etiology and prognosis varies considerably, and guidance about how to best treat patients has relied on large clinical trials that only include snapshots of the syndrome (at the time the patient interaction with the healthcare system). It remains to be seen whether behavioral interventions can improve patient engagement, increase self-management of the conditions, and thus improve overall clinical outcomes.

Digital health technologies have a great potential to streamline and optimize the clinical management of heart failure. Such technologies can take the form of mobile applications or wearable devices that may provide both patients and providers with valuable real-time information about patient status and cardiovascular health, provide automated patient-tailored coaching and motivational tools, or a mix of both. Integration of these technologies into healthcare systems may allow for genuine engagement of the patient in their own care and management of their disease and/or enhance clinical decision making. To date, no prior study has comprehensively examined the ability of digital heath technologies to improve self-management of heart failure or subsequent clinical outcomes.

This study is an unblinded, 4-arm, parallel group randomized controlled trial to measure the efficacy of four digital health technologies in improving the management of care and quality of life of patients with congestive heart failure (CHF). Patients actively managed by one of Yale New Haven Hospital's heart failure-based clinics will be eligible for this study and approached for consent. Enrolled subjects will be randomized to one of four groups: a control (usual care) arm, or to one of three intervention arms, each of which assesses one of three digital health technologies. These technologies are:

  • BodyPort: A data-driven smart scale that provides enhanced cardiac monitoring and risk assessment data.
  • Noom: A live, data-driven coaching application providing personalized diet and weight management.
  • Conversa: An automated conversational platform providing patient motivation and educational tools for CHF management.

Patients will be enrolled in the study for 6 months. The first three months will typically involve active clinic management and will be the point of our primary outcome assessment, while the final three months will assess stability of effect on patient care and outcomes.

The primary outcome is the rate of improvement in quality of life after 90 days post-enrollment, as measured by the Kansas City Cardiomyopathy Questionnaire (KCCQ). A variety of prespecified secondary outcomes will be measured to determine effects on patient outcomes, quality of care, clinical efficiency, and provider and patient satisfaction with the product.

Being tested
BodyPort, Noom, Conversa
Keywords
Digital Health
Medical subject headings
Heart Failure

What participants receive

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

  • BodyPortDevice

    Patients will receive BodyPort, a smart scale that provides advanced cardiac monitoring.

  • NoomOther

    Patients will receive a subscription to use Noom, a personalized diet and weight management application.

  • ConversaOther

    patients will receive a subscription to use Conversa, a personalized automated coaching and motivational application.

Study groups in NCT04394754
Study groupRoleWhat they receive
ControlNo interventionPatients will receive usual care and no digital health device.
BodyPortExperimentalPatients will receive the BodyPort device.
Receives: Device: BodyPort
NoomExperimentalPatients will receive a subscription to the Noom platform.
Receives: Other: Noom
ConversaExperimentalPatients will receive a subscription to the Conversa platform.
Receives: Other: Conversa

What is being measured

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

  1. Change in Quality of Life at 90 Days Post Enrollment

    Assessed by the change in score of the Kansas City Cardiomyopathy Questionnaire (KCCQ) survey between baseline scoring (at enrollment) and at 90 days post-enrollment. This survey is a 23 item self-administered instrument used to quantify a patient's perception of health status. For each domain reported, an overall summary scored is derived and transformed to a score range of 0-100. The Total Symptom score is the mean of the Symptom Frequency and Symptom Burden scores. The Overall Summary Score is the mean of the Physical Limitation, Total Symptom, Quality of Life and Social Limitation Scores. The Clinical Summary score is the mean of the Physical Limitation and Total Symptom scores. All KCCQ scores are summarized in 25-point ranges, where scores represent health status as follows: 0 to 24: very poor to poor; 25 to 49: poor to fair; 50 to 74: fair to good; and 75 to 100: good to excellent.

    Measured: Day 90 after enrollment

Secondary outcomes (28)
  1. Change in Quality of Life at 180 Days Post Enrollment

    Assessed by the change in score of the Kansas City Cardiomyopathy Questionnaire (KCCQ) survey between day 90 post enrollment and at day 180 post enrollment. This survey is a 23 item self-administered instrument used to quantify a patient's perception of health status. For each domain reported, an overall summary scored is derived and transformed to a score range of 0-100. The Total Symptom score is the mean of the Symptom Frequency and Symptom Burden scores. The Overall Summary Score is the mean of the Physical Limitation, Total Symptom, Quality of Life and Social Limitation Scores. The Clinical Summary score is the mean of the Physical Limitation and Total Symptom scores. All KCCQ scores are summarized in 25-point ranges, where scores represent health status as follows: 0 to 24: very poor to poor; 25 to 49: poor to fair; 50 to 74: fair to good; and 75 to 100: good to excellent.

    Measured: 180 days post enrollment

  2. Number of Participants With Hospital Admission at 90 Days Post Enrollment

    Via medical record review. Number of patients with a hospital admission between enrollment to day 90 post enrollment.

    Measured: 90 days post enrollment

  3. Number of Participants With Hospital Admission at 180 Days Post Enrollment

    Via medical record review. This measure is calculated as the number of participants with a hospital admission from day 90 to day 180 post enrollment.

    Measured: 180 days post enrollment

  4. Prescribing of Guideline-directed Medical Therapy

    Documented prescription or change in dosing of any one of the following medication classes: beta blockers, ACEi/ARBs, and/or spironolactone; assessed via Surescripts data collection.

    Measured: 90 days post enrollment

  5. Prescribing of Guideline-directed Medical Therapy

    Documented prescription or change in dosing of any one of the following medication classes: beta blockers, ACEi/ARBs, and/or spironolactone; assessed via Surescripts data collection.

    Measured: 180 days post enrollment

  6. Number of Subjects Using Guideline-directed Medical Therapy at 90 Days Post Enrollment

    Number of patients having documented prescription of all of the following medication classes between enrollment and day 90 post enrollment: beta blockers, angiotensin-converting enzyme inhibitors (ACEi)/angiotensin receptor blockers (ARBs)/angiotensin receptor-neprilysin inhibitors (ARNI), sodium/glucose cotransporter-2 inhibitors (SGLT2i) and aldosterone receptor antagonists (MRAs); assessed via Surescripts data collection.

    Measured: 90 days post enrollment

  7. Number of Subjects Using Guideline-directed Medical Therapy at 180 Days Post Enrollment

    Number of patients having documented prescription of all of the following medication classes between day 90 post enrollment and day 180 post enrollment: beta blockers, angiotensin-converting enzyme inhibitors (ACEi)/angiotensin receptor blockers (ARBs)/angiotensin receptor-neprilysin inhibitors (ARNI), sodium/glucose cotransporter-2 inhibitors (SGLT2i) and aldosterone receptor antagonists (MRAs); assessed via Surescripts data collection.

    Measured: 180 days post enrollment

  8. Number of Participants With Emergency Department (ED) Visits at 90 Days Post Enrollment

    Via medical record review. Number of participants with an emergency department visit between enrollment and day 90 post enrollment.

    Measured: 90 days post enrollment

  9. Number of Participants With Emergency Department Visits at 180 Days Post Enrollment

    Via medical record review. Number of participants with an emergency department visit between day 90 and day 180 post enrollment.

    Measured: 180 days post enrollment

  10. Number of Participants With Acute Kidney Injury (AKI) Development at 90 Days Post Enrollment

    Via medical record review, defined as an increase in serum creatinine by 50% over baseline (pre-enrollment creatinine) at any point between enrollment day 90 post enrollment.

    Measured: 90 days post enrollment

  11. Number of Participants With Acute Kidney Injury (AKI) Development at 180 Days Post Enrollment

    Via medical record review, defined as an increase in serum creatinine by 50% over baseline (pre-enrollment creatinine) at any point between day 90 and day 180 post enrollment.

    Measured: 180 days post enrollment

  12. Mortality Rate at 90 Days Post Enrollment

    Via medical record review. Number of deaths between enrollment and 90 days post enrollment.

    Measured: 90 days post enrollment

  13. Mortality Rates at 180 Days Post Enrollment

    Via medical record review. Number of deaths between day 90 and day 180 post enrollment.

    Measured: 180 days post enrollment

  14. Number of Participants With at Least One Clinic No-show at 90 Days Post Enrollment

    Via medical record review; number of participants with at least one clinic no show between enrollment and day 90 post enrollment.

    Measured: 90 days post enrollment

  15. Number of In-person and Remote Clinic Visits at 90 Days Post Enrollment

    Via medical record review. Number of visits between enrollment and 90 days post enrollment.

    Measured: 90 days post enrollment

  16. Number of In-person and Remote Clinic Visits at 180 Days Post Enrollment

    Via medical record review. Number of visits between day 90 and day 180 post enrollment.

    Measured: 180 days post enrollment

  17. Number of Remote Device Checks by Providers at 90 Days Post Enrollment

    Via medical record review

    Measured: 90 days post enrollment

  18. Number of Remote Device Checks by Providers at 180 Days Post Enrollment

    Via medical record review

    Measured: 180 days post enrollment

  19. Number of Phone Calls Between Provider and Participant at 90 Days Post Enrollment

    Via medical record review of telephone logs between enrollment and day 90 post enrollment.

    Measured: 90 days post enrollment

  20. Number of Phone Calls Between Provider and Participant at 180 Days Post Enrollment

    Via medical record review of telephone logs

    Measured: 180 days post enrollment

  21. Average Time Devoted by Provider to Patient Care

    Via medical record review of chart openings per patient

    Measured: 90 days post enrollment

  22. Average Time Devoted by Provider to Patient Care

    Via medical record review of chart openings per patient

    Measured: 180 days post enrollment

  23. Number of Subjects Who Complete on Boarding and Baseline Assessments

    Collected from patient enrollment platform

    Measured: Within one week of consent

  24. Number of Subjects Who Complete Digital Health Product Set up

    Assessed as number of subjects who used device at least once during their duration in the study, up to 90 days post enrollment.

    Measured: 90 days post enrollment

  25. Number of Weekly Interactions With the Device

    Information collected from device metrics to assess frequency of use

    Measured: 90 days post enrollment

  26. Number of Weekly Interactions With the Device

    Information collected from device metrics to assess frequency of use

    Measured: 180 days post enrollment

  27. Average Number of Daily Interactions With the Device

    Information collected from device metric to assess frequency of use

    Measured: 90 days post enrollment

  28. Average Number of Daily Interactions With the Device

    Information collected from device metric to assess frequency of use

    Measured: 180 days post enrollment

Timeline

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

  1. First posted19 May 2020
  2. Study start21 Sep 2020
  3. Primary completion20 Sep 2021
  4. Study completion1 Dec 2021

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
182 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04394754
Sponsor's protocol ID
2000027325
Status last verified
Apr 2023
First submitted
14 May 2020
Last updated
18 May 2023
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Yes: Deidentified data underlying results will be made available upon publication in an appropriate database.

Publications

  • Victoria-Castro AM, Martin ML, Yamamoto Y, Melchinger H, Weinstein J, Nguyen A, Lee KA, Gerber B, Calderon F, Subair L, Lee V, Williams A, Shaw M, Arora T, Garcez A, Desai NR, Ahmad T, Wilson FP. Impact of Digital Health Technology on Quality of Life in Patients With Heart Failure. JACC Heart Fail. 2024 Feb;12(2):336-348. doi: 10.1016/j.jchf.2023.09.022. Epub 2023 Nov 8.

    PubMed 37943227

Questions about this trial

What is this clinical trial studying?

A study testing BodyPort, Noom and Conversa in people with Congestive Heart Failure, run by Yale University at 1 site in United States.

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 14 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 18 May 2023. 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 United States. 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 23 Dec 2022). 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?

Change in Quality of Life at 90 Days Post Enrollment (time frame: Day 90 after enrollment). 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 NCT04394754, 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 18 May 2023.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in