Screening for earlY Heart Failure Diagnosis and Management in Primary Care or at HOme Using Natriuretic Peptides and echocardiographY "SYMPHONY-HF"
Part of paid clinical trials in Cleveland, Ohio.
- Sponsor
- NHS Greater Glasgow and Clyde
- Study ID
- NCT05919342
- Status
- Recruiting
Conditions
- Cardiovascular Diseases
- Heart Failure
Eligibility Criteria
- Sex
- ALL
- Age
- 40 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- NT-proBNP — DIAGNOSTIC_TESTPatients will undergo an NT-proBNP which will guide their future involvement within the study. Patients with an NT-proBNP of ≥125 pg/mL will undergo transthoracic echocardiogram along with a clinical assessment - any diagnosis of HF will result in patients undergoing referral for initiation of guideline directed medical therapy (for HF).
Study Details
This is an international prospective, multicentre, unblinded, randomised-controlled trial. The primary aim is to assess a targeted screening strategy to detect undiagnosed heart failure in high-risk patients.
Key Dates
- Start date
- Dec 22, 2022
- Status verified
- Aug 2023
- Primary completion
- Jun 21, 2024
- Completion
- Dec 21, 2032
Study Design
- Enrollment
- 3,904 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- DIAGNOSTIC
Arms
- No Intervention: Routine care armPatients in this arm will undergo routine care. They will be managed and followed up as per routine clinical care. They will be remotely monitored for HF events by follow up through electronic records and routinely collected data.
- Experimental: Investigational armPatients in this arm will have a blood sample performed for measurement of N-terminal prohormone of B-type natriuretic peptide (NT-proBNP). Patients with an elevated Roche NT-proBNP (≥125 pg/mL) will undergo a transthoracic echocardiogram, clinical examination for signs of HF, HF symptom assessment, an ECG). Patients will undergo echocardiography with a CE-marked, FDA-approved handheld point of care (POC) EchoNous echocardiogram device in all countries. The US2.ai algorithm (which is also CE-marked and FDA-approved) will generate an AI-automated echocardiogram report.
Primary Outcome Measure
Diagnosis of heart failure within 6 months [ Time Frame: 6 months ]
Central Contacts
- Mark C Petrie, MbChB+44(0) 141 330 2677
- Kieran F Docherty, MbChB+44(0) 141 330 2677
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Cleveland Clinic | Cleveland | Ohio | 44195 | Nancy Albert |
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