HeartLogic Diagnostic for Heart Failure

(Heartlogic ISR Trial)

Not yet recruiting at 1 trial location
RP
ST
Overseen BySaint Thomas Heart at Saint Thomas Midtown
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Robert Pickett

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests whether HeartLogic, a special alert system, can help people with heart failure avoid hospital visits and improve overall well-being. HeartLogic sends alerts that assist doctors in deciding when to adjust treatments. The trial includes two groups: one with HeartLogic alerts set to a lower threshold for action and another with standard settings. This trial suits individuals with heart failure who have been hospitalized in the past two years and use a specific heart device called an ICD or CRT-D. As an unphased trial, it offers a unique opportunity to contribute to innovative research that could enhance heart failure management.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that the HeartLogic Diagnostic is safe for heart failure patients?

Research has shown that the HeartLogic Diagnostic is generally safe for patients with heart failure. Studies have found that it can effectively predict heart failure episodes without causing significant harm. For instance, one study found that the system rarely gives false alarms, with only about 1.18 incorrect alerts per year, minimizing unnecessary worry for patients.

Moreover, real-world evidence indicates that the HeartLogic system consistently detects heart failure events. It has reduced the number of worsening heart failure episodes compared to standard care, suggesting the system is not only safe but also helpful in managing heart failure.

Overall, the data supports HeartLogic as a safe tool for monitoring heart failure, with few reported side effects.12345

Why are researchers excited about this trial?

Researchers are excited about the HeartLogic Diagnostic for heart failure because it offers a proactive approach to managing the condition. Unlike standard treatments that often rely on patient-reported symptoms or routine check-ups, HeartLogic uses advanced algorithms to detect subtle changes in the heart's function, potentially catching issues before they become severe. This early detection system enables timely interventions, which could lead to better patient outcomes and possibly reduce hospitalizations. By setting a lower threshold for triggering treatment adjustments, it aims to provide more personalized and precise care compared to traditional methods.

What evidence suggests that the HeartLogic Diagnostic is effective for heart failure?

Studies have shown that the HeartLogic Diagnostic can effectively predict heart failure events by analyzing factors like chest fluid levels and daily activity. One study found that it correctly identified heart failure issues 78.3% of the time, with a low false alert rate of about 1.18 times per year per patient. In this trial, participants in the Active Treatment Arm will have the HeartLogic threshold set to 10, triggering a treatment algorithm. This approach may lead to fewer heart failure problems compared to the Control Arm, which follows standard care. HeartLogic thus emerges as a promising tool for managing heart failure.14678

Who Is on the Research Team?

RP

Robert Pickett, MD

Principal Investigator

Ascension Health

Are You a Good Fit for This Trial?

This trial is for adults with heart failure and a low ejection fraction (35% or less) who have a HeartLogic-capable ICD or CRT-D device. Participants must have had recent worsening of heart failure, be able to take their medications as prescribed, and not be pregnant or on dialysis.

Inclusion Criteria

EF </=35%
HeartLogic capable ICD or CRT-D (Patients with HeartLogic capable ICD or CRT-D can be enrolled at time of de novo implantation or generator change out or at the time of the 2 week wound check. Prior Heart logic capable ICF or CRT-D implants can be enrolled if heart failure hospitalization shows decompensation within six months (prior implants must have at least 1 year battery life)
Age 18 years or older
See 1 more

Exclusion Criteria

Documented noncompliance that limits medication use
Refuse to give consent
Have Life expectancy of less than one-year
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive HeartLogic diagnostic alerts to optimize guideline-directed medical therapy

52 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • HeartLogic Diagnostic

Trial Overview

The study compares two ways of using the HeartLogic diagnostic tool in people with heart failure: one group will have changes made based on alert thresholds from the tool, while the other group will keep current settings. Both groups continue standard care.

How Is the Trial Designed?

2

Treatment groups

Active Control

Placebo Group

Group I: Active Treatment ArmActive Control1 Intervention
Group II: Control ArmPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Robert Pickett

Lead Sponsor

Ascension Health

Industry Sponsor

Trials
28
Recruited
543,000+

Boston Scientific Corporation

Industry Sponsor

Trials
758
Recruited
867,000+
Michael F. Mahoney profile image

Michael F. Mahoney

Boston Scientific Corporation

Chief Executive Officer since 2016

MBA from Wake Forest University, BBA in Finance from the University of Iowa

Kenneth Stein profile image

Kenneth Stein

Boston Scientific Corporation

Chief Medical Officer since 2020

MD from Harvard Medical School, MMSc in Clinical Investigation from Harvard-MIT Division of Health Sciences and Technology

Citations

HeartLogic™: real-world data—efficiency, resource ... - PMC

The two co-primary endpoints were sensitivity to detect HF events >40% and unexplained alert rate <2 alerts per patient-year. The HeartLogic™ algorithm showed a ...

Comparative Diagnostic Efficacy of HeartLogic and TriageHF ...

HeartLogic uses a quantitative approach, integrating variables like intrathoracic impedance and activity level to predict heart failure risk, ...

Clinical Data - HeartLogic Heart Failure Diagnostic

In real-world analyses of nearly 500 patients across four studies, HeartLogic was shown to provide consistent heart failure detection performance with low ...

Trial Data Show Positive Predictive Results for Boston ...

The HeartLogic Diagnostic accurately enhanced the ability to classify patients at high or low-risk of experiencing a future HF event.

Results of the Precision Event Monitoring for Patients With ...

Alert sensitivity for outpatient visits and hospitalizations for HF was 78.3%, and the false-positive rate was 1.18/year. The HeartLogic index ...

Clinical Utility of HeartLogic, a Multiparametric Telemonitoring ...

HeartLogic seems to be a useful tool in the daily practice of an HF program. It can help to both identify patients at increased risk of decompensation.

Impact and safety of remote monitoring of heart failure patients ...

HeartLogic, an algorithm in implanted devices, predicts heart failure (HF) episodes via a remotely monitored index, aiding proactive congestion ...

NCT07544771 | HeartLogic™ in Patients With Heart Failure.

This randomized, multicenter clinical trial will evaluate whether remote management guided by the HeartLogic™ algorithm improves outcomes ...