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Chronic PatientsVAL-HICNCT05825755

Multicenter Trial for the Validation of Vitalera Platform

A study testing vitalera telemonitoring platform in people with Chronic Patients and Heart Failure, run by humanITcare at 10 sites in Spain.

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

Vitalera has implemented a cloud platform for the telemonitoring of chronic patients through portable medical devices and an alarm-based system that issues health alerts when a patient's biomedical measurement is outside a predefined clinical range. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Patients, Heart Failure
What is being tested?
vitalera telemonitoring platform
Could I receive a placebo?
No, everyone receives an active treatment
How many people
97 participants
Where
10 sitesSpain
Study dates
20 Mar 2024to 16 Nov 2024
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Heart failure (HF) patients with NYHA Functional Class >= II (according to 2021 EU guidelines).
  • Patients older than 18 years old.
  • Patients who have suffered an acute decompensation of HF (first and recurrent) in the 30 days prior to enrollment in the study.
  • NT-pro BNP ≥300 pg/ml at the moment of hospitalization for patients without ongoing atrial fibrillation/flutter. If ongoing atrial fibrillation/flutter, NT-pro BNP must be ≥600 pg/mL
  • Patients must have had an echocardiogram during their HF hospitalization or in the previous 12 months.
  • Prior to initiating any procedures, the hospital will ensure that the patient obtains an informed consent document, if applicable.
  • All patients will be eligible regardless of the level of LVEF: HFrEF, HFmrEF, and HFpEF.

Who cannot join

  • Oncology patients with metastasis or with chemotherapy treatment ongoing
  • Patients participating in other studies or trials.
  • Patients not willing to participate.
  • Patients over 150 kg
  • Patients who do not use Catalan, Spanish, English, Portuguese, Italian, Dutch, German, Swedish, Hungarian, Romanian or French.
  • Patients without a mobile phone
Show all 11Show fewer
  • Patients without internet connexion
  • Patients with moderate or severe cognitive impairment without a competent caregiver
  • Patients with serious psychiatric illness
  • Patients with planned cardiac surgery
  • Patients with planned heart transplantation or LVAD implant

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

Spain10 sites
  • Hospital d'Alcoi

    Alcoy, Alicante, 03801

  • Hospital Clínic de Barcelona

    Barcelona, 08036

  • Corporació de Salut del Maresme i la Selva (Hospital de Blanes-Hospital de Calella)

    Blanes, Girona, 17300

  • Hospital de Dénia

    Denia, Alacant, 03700

  • Hospital General Universitario de Elche

    Elche, Alicante, 03203

  • Hospital de Vinalopó

    Elche, Alicante, 03292

  • Hospital Universitari Sant Joan de Reus

    Reus, Tarragona, 43204

  • Hospital de Terrassa

    Terrassa, Barcelona, 08227

  • Hospital de Torrejón

    Torrejón de Ardoz, Madrid, 28850

  • Hospital Clínico Lozano Blesa de Zaragoza

    Zaragoza, 50009

Other trials in Spain

About this study

Official title: Randomized Controlled Multicenter Trial for the Validation of Vitalera Platform

Vitalera has implemented a cloud platform for the telemonitoring of chronic patients through portable medical devices and an alarm-based system that issues health alerts when a patient's biomedical measurement is outside a predefined clinical range. The platform frees doctors and caregivers from reviewing individual patient data for abnormalities, speeding up the decision-making process and reducing hospital visits. With this study we intend to validate the efficacy of the app for patients and digital platform for medical professionals, evaluating the increase in the quality of life of patients and measuring the reduction in the incidence of the main critical events of HF. In addition, the study will validate the new API interoperability standards and platform architecture and will assess the usability of the platform by delivering satisfaction questionnaires to patients and professionals at the end of the study.

This study is being carried out within the framework of a European project promoted by the European Innovation Council (EIC).

Read the detailed description

This is a randomized controlled trial involving a Spanish network of hospitals. The study consists of continuous remote patient monitoring using vitalera's digital platform and the supplied devices (blood pressure monitor, wearable, scale and oximeter). For 3 months, a total of 250 patients suffering from HF will have their physiological constants monitored.

Patients will be included in the study based on the eligibility criteria and must complete the informed consent provided. Each hospital will decide when to include their patients according to their particular clinical practice. The recruitment period is defined as 3 months. That means patients will be incorporated into the study from its start until the third month. The last subject included in the study will then finish the study after six months from the first day of the study. Medical professionals from each hospital will be in charge of recruiting the participants. The recruitment rate is specific for each hospital, and it may vary depending on the month.

Being tested
vitalera telemonitoring platform
Keywords
Chronic care, Chronic patients, Heart Failure, Telemonitoring, Remote monitoring, Remote care, Healthcare, Home care
Medical subject headings
Heart Failure

What participants receive

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

  • vitalera telemonitoring platformOther

    Patients will be followed-up with measurements from medical devices and health questionnaires delivered through the app

Study groups in NCT05825755
Study groupRoleWhat they receive
Usual care (UC)No interventionThe follow-up of the patients in the UC arm will be carried out in accordance with the usual clinical practice of each recruitment center. All recruiting centers have active and mature HF programs in place and therefore each center will decide how to follow up the patient. However, medical professionals will be required to register each patient on the platform, enter their baseline data (sociodemographics and risk factors) and enter all possible clinical events (death, non-fatal HF event, hospitalization or emergency room visit). that the patient could suffer during the entire follow-up period. The number of pre-planned contacts will be defined according to the particular clinical practice of each recruitment center.
Telemonitoring (TM)ExperimentalPatients in the TM arm will be followed up with the vitalera platform and app. Physiological parameters (measured periodically), socio-demographic data, risk factors, medication tracking, symptomatology questionnaire for patients, NYHA-class, clinical interventions, health questionnaire answers, classified alarms with their respective timestamp and annotation by the MD, and measurement ranges for each personalized alarm and their changes.
Receives: Other: vitalera telemonitoring platform

What is being measured

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

  1. Change in Quality of Life Scale Between Baseline and 3-months Follow-up

    Quality of life measured with the Minnesota Living with Heart Failure scale. Scale from 0 to 105. The lower the score the better outcome.

    Measured: 3 months

  2. Change in the Proportion of Treatment Adherent Patients Between Baseline and 3-months Follow-up.

    Change in the proportion of patients adherent to treatment measured with SMAQ between start and end of the study. This questionnaire consists of six questions that evaluate different aspects of patient compliance with treatment: forgetfulness, routine, adverse effects, and a quantification of omissions. A patient is classified as non-compliant (non-adherent) if he/she responds to any of the questions with a non-adherence answer, and in terms of quantification, if the patient has lost more than two doses during the last week or has not taken medication during more than two complete days during the last three months.

    Then we compute the proportion of adherent patients at baseline and 3-months follow-up and compute the change in proportion.

    Measured: 3 months

  3. Change in Sel-care Behaviour Scale Between Baseline and 3-months Follow-up

    Patient's self-care behavior measured with The European Heart Failure Self-Care Behavior Scale. Scale from 9 to 45. The higher the score the poorer self-care.

    Measured: 3 months

Secondary outcomes (4)
  1. Mortality From Any Cause

    Number of deaths during the study period

    Measured: 3 months

  2. Number of Hospital Readmissions

    Total number of hospitalizations

    Measured: 3 months

  3. Number of Visits to the Emergency Room Due to HF Decompensation

    Total number of visits with intravenous decongestive therapy

    Measured: 3 months

  4. Number of Emergency Visits for CV Causes

    Total number of visits due to cardiovascular causes

    Measured: 3 months

Timeline

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

  1. First posted24 Apr 2023
  2. Study start20 Mar 2024
  3. Primary completion16 Nov 2024
  4. Study completion16 Nov 2024

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
97 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05825755
Sponsor's protocol ID
FOLLOWHEALTH-2023-02
Acronym
VAL-HIC
Status last verified
Feb 2025
First submitted
24 Mar 2023
Last updated
19 Mar 2025
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Tripoliti EE, Papadopoulos TG, Karanasiou GS, Naka KK, Fotiadis DI. Heart Failure: Diagnosis, Severity Estimation and Prediction of Adverse Events Through Machine Learning Techniques. Comput Struct Biotechnol J. 2016 Nov 17;15:26-47. doi: 10.1016/j.csbj.2016.11.001. eCollection 2017.

    PubMed 27942354
  • Authors/Task Force Members:; McDonagh TA, Metra M, Adamo M, Gardner RS, Baumbach A, Bohm M, Burri H, Butler J, Celutkiene J, Chioncel O, Cleland JGF, Coats AJS, Crespo-Leiro MG, Farmakis D, Gilard M, Heymans S, Hoes AW, Jaarsma T, Jankowska EA, Lainscak M, Lam CSP, Lyon AR, McMurray JJV, Mebazaa A, Mindham R, Muneretto C, Francesco Piepoli M, Price S, Rosano GMC, Ruschitzka F, Kathrine Skibelund A; ESC Scientific Document Group. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). With the special contribution of the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail. 2022 Jan;24(1):4-131. doi: 10.1002/ejhf.2333.

    PubMed 35083827
  • Schiff GD, Fung S, Speroff T, McNutt RA. Decompensated heart failure: symptoms, patterns of onset, and contributing factors. Am J Med. 2003 Jun 1;114(8):625-30. doi: 10.1016/s0002-9343(03)00132-3.

    PubMed 12798449
  • Brahmbhatt DH, Cowie MR. Remote Management of Heart Failure: An Overview of Telemonitoring Technologies. Card Fail Rev. 2019 May 24;5(2):86-92. doi: 10.15420/cfr.2019.5.3. eCollection 2019 May.

    PubMed 31179018
  • Scherr D, Kastner P, Kollmann A, Hallas A, Auer J, Krappinger H, Schuchlenz H, Stark G, Grander W, Jakl G, Schreier G, Fruhwald FM; MOBITEL Investigators. Effect of home-based telemonitoring using mobile phone technology on the outcome of heart failure patients after an episode of acute decompensation: randomized controlled trial. J Med Internet Res. 2009 Aug 17;11(3):e34. doi: 10.2196/jmir.1252.

    PubMed 19687005
  • Koulaouzidis G, Iakovidis DK, Clark AL. Telemonitoring predicts in advance heart failure admissions. Int J Cardiol. 2016 Aug 1;216:78-84. doi: 10.1016/j.ijcard.2016.04.149. Epub 2016 Apr 21.

    PubMed 27140340
  • Koehler F, Winkler S, Schieber M, Sechtem U, Stangl K, Bohm M, Boll H, Baumann G, Honold M, Koehler K, Gelbrich G, Kirwan BA, Anker SD; Telemedical Interventional Monitoring in Heart Failure Investigators. Impact of remote telemedical management on mortality and hospitalizations in ambulatory patients with chronic heart failure: the telemedical interventional monitoring in heart failure study. Circulation. 2011 May 3;123(17):1873-80. doi: 10.1161/CIRCULATIONAHA.111.018473. Epub 2011 Mar 28.

    PubMed 21444883
  • Lee S, Chu Y, Ryu J, Park YJ, Yang S, Koh SB. Artificial Intelligence for Detection of Cardiovascular-Related Diseases from Wearable Devices: A Systematic Review and Meta-Analysis. Yonsei Med J. 2022 Jan;63(Suppl):S93-S107. doi: 10.3349/ymj.2022.63.S93.

    PubMed 35040610
  • Guidi G, Pollonini L, Dacso CC, Iadanza E. A multi-layer monitoring system for clinical management of Congestive Heart Failure. BMC Med Inform Decis Mak. 2015;15 Suppl 3(Suppl 3):S5. doi: 10.1186/1472-6947-15-S3-S5. Epub 2015 Sep 4.

    PubMed 26391638
  • Jaarsma T, Arestedt KF, Martensson J, Dracup K, Stromberg A. The European Heart Failure Self-care Behaviour scale revised into a nine-item scale (EHFScB-9): a reliable and valid international instrument. Eur J Heart Fail. 2009 Jan;11(1):99-105. doi: 10.1093/eurjhf/hfn007.

    PubMed 19147463
  • Roque NA, Boot WR. A New Tool for Assessing Mobile Device Proficiency in Older Adults: The Mobile Device Proficiency Questionnaire. J Appl Gerontol. 2018 Feb;37(2):131-156. doi: 10.1177/0733464816642582. Epub 2016 Apr 11.

    PubMed 27255686
  • Bilbao A, Escobar A, Garcia-Perez L, Navarro G, Quiros R. The Minnesota living with heart failure questionnaire: comparison of different factor structures. Health Qual Life Outcomes. 2016 Feb 17;14:23. doi: 10.1186/s12955-016-0425-7.

    PubMed 26887590

Questions about this trial

What is this clinical trial studying?

A study testing vitalera telemonitoring platform in people with Chronic Patients and Heart Failure, run by humanITcare at 10 sites in Spain.

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 7 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 19 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in Spain. 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 19 Mar 2025). 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 Scale Between Baseline and 3-months Follow-up (time frame: 3 months). The study lists 3 primary outcomes in all. 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 NCT05825755, which also lists 12 linked publications.

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 19 Mar 2025.

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