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HF - Heart FailureMECKINCT06070519

A Dynamic Evaluation of Chronic Heart Failure Prognosis: the MECKI Score

A study testing CPET and related variables evaluation in people with HF - Heart Failure, run by Centro Cardiologico Monzino at 4 sites in Italy.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The project is dedicated to the improvement of our capability to provide a precise and personalized prognosis in heart failure (HF) patients in stable conditions. The Metabolic Exercise test data combined with Cardiac and Kidney Indexes (MECKI) score is one of the 3 HF prognostic models recommended by the 2021… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
HF - Heart Failure
What is being tested?
CPET and related variables evaluation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
400 participants
Where
4 sitesItaly
Study dates
1 May 2023to 1 May 2026
Phase
Interventional
Are there results?
None posted in the registry

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

  • Previous or present HF symptoms (NYHA functional class I-IV, stage B and C of ACC/AHA classification)
  • history or presence of left ventricular ejection fraction (LVEF)<40%
  • unchanged HF medications for at least three months
  • ability to perform a CPET
  • no major cardiovascular treatment or intervention scheduled

Who cannot join

  • History of pulmonary embolism
  • moderate-to-severe aortic and mitral stenosis
  • pericardial disease
  • severe obstructive lung disease
  • exercise-induced angina
  • significant ECG alterations, or presence of any clinical comorbidity interfering with exercise performance

Trial locations and contacts

4 sites in 1 country.

Italy4 sites, 4 recruiting
  • IRCCS Centro Cardiologico Monzino

    Milan, Milan, 20138

    Piergiuseppe Agostoni, Prof, 02 58002586, piergiuseppe.agostoni@cardiologicomonzino.it

    Elisabetta Salvioni, PhD, 02 58002010, elisabetta.salvioni@cardiologicomonzino.it

    Recruiting
  • Università di Napoli Federico II

    Naples, 80138

    Stefania Paolillo, Prof, paolilloste@gmail.com

    Recruiting
  • Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione

    Palermo, 90127

    Manlio Cipriani, MD, mcipriani@ismett.edu

    Not yet recruiting
  • Fondazione Toscana Gabriele Monasterio per la ricerca medica e di sanità pubblica

    Pisa, 56124

    Michele Emdin, Prof, m.emdin@santannapisa.it

    Recruiting

Other trials in Italy

About this study

The project is dedicated to the improvement of our capability to provide a precise and personalized prognosis in heart failure (HF) patients in stable conditions. The Metabolic Exercise test data combined with Cardiac and Kidney Indexes (MECKI) score is one of the 3 HF prognostic models recommended by the 2021 European HF guidelines and it is considered the most powerful prognostic tool available. MECKI score integrates cardiopulmonary exercise test (CPET) data with easy-to-obtain clinical, laboratory, and echocardiographic variables. It is based on 6 parameters: peak oxygen intake (peakVO2), minute ventilation/carbon dioxide production (VE/VCO2 slope), hemoglobin (Hb), Left Ventricle Ejection Fraction (LVEF), kidney function by Modification of Diet in Renal Disease (MDRD) formula, and sodium (Na+).

The aim of the present project is to assess the day-by-day MECKI score variability, CPET parameters interobserver variability, characterization of HF patients who change MECKI score values in 6 and 12 months, and the prognostic meaning of time dependent MECKI score changes.

Read the detailed description

This is a low-intervention multicenter clinical trial aim at evaluating the role of time dependent prognostic parameters changes, moving from the single shot evaluation to dynamic analysis. Each participant center will perform patients' recruitment and follow up. At the baseline visit, CPET-related variables, echocardiographic, ECG, therapy and blood chemistry data will be collected. The baseline CPET will be repeated within 2 weeks. Patients will perform 4 follow up visits at 6, 12, 18 and 24 months after the baseline visit. At every study step, study procedures aimed to calculate MECKI score will be performed:

  • Echocardiography (Left Ventricle Ejection Fraction - LVEF)
  • Blood sample (Na+, MDRD, Hb)
  • Maximal ramp protocol CPET (peakVO2, minute ventilation/carbon dioxide production (VE/VCO2) slope - VE/VCO2 slope)
Being tested
CPET and related variables evaluation
Keywords
Cardiopulmonary exercise testing- CPET, Metabolic Exercise Cardiac Kidney Indexes (MECKI) score
Medical subject headings
Heart Failure

What participants receive

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

  • CPET and related variables evaluationDiagnostic test

    At the baseline visit ,CPET-related variables, echocardiographic, ECG, therapy and blood chemistry data will be collected. The baseline CPET will be repeated within 2 weeks. Patients will perform 4 follow up visits at 6, 12, 18 and 24 months after the baseline visit. At every study step, it will be performed:

    • Echocardiography (LVEF)
    • Blood sample (Na+, MDRD, Hb)
    • Maximal ramp protocol CPET (peakVO2, VE/VCO2 slope)
Study groups in NCT06070519
Study groupRoleWhat they receive
Sigle arm studyExperimentalHF patients who meets all the inclusion and none of the exclusion criteria
Receives: Diagnostic Test: CPET and related variables evaluation

What is being measured

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

  1. Day-by-day variability of MECKI score

    Day by day variability of MECKI score will be done by comparing MECKI score value obtained at study run-in (day 0) and in a second evaluation of MECKI score performed within 2 weeks.

    Measured: through study completion, an average of 3 year

  2. Identification of interobserver variability

    CPET interobservers variability will be done by assessing CPET analysis done by two recognized CPET experts blinded on patients data

    Measured: through study completion, an average of 3 year

Secondary outcomes (8)
  1. Time-related dynamic changes of peak oxygen intake (VO2)

    Modifications in peak oxygen intake (VO2) in 6-12-18-24 months will be evaluated in relation to prognosis

    Measured: through study completion, an average of 3 year

  2. Time-related dynamic changes of minute ventilation/carbon dioxide production (VE/VCO2) slope

    Modifications in minute ventilation/carbon dioxide production (VE/VCO2) slope in 6-12-18-24 months will be evaluated in relation to prognosis

    Measured: through study completion, an average of 3 year

  3. Time-related dynamic changes of MDRD

    Modifications of MDRD in 6-12-18-24 months will be evaluated in relation to prognosis

    Measured: through study completion, an average of 3 year

  4. Time-related dynamic changes of LVEF

    Modifications of LVEF in 6-12-18-24 months will be evaluated in relation to prognosis

    Measured: through study completion, an average of 3 year

  5. Time-related dynamic changes of hemoglobin

    Modifications of hemoglobin in 6-12-18-24 months will be evaluated in relation to prognosis

    Measured: through study completion, an average of 3 year

  6. Time-related dynamic changes of Na+

    Modifications of Na+ in 6-12-18-24 months will be evaluated in relation to prognosis

    Measured: through study completion, an average of 3 year

  7. The identification of the prognostic meaning of MECKI score changes at 6 months

    Modifications of MECKI score at 6 months will be evaluated in relation to prognosis

    Measured: 6 months

  8. The identification of the prognostic meaning of MECKI score changes at one year

    Modifications of MECKI score at one year will be evaluated in relation to prognosis

    Measured: one year

Timeline

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

  1. First posted6 Oct 2023
  2. Study start1 May 2023
  3. Primary completion1 May 2025 (estimated)
  4. Study completion1 May 2026 (estimated)

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
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
400 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06070519
Sponsor's protocol ID
CCM1827
Acronym
MECKI
Status last verified
Oct 2023
First submitted
2 Oct 2023
Last updated
6 Oct 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • 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. Eur Heart J. 2021 Sep 21;42(36):3599-3726. doi: 10.1093/eurheartj/ehab368. No abstract available.

    PubMed 34447992
  • Agostoni P, Corra U, Cattadori G, Veglia F, La Gioia R, Scardovi AB, Emdin M, Metra M, Sinagra G, Limongelli G, Raimondo R, Re F, Guazzi M, Belardinelli R, Parati G, Magri D, Fiorentini C, Mezzani A, Salvioni E, Scrutinio D, Ricci R, Bettari L, Di Lenarda A, Pastormerlo LE, Pacileo G, Vaninetti R, Apostolo A, Iorio A, Paolillo S, Palermo P, Contini M, Confalonieri M, Giannuzzi P, Passantino A, Cas LD, Piepoli MF, Passino C; MECKI Score Research Group. Metabolic exercise test data combined with cardiac and kidney indexes, the MECKI score: a multiparametric approach to heart failure prognosis. Int J Cardiol. 2013 Sep 10;167(6):2710-8. doi: 10.1016/j.ijcard.2012.06.113. Epub 2012 Jul 15.

    PubMed 22795401
  • Agostoni P, Paolillo S, Mapelli M, Gentile P, Salvioni E, Veglia F, Bonomi A, Corra U, Lagioia R, Limongelli G, Sinagra G, Cattadori G, Scardovi AB, Metra M, Carubelli V, Scrutinio D, Raimondo R, Emdin M, Piepoli M, Magri D, Parati G, Caravita S, Re F, Cicoira M, Mina C, Correale M, Frigerio M, Bussotti M, Oliva F, Battaia E, Belardinelli R, Mezzani A, Pastormerlo L, Guazzi M, Badagliacca R, Di Lenarda A, Passino C, Sciomer S, Zambon E, Pacileo G, Ricci R, Apostolo A, Palermo P, Contini M, Clemenza F, Marchese G, Gargiulo P, Binno S, Lombardi C, Passantino A, Filardi PP. Multiparametric prognostic scores in chronic heart failure with reduced ejection fraction: a long-term comparison. Eur J Heart Fail. 2018 Apr;20(4):700-710. doi: 10.1002/ejhf.989. Epub 2017 Sep 26.

    PubMed 28949086
  • Paolillo S, Veglia F, Salvioni E, Corra U, Piepoli M, Lagioia R, Limongelli G, Sinagra G, Cattadori G, Scardovi AB, Metra M, Senni M, Bonomi A, Scrutinio D, Raimondo R, Emdin M, Magri D, Parati G, Re F, Cicoira M, Mina C, Correale M, Frigerio M, Bussotti M, Battaia E, Guazzi M, Badagliacca R, Di Lenarda A, Maggioni A, Passino C, Sciomer S, Pacileo G, Mapelli M, Vignati C, Clemenza F, Binno S, Lombardi C, Filardi PP, Agostoni P; MECKI Score Research Group (see Appendix). Heart failure prognosis over time: how the prognostic role of oxygen consumption and ventilatory efficiency during exercise has changed in the last 20 years. Eur J Heart Fail. 2019 Feb;21(2):208-217. doi: 10.1002/ejhf.1364. Epub 2019 Jan 11.

    PubMed 30632680
  • Salvioni E, Bonomi A, Re F, Mapelli M, Mattavelli I, Vitale G, Sarullo FM, Palermo P, Veglia F, Agostoni P. The MECKI score initiative: Development and state of the art. Eur J Prev Cardiol. 2020 Dec;27(2_suppl):5-11. doi: 10.1177/2047487320959010.

    PubMed 33238744

Questions about this trial

What is this clinical trial studying?

A study testing CPET and related variables evaluation in people with HF - Heart Failure, run by Centro Cardiologico Monzino at 4 sites in Italy.

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 5 inclusion and 6 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: status not confirmed, as of the sponsor's last update on 6 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in Italy. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Piergiuseppe Agostoni, Prof (02 58002586, piergiuseppe.agostoni@cardiologicomonzino.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Day-by-day variability of MECKI score (time frame: through study completion, an average of 3 year). The study lists 2 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 NCT06070519, which also lists 5 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 6 Oct 2023; AzTrials last refreshed its copy on 7 Nov 2026.

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