Secondary Prevention of Coronary Heart DiseaseAIM-CHDNCT06686056
Artificial Intelligence-Enhanced Management for Coronary Heart Disease (AIM-CHD) : Impact on Cholesterol and Other CHD Risk Factors
A study testing AIM-CHD Mobile Health Intervention and Usual post-discharge care in people with Secondary Prevention of Coronary Heart Disease, run by China National Center for Cardiovascular Diseases at 1 site in China.
Trial summary
The goal of this clinical trial is to find out if an artificial intelligence (AI)-enhanced mobile app can help people with coronary heart disease (CHD) better manage their health after being discharged from the hospital. The main questions it aims to answer are: 1. Read more about this study
- Who is it for?
- Ages 18 to 85 years
- Conditions the study is for
- Secondary Prevention of Coronary Heart Disease
- What is being tested?
- AIM-CHD Mobile Health Intervention and Usual post-discharge care
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,100 participants
- Where
- 1 siteChina
- Study dates
- 23 Nov 2024to 30 Jun 2025
- 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 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- CHD patients aged 18-85 years
- ability of the patient or close relatives to use smartphones and applications
- willingness to participate and sign the informed consent form
Who cannot join
- severe cognitive impairment
- advanced malignant tumors
- expected survival of less than 3 months
- severe multi-organ failure
- refusal to sign the informed consent form
Trial locations and contacts
1 site in 1 country.
China1 site
Fuwai Hospital, Chinese Academy of Medical Sciences/National Center for Cardiovascular Diseases
Beijing, Beijing Municipality, 100037
About this study
Official title: A Single-Center, Open-Label, Randomized, Parallel Controlled Trial Evaluating the Effectiveness of Artificial Intelligence-Enhanced Management for Coronary Heart Disease (AIM-CHD) Delivered Via Mobile Application
The goal of this clinical trial is to find out if an artificial intelligence (AI)-enhanced mobile app can help people with coronary heart disease (CHD) better manage their health after being discharged from the hospital. The main questions it aims to answer are:
- Does the AI-enhanced app help lower bad cholesterol (LDL-C) levels within 3 months after leaving the hospital?
- Does the app improve other health measures, like blood pressure, blood sugar control, weight, medication adherence and cardiac events?
Read more
Researchers will compare the AI-enhanced app to usual care, where participants receive usual health advice without using the app.
Participants will:
- Be randomly assigned to use either the AI-enhanced app or receive usual care.
- Use the app to track and manage their health, receive reminders, and get educational tips.
- Attend checkups at 3 months to measure cholesterol levels and other health outcomes.
The study hopes to show that using an AI-enhanced app can make it easier for people with CHD to stay healthy and avoid future heart problems.
Read the detailed description
The AIM-CHD app was developed by a diverse team at Fuwai Hospital, including doctors, nurses, patients, and software engineers. It gathers information from synchronized hospital records, questionnaires, intelligent voice follow-ups, and wearable devices. Using this data, it categorizes patients by risk level, detects unmanaged risk factors, and generates individualized follow-up schedules and intervention plans. When risk factors are not well controlled, the app alerts patients to these issues. It also reminds users to monitor their health markers regularly, follow prescribed medication routines, and offers personalized health education focused on lifestyle adjustments. The app can assess the severity of blood pressure, heart rate, blood glucose, and lipid levels, advising patients to seek in-person consultations if necessary. AIM-CHD also recognizes emergency scenarios and provides options for online consultations or immediate help from Fuwai Hospital to prevent treatment delays. The platform leverages artificial intelligence (AI) for efficient lab report image recognition and speech-to-text conversion, streamlining follow-up care. Additionally, it offers customized patient education. The AIM-CHD's intervention goals and strategies are grounded in the latest clinical guidelines. The system is built with a front-end and back-end separation architecture: the back-end is developed with the .NET framework using C#, while the front-end is a WeChat mini-program created with JavaScript and React.
- Being tested
- AIM-CHD Mobile Health Intervention, Usual post-discharge care
- Keywords
- Coronary heart disease, secondary prevention, mobile health, artificial intelligence
- Medical subject headings
- Coronary Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AIM-CHD Mobile Health InterventionCombination product
The AIM-CHD platform synchronizes data from hospitalization records, questionnaires, AI-powered voice follow-ups, and wearable devices to perform risk stratification and manage uncontrolled risk factors. It provides individualized follow-up plans, medication reminders, and lifestyle education, with real-time assessments of vital health metrics to prompt necessary in-person consultations. The app offers online consultation access and emergency services through Fuwai Hospital. Additionally, it delivers personalized patient education, aligning with the latest clinical guidelines.
Usual post-discharge careCombination product
Usual post-discharge care includes oral and written instructions on sustained pharmacotherapy regimens, recommended follow-up frequency, and lifestyle modifications.
| Study group | Role | What they receive |
|---|---|---|
| AIM-CHD Mobile Health Intervention Group | Experimental | Participants in the intervention group will be trained to use the AIM-CHD for post-discharge care,while also receiving post-discharge usual care. Receives: Combination Product: AIM-CHD Mobile Health Intervention; Combination Product: Usual post-discharge care |
| Standard Post-Discharge Care Group | Active comparator | Participants in the control group will receive usual post-discharge care, which includes oral and written instructions on sustained pharmacotherapy regimens, recommended follow-up frequency, and lifestyle modifications. Receives: Combination Product: Usual post-discharge care |
What is being measured
The primary outcome is the main question the study is designed to answer.
LDL-C levels
LDL-C levels (mmol/L)
Measured: measured at 3 months post-discharge.
Secondary outcomes (7)
LDL-C Target Attainment Rate
Proportion of patients achieving LDL-C <1.8 mmol/L
Measured: assessed at 3 months post-discharge
Blood Pressure Control Rate
Proportion of patients with controlled blood pressure, defined as systolic pressure <130 mmHg and diastolic pressure <80 mmHg.
Measured: assessed at 3 months post-discharge
Glycosylated Hemoglobin Levels
Measured: assessed at 3 months post-discharge
Smoking Rate
Proportion of patients who are still smoking
Measured: assessed at 3 months post-discharge
BMI
body mass index
Measured: assessed at 3 months post-discharge
Cardiovascular Composite Endpoint Events
Incidence of all-cause mortality, non-fatal myocardial infarction, stroke, and rehospitalization.
Measured: assessed at 3 months post-discharge
Medication Adherence
Proportion of patients adhering to antiplatelet agents and statins, defined as taking medications for more than 80% of the prescribed time over the past month.
Measured: assessed at 3 months post-discharge
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Nov 2024
- Study start23 Nov 2024
- Primary completion30 Jun 2025
- Study completion30 Jun 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Secondary Prevention of Coronary Heart DiseaseStudies of the same condition, open and under way.
- More trials run by China National Center for Cardiovascular DiseasesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,100 participants (actual)
Sponsor and investigators
- Sponsor type
- Other government
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06686056
- Sponsor's protocol ID
- 2024-GSP-GG-4
- Acronym
- AIM-CHD
- Status last verified
- Sep 2025
- First submitted
- 11 Nov 2024
- Last updated
- 19 Sep 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: The individual participant data collected in this study contains sensitive information. Although de-identified, the data will not be publicly shared to protect participant privacy and in accordance with the requirements of the ethics committee.
Publications
Ba Z, Yuan J, Zhao S, Liu M, Chen G, Lian X, Yu F, Su Y, Wang Z, Yang L, Wang X, Wang Y, Zhang X, Zhao W, Gao X, Wu Y. Artificial intelligence-enhanced management system for secondary prevention of coronary heart disease: a randomized clinical trial. BMC Med. 2026 Aug 18;24(1):449. doi: 10.1186/s12916-026-05135-w.
PubMed 42613609Ba Z, Zhao S, Liu M, Chen G, Lian X, Yu F, Su Y, Wang Z, Yang L, Wang X, Zhang X, Yuan J, Gao X, Zhao W, Wu Y. Effectiveness of an AI-enhanced management system for coronary heart disease (AIM-CHD): rationale and design of a single-centre, open-label, randomised, parallel-controlled trial. BMJ Open. 2025 Sep 14;15(9):e105597. doi: 10.1136/bmjopen-2025-105597.
PubMed 40953879
Study at a glance
From the registry record, last updated by the sponsor on 19 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Single-Center, Open-Label, Randomized, Parallel Controlled Trial Evaluating the Effectiveness of Artificial Intelligence-Enhanced Management for Coronary Heart Disease (AIM-CHD) Delivered Via Mobile Application
- ClinicalTrials.gov ID
- NCT06686056
- Acronym / sponsor ID
- AIM-CHD / 2024-GSP-GG-4
- Keywords
- Coronary heart disease, secondary prevention, mobile health, artificial intelligence
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,100 participants (actual)
- Lead sponsor
- China National Center for Cardiovascular DiseasesOther government
- Study start
- 23 Nov 2024 (actual)
- Primary completion
- 30 Jun 2025 (actual)
- Study completion
- 30 Jun 2025 (actual)
- First posted
- 13 Nov 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this clinical trial is to find out if an artificial intelligence (AI)-enhanced mobile app can help people with coronary heart disease (CHD) better manage their health after being discharged from the hospital. The main questions it aims to answer are:
- Does the AI-enhanced app help lower bad cholesterol (LDL-C) levels within 3 months after leaving the hospital?
- Does the app improve other health measures, like blood pressure, blood sugar control, weight, medication adherence and cardiac events?
Researchers will compare the AI-enhanced app to usual care, where participants receive usual health advice without using the app.
Participants will:
- Be randomly assigned to use either the AI-enhanced app or receive usual care.
- Use the app to track and manage their health, receive reminders, and get educational tips.
- Attend checkups at 3 months to measure cholesterol levels and other health outcomes.
The study hopes to show that using an AI-enhanced app can make it easier for people with CHD to stay healthy and avoid future heart problems.
Detailed description
The AIM-CHD app was developed by a diverse team at Fuwai Hospital, including doctors, nurses, patients, and software engineers. It gathers information from synchronized hospital records, questionnaires, intelligent voice follow-ups, and wearable devices. Using this data, it categorizes patients by risk level, detects unmanaged risk factors, and generates individualized follow-up schedules and intervention plans. When risk factors are not well controlled, the app alerts patients to these issues. It also reminds users to monitor their health markers regularly, follow prescribed medication routines, and offers personalized health education focused on lifestyle adjustments. The app can assess the severity of blood pressure, heart rate, blood glucose, and lipid levels, advising patients to seek in-person consultations if necessary. AIM-CHD also recognizes emergency scenarios and provides options for online consultations or immediate help from Fuwai Hospital to prevent treatment delays. The platform leverages artificial intelligence (AI) for efficient lab report image recognition and speech-to-text conversion, streamlining follow-up care. Additionally, it offers customized patient education. The AIM-CHD's intervention goals and strategies are grounded in the latest clinical guidelines. The system is built with a front-end and back-end separation architecture: the back-end is developed with the .NET framework using C#, while the front-end is a WeChat mini-program created with JavaScript and React.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| AIM-CHD Mobile Health Intervention Group | Experimental | Combination Product: AIM-CHD Mobile Health Intervention, Combination Product: Usual post-discharge careParticipants in the intervention group will be trained to use the AIM-CHD for post-discharge care,while also receiving post-discharge usual care. |
| Standard Post-Discharge Care Group | Active comparator | Combination Product: Usual post-discharge careParticipants in the control group will receive usual post-discharge care, which includes oral and written instructions on sustained pharmacotherapy regimens, recommended follow-up frequency, and lifestyle modifications. |
Who may qualify
- Ages
- 18 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- CHD patients aged 18-85 years
- ability of the patient or close relatives to use smartphones and applications
- willingness to participate and sign the informed consent form
Key exclusion criteria (5 listed)
- severe cognitive impairment
- advanced malignant tumors
- expected survival of less than 3 months
- severe multi-organ failure
- refusal to sign the informed consent form
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AIM-CHD Mobile Health InterventionThe AIM-CHD platform synchronizes data from hospitalization records, questionnaires, AI-powered voice follow-ups, and wearable devices to perform risk stratification and manage uncontrolled risk factors. It provides individualized follow-up plans, medication reminders, and lifestyle education, with real-time assessments of vital health metrics to prompt necessary in-person consultations. The app offers online consultation access and emergency services through Fuwai Hospital. Additionally, it delivers personalized patient education, aligning with the latest clinical guidelines. | Combination product | AIM-CHD Mobile Health Intervention Group |
| Usual post-discharge careUsual post-discharge care includes oral and written instructions on sustained pharmacotherapy regimens, recommended follow-up frequency, and lifestyle modifications. | Combination product | AIM-CHD Mobile Health Intervention Group, Standard Post-Discharge Care Group |
Primary outcome
LDL-C levels
Time frame: measured at 3 months post-discharge.
LDL-C levels (mmol/L)
7 secondary outcomes
LDL-C Target Attainment Rate
Time frame: assessed at 3 months post-discharge
Blood Pressure Control Rate
Time frame: assessed at 3 months post-discharge
Glycosylated Hemoglobin Levels
Time frame: assessed at 3 months post-discharge
Smoking Rate
Time frame: assessed at 3 months post-discharge
BMI
Time frame: assessed at 3 months post-discharge
Cardiovascular Composite Endpoint Events
Time frame: assessed at 3 months post-discharge
Medication Adherence
Time frame: assessed at 3 months post-discharge
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Sep 2025.
- Derived from this study: PubMed 42613609Ba Z, Yuan J, Zhao S, Liu M, Chen G, Lian X, Yu F, Su Y, Wang Z, Yang L, Wang X, Wang Y, Zhang X, Zhao W, Gao X, Wu Y. Artificial intelligence-enhanced management system for secondary prevention of coronary heart disease: a randomized clinical trial. BMC Med. 2026 Aug 18;24(1):449. doi: 10.1186/s12916-026-05135-w.
- Derived from this study: PubMed 40953879Ba Z, Zhao S, Liu M, Chen G, Lian X, Yu F, Su Y, Wang Z, Yang L, Wang X, Zhang X, Yuan J, Gao X, Zhao W, Wu Y. Effectiveness of an AI-enhanced management system for coronary heart disease (AIM-CHD): rationale and design of a single-centre, open-label, randomised, parallel-controlled trial. BMJ Open. 2025 Sep 14;15(9):e105597. doi: 10.1136/bmjopen-2025-105597.
- Individual participant dataSharing planned: No. The individual participant data collected in this study contains sensitive information. Although de-identified, the data will not be publicly shared to protect participant privacy and in accordance with the requirements of the ethics committee.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing AIM-CHD Mobile Health Intervention and Usual post-discharge care in people with Secondary Prevention of Coronary Heart Disease, run by China National Center for Cardiovascular Diseases at 1 site in China.
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 5 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 Sep 2025. 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 China. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
LDL-C levels (time frame: measured at 3 months post-discharge.). 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 NCT06686056, which also lists 2 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 Sep 2025.