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HFpEF - Heart Failure With Preserved Ejection FractionEMS-CT-1NCT07215715

US Benchmarking Clinical Study

An observational study of HFpEF - Heart Failure With Preserved Ejection Fraction and HFmrEF, run by eMyosound SAS at 3 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this observational study is to measure shear wave velocity (SWV) in patients with non-reduced left ventricular ejection fraction (LVEF) heart failure and left ventricular hypertrophy, with or without transthyretin amyloidosis with cardiomyopathy (ATTR-CM), and in control subjects without heart failure or… Read more about this study

Who is it for?
Ages 60 years and olderHealthy volunteers can take part
How many people
150 participants
Where
3 sitesUnited States
Study dates
16 Sep 2025to Jul 2026
Phase
Observational
Are there results?
Not yet: the study is under way

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 60 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: The study population is composed of three distinct groups, or cohorts, participating in a multicenter study. The total target enrollment is 150 analyzable patients, with 50 patients per arm from each of the three sites. An additional 30 patients may be enrolled to account for non-contributing data. The study focuses on individuals aged 60 and older, with no upper age limit.

Who may be able to join

  • Male or female age ≥ 60 years
  • Signed informed consent and able to comply with protocol
  • Inclusion Criteria Common to the Heart Failure with non-reduced left ventricular ejection fraction (LVEF) with or without transthyretin amyloid cardiomyopathy (ATTR-CM) Arms:
  • Patients meeting the Universal Definition of Heart Failure \& HeartShare study criteria.
  • LVEF >40% on the last available imaging study
  • Left ventricular hypertrophy (LVH) defined as left ventricular mass index (mass/BSA) in female > 95 g/m², in male > 115 g/m² according to American Society of Echocardiography/European Association of Cariology (ASE/EAC) guidelines42 OR as interventricular septum (IVS) thickness ≥12 mm
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  • Inclusion criterion specific to HF with non-reduced LVEF without ATTR-CM Arm:
  • Negative (grade 0) Pyrophosphate (PYP) scintigraphy within 24 months prior to the enrolment in the study OR Simple Score <643 OR negative endomyocardial biopsy
  • Inclusion criterion specific to HF with non-reduced LVEF with ATTR-CM Arm:
  • ATTR-CM objectively confirmed and classified at any time prior to the enrollment in the study, with monoclonal protein AL amyloidosis ruled out, according to American Heart Association (AHA) 2020 criteria
  • No diagnosis of HF or cardiomyopathy according to the universal definition of Heart Failure
  • No diagnosis of Transthyretin amyloid cardiomyopathy (ATTR-CM) or Amyloid light-chain (AL) amyloidosis

Who cannot join

  • Pregnant OR pre-menopausal woman
  • Vulnerable patients
  • Acute Coronary Syndrome within 30 days
  • Heart rate greater than 130 beats/minute at the time of the measurements
  • Atrial fibrillation or flutter at the time of SWV measurement (history of AF is authorized provided they patient is in sinus rhythm at the time of the measurements)
  • Any clinically significant cardiac arrhythmia at the time of SWV measurement
Show all 26Show fewer
  • Poor echogenicity preventing accurate ultrasound measurements
  • Patients with segmental wall motion abnormalities thought to be due to myocardial infarction.
  • Severe mitral or aortic valve disease (regurgitation or stenosis) excluded if the cause is other than ATTR (e.g., prolapse, endocarditis, prosthetic valve.)
  • Severe tricuspid valve disease (regurgitation or stenosis) excluded if the causes are other than ATTR.
  • Distance from skin to IVS ≥ 8 cm
  • Any prosthetic mechanical valve
  • Patients with mechanical cardiac assist devices other than pacemakers or defibrillators
  • Heart, lung, liver or kidney transplant history or expected in the next year
  • Severe renal impairment with eGFR < 15 mL/min/1.73m² or end-stage renal disease or patient on dialysis.
  • Presence of any competing life-threatening risk over the next 12 months
  • Complicated uncontrolled diabetes mellitus HbA1c ≥9% with target organ damage.
  • Uncontrolled and persistent high-blood pressure with diastolic pressure > 100 mmHg or systolic pressure > 160 mmHg at the time of the measurement.
  • Acute decompensated state such as volume overload, etc. in the opinion of the study investigator
  • Skin abnormalities, infections, or open wounds at the site of the SVW measurement
  • Liver disease, at least moderate
  • Exclusion criteria in both the HF with non-reduced LVEF with or without ATTR-CM Arms:
  • Known inherited cardiomyopathy, infiltrative cardiomyopathy (other than ATTR-CM for the study arm for ATTR-CM), cardiomyopathy from muscular dystrophies, cardiomyopathy with reversible causes (e.g., stress cardiomyopathy), hypertrophic cardiomyopathy or known pericardial constriction
  • History of treatment for ATTR-CM with Transthyretin (TTR) depleters
  • Any diagnosis of cardiomyopathy or HF, whatever the cause46
  • LVH based on LV mass index female >95 g/m², in male ≥115 g/m² OR IVS thickness ≥12 mm unless thought to be due to athlete's heart

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Director Clinical Operations contact

+33781549847

clinical@emyosound.com

United States3 sites, 3 recruiting
  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

    Hanna K Gaggin, M.D., 617-726-2709, hgaggin@mgh.harvard.edu

    Hanna K Gaggin, M.D.

    Recruiting
  • Brigham and Women's Hospital

    Boston, Massachusetts, 02116

    Sarah Cuddy, M.D., 863-303-6799, scuddy1@bwh.harvard.edu

    Sarah Cuddy, M.D.

    Recruiting
  • Boston Medical Center

    Boston, Massachusetts, 02118

    Denise M Fine, 781-293-9146, Denise.Fine@bmc.org

    Deepa M Gopal, M.D.

    Recruiting

Other trials in United States

About this study

Official title: Myocardial & Hepatic Shear Wave Velocity Measurements in Patients With Non-Reduced-Ejection Fraction Heart Failure and Control Subjects - US Benchmarking Clinical Study

The goal of this observational study is to measure shear wave velocity (SWV) in patients with non-reduced left ventricular ejection fraction (LVEF) heart failure and left ventricular hypertrophy, with or without transthyretin amyloidosis with cardiomyopathy (ATTR-CM), and in control subjects without heart failure or cardiomyopathy.

The main question it aims to answer is:

Read more
  • Can SWV be used to measure myocardial and liver stiffness in the study's target populations? Researchers will compare patients with ATTR-CM, patients without ATTR-CM, and a control group to determine the distributions of SWV in each population.

Participants will:

  • Have a standard cardiology assessment, including a physical exam, blood work, and an echocardiogram.
  • Undergo an investigational assessment with the eMyosound LYRA device to measure SWV in their myocardium and liver.
  • Have the investigational assessment repeated by a second observer to assess measurement reliability.
Read the detailed description

This is a multicenter, prospective, consecutive cross-sectional study with three parallel arms and non-competitive enrollment. The study is designed to advance the clinical understanding of myocardial and hepatic stiffness by using a novel ultrasound elastography device, the eMyosound LYRA. The prospective design is essential because this elastographic assessment is not yet part of standard care, and the investigational device is being made available specifically for this research. Consecutive recruitment will be used to minimize selection bias by inviting all eligible patients to participate. The cross-sectional design means that no longitudinal follow-up visits are required, making the study feasible for a single-visit assessment.

The primary objective is to determine the shear wave velocity (SWV) in the left ventricle, right ventricle, and liver of three distinct patient populations as specified in the Groups and Interventions section of this form.

The study also aims to establish the device's proportion of patients in whom SWV can be estimated, to characterize the distribution of various myocardial and hepatic SWV measurements, and to compare these distributions between the three study arms. We will also investigate the statistical associations between SWV and a range of clinical, ECG, laboratory, and echocardiographic variables to better understand how these parameters correlate with myocardial stiffness. A key part of our methodology involves a test-retest procedure with two independent observers to establish the within-observer repeatability and between-observer reliability of the SWV measurements.

Study Conduct and Procedures The study will enroll a total of 150 analyzable participants (50 per arm) from three medical centers. The total enrollment may reach up to 180 to account for potential dropouts or non-contributing data. The study is confined to a single visit for each participant, with a total estimated duration of 2.5 hours.

At the single visit, after informed consent is signed, patients will undergo a series of assessments. A standard medical history and physical examination will be performed. Patients will also receive a 12-lead ECG, blood work (including NT-proBNP and hsTnT), and a standard echocardiogram with a wide range of measurements.

Following these standard cardiology assessments, the investigational elastographic assessment will be performed with the eMyosound LYRA device, a Class II medical device for real-time sonographic imaging, shear wave measurement, and electrocardiographic recording. The assessment includes two types of shear wave measurements using the device's M3-5 LYRA probe:

Myocardial Shear Wave Velocity (SWV): Measurements will be taken in specific myocardial regions of interest (ROIs), including the right ventricular anterior free wall (RVAW), left ventricular anteroseptal wall (LVAW), and interventricular septum (IVS). These measurements are acquired in both parasternal long-axis (PLAX) and parasternal short-axis (PSAX) views, and the IVS is also measured in the apical 4-chamber (A4C) view.

Hepatic Shear Wave Velocity (SWV): The operator will measure SWV in two distinct ROIs of the liver's right lobe.

The types of measurements include Acoustic Radiation Force Induced Shear Waves (ARF-SWV), which are performed during diastasis, and Natural Shear Waves (N-SWV), which are produced by cardiac movements. For the test-retest procedure, each of the two observers will attempt to acquire 20 repeated valid measurements for each target ROI.

Risk and Safety Management The study is designed to minimize risks, which are similar to those of other echocardiographic devices. Risk management is handled by respecting the device's indications and contraindications and providing detailed training and technical support to investigators. The potential benefit to participants is a free, thorough cardiological assessment. A Data and Safety Monitoring Board (DSMB) will provide independent oversight, review all adverse events, and make recommendations to the sponsor.

Statistical Analysis The study is primarily descriptive and exploratory. The target sample size is 150 analyzable patients. The final analysis will be performed once all participants have completed the study. Two interim analyses are planned: a qualitative analysis after the first 15 patients to check for safety issues and a quantitative analysis after the first 75 patients to check data quality.

Keywords
Shear Wave Velocity, non-invasive ultrasound elastography, US Benchmarking Clinical Study, Heart Failure, Cardiac Amyloidosis, ATTR-CM
Medical subject headings
Hypertrophy, Left Ventricular, Amyloid Neuropathies, Familial, Heart Failure

What participants receive

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

Study groups in NCT07215715
Study groupRoleWhat they receive
Heart Failure with LVEF > 40% and LVH with ATTR-CMheart failure (HF) with left ventricular ejection fraction (LVEF) > 40% and left ventricular hypertrophy (LVH) with transthyretin amyloidosis with cardiomyopathy (ATTR-CM)
Heart Failure with LVEF > 40% and LVH, without ATTR-CMHeart Failure with LVEF > 40% and LVH, without ATTR-CM
Control group of patients without heart failure or cardiomyopathyControl group of patients without heart failure or cardiomyopathy.

What is being measured

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

  1. The primary outcome measures are the shear wave velocity (SWV) measurements extracted from the eMyosound LYRA device acquisitions.

    These measurements include:

    Myocardial Acoustic Radiation Force (ARF)-SWV, defined as the velocity projected along the muscle fibers during diastasis.

    Myocardial Natural (N)-SWV, measured during both mitral valve closure (MVC) and aortic valve closure (AVC).

    Hepatic ARF-SWV, measured in two distinct regions of the right liver lobe.

    Measured: single study visit of a duration of approximatively 2.5 hours

Secondary outcomes (9)
  1. The secondary outcome measures are comprehensive and are used to establish distributions, assess device performance, and explore associations with clinical data

    The proportion of patients for whom SWV can be estimated in each region of interest (ROI) and each view [Parasternal Long Axis (PLAX) view, Parasternal Short Axis (PSAX) view, Apical Four Chamber (A4C) view].

    Measured: single-study visit of a duration of approximatively 2.5 hours

  2. Distribution of myocardial Acoustic Radiation Force - Shear Wave Velocity (ARF-SWV) and myocardial Natural - Shear Wave Velocity (N-SWV).

    Establish the distribution of myocardial ARF-SWV and myocardial N-SWV.

    Measured: single-study visit of a duration of approximatively 2.5 hours

  3. Distribution of hepatic ARF-SWV.

    Establish the distribution of hepatic Acoustic Radiation Force - Shear Wave Velocity (ARF-SWV).

    Measured: single-study visit of a duration of approximatively 2.5 hours

  4. Within-observer repeatability of Shear Wave Velocity (SWV) measurements per Region of Interest (ROI)

    Establish the within-observer repeatability of SWV measurements per ROI

    Measured: single-study visit of a duration of approximatively 2.5 hours

  5. Between-observer reliability of SWV measurements per ROI

    Establish the between-observer reliability of SWV measurements per ROI

    Measured: single-study visit of a duration of approximatively 2.5 hours

  6. Comparison of SWV distributions between the three study arms

    Compare the SWV distributions between the three study arms

    Measured: single-study visit of a duration of approximatively 2.5 hours

  7. Statistical associations between the various myocardial and hepatic SWVs and study assessment variables

    Identify the statistical associations between the various myocardial SWVs and the clinical, electrocardiogram (ECG), laboratory, and echocardiographic variables

    Measured: single-study visit of a duration of approximatively 2.5 hours

  8. Safety of the procedure

    Establish the safety of the procedure, documented by the number and severity of adverse events during the study visits until discharge

    Measured: single-study visit of a duration of approximatively 2.5 hours

  9. Identify the statistical associations between the various hepatic SWVs and study assessment variables

    Identify the statistical associations between the various hepatic SWVs and the clinical, electrocardiogram (ECG), laboratory, and echocardiographic variables

    Measured: single-study visit of a duration of approximatively 2.5 hours

Timeline

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

  1. First posted10 Oct 2025
  2. Study start16 Sep 2025
  3. Primary completionJul 2026 (estimated)
  4. Study completionJul 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
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
150 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07215715
Sponsor's protocol ID
EMS-CT-1
Acronym
EMS-CT-1
Status last verified
Oct 2025
First submitted
1 Oct 2025
Last updated
20 Oct 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of HFpEF - Heart Failure With Preserved Ejection Fraction and HFmrEF, run by eMyosound SAS at 3 sites in United States.

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 12 inclusion and 26 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: looking for participants now, as of the sponsor's last update on 20 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Director Clinical Operations (+33781549847, clinical@emyosound.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The primary outcome measures are the shear wave velocity (SWV) measurements extracted from the eMyosound LYRA device acquisitions. (time frame: single study visit of a duration of approximatively 2.5 hours). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 20 Oct 2025.

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