ClinicalTrials.gg
CompletedNCT01459874Updated Mar 28, 2013

Evaluation of an Organizational Model for Remote Monitoring of Pacemaker and Implantable Cardioverter Defibrillator Recipients

An observational study in Pacemaker and Implantable Cardioverter Defibrillator, sponsored by San Filippo Neri General Hospital. Completed at 74 sites in Italy. Per ClinicalTrials.gov, last updated 2013-03-28.

Sponsored by San Filippo Neri General Hospital · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,650
Sex
All
01

Study summary

The purpose of the registry is to evaluate an organizational model fixing roles and behaviors of subjects involved in the remote monitoring of patients implanted with pacemakers and defibrillators.

The evaluation will estimate the clinical efficiency and the impact on health service resources of the organizational model when this is implemented in the daily clinical practice.

Read the detailed description

After a number of studies which assessed technical reliability and clinical implications of remote monitoring systems, a further step should approach the issue of how remote monitoring can be implemented as a part of routine activities of a cardiology outpatient clinic. A clear definition of roles and workflow to timely manage information and properly react to adverse events is required. The HomeGuide Registry proposes an organizational model specifying roles and procedures for outpatient clinics using a specific remote monitoring system in routine follow-up. The HomeGuide model is essentially based on an interaction between one or more allied professionals (expert and trained nurses or technicians) and a responsible physician. The main objective of the HomeGuide Registry is to evaluate:

  1. Clinical efficiency of remote patient management;
  2. Health service resources required by a remote patient management.
02

Conditions studied

  • Pacemaker
  • Implantable Cardioverter Defibrillator

Keywords

  • Home Monitoring
  • Remote monitoring
  • Telecardiology
  • Organizational model
  • Patient indicated for pacemaker, ICD, CRT-P, or CRT-D
03

In context

Lead sponsor

San Filippo Neri General Hospital is the lead sponsor of 10 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Cardiac Implantable Device recipients

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients implanted with a BIOTRONIK pacemaker or ICD with Home Monitoring (HM) technology
  • Ability to utilize the HM system throughout the study
  • Ability to give
  • Ability to return for regular follow-ups for two years

Exclusion criteria

Exclusion Criteria:

  • Patients who do not fulfill all inclusion criteria
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,650 participants (actual)

Groups and cohorts

  • Cardiac Implantable Device recipients

    Behavioral: Organizational model for remote monitoring

Interventions

  • BehavioralOrganizational model for remote monitoring

    An organizational model defining roles and behaviors of subjects involved in the remote monitoring of pacemaker and defibrillator recipients

    Also known as: Biotronik Home Monitoring

06

What researchers measure

Primary outcomes

  1. Sensitivity, positive predictive value and expected utility of the organizational model

    Sensitivity, positive predictive value and expected utility in the detection of all cardiovascular and device-related events of the proposed organizational model

    Time frame: Up to two years

Secondary outcomes

  1. Manpower of the organizational model

    Health care source consumption required to implement the organizational model for the remote management of patients

    Time frame: Up to two years

07

Study locations

74 sites
  • Senigallia Civil Hospital
    Senigallia, Ancona, Italy
  • Presidio Ospedale di Ariano Irpino
    Ariano Irpino, Avellino, Italy
  • Umberto I Hospital
    Altamura, Bari, Italy
  • Michele Sarcone Hospital
    Terlizzi, Bari, Italy
  • PO Francesco Ferrari
    Casarano, Lecce, Italy
  • P.O.G. Fogliani
    Milazzo, Messina, Italy
  • Ospedale di Circolo
    Desio, Monza e Brianza, Italy
  • San Leonardo
    Castellammare di Stabia, Napoli, Italy
  • Volterra Hospital
    Volterra, Pisa, Italy
  • SS. Cosimo e Damiano Hospital
    Pescia, Pistoia, Italy
  • P. O. Villa D'Agri
    Marsicovetere, Potenza, Italy
  • Guizzardi Hospital
    Vittoria, Ragusa, Italy
  • G. B. Grassi
    Ostia, Roma, Italy
  • Santa Maria Della Misericordia Hospital
    Sorrento, Salerno, Italy
  • P.O. Giannuzzi
    Manduria, Taranto, Italy
  • Paolo Borsellino Hospital
    Marsala, Trapani, Italy
  • Ulss n. 7
    Conegliano, Treviso, Italy
  • Montebelluna Hospital
    Montebelluna, Treviso, Italy
  • ULSS n. 14
    Chioggia, Venezia, Italy
  • Dell'Angelo Hospital
    Mestre, Venezia, Italy
  • Mirano Hospital
    Mirano, Venezia, Italy
  • Portogruaro Hospital
    Portogruaro, Venezia, Italy
  • Mater Salutis Hospital
    Legnago, Verona, Italy
  • G.M. Lancisi Hospital
    Ancona, Italy
  • I.N.R.C.A.
    Ancona, Italy
  • S. Donato di Arezzo Hospital
    Arezzo, Italy
  • Policlinico - Card. Universitaria
    Bari, Italy
  • Policlinico - Cardiologia Ospedaliera
    Bari, Italy
  • Policlinico - Cardiologia Ospedaliera
    Benevento, Italy
  • AO Spedali Civili
    Brescia, Italy
  • Congreg. Ancelle della Carità Poliambulanza
    Brescia, Italy
  • A. Perrino Hospital
    Brindisi, Italy
  • Cardarelli Hospital
    Campobasso, Italy
  • S. Cuore University
    Campobasso, Italy
  • Carrara Civil Hospital
    Carrara, Italy
  • Sant'Anna e San Sebastiani Hospital
    Caserta, Italy
  • Ferrarotto Hospital
    Catania, Italy
  • AO Arcispedale S. Anna
    Ferrara, Italy
  • A.O.U. Careggi S.O.D. Aritmologia
    Firenze, Italy
  • S. Giovanni di Dio Hospital
    Firenze, Italy
  • S. Maria Annunziata Hospital
    Firenze, Italy
  • S. Maria Nuova Hospital
    Firenze, Italy
  • P.O. Di Gorizia
    Gorizia, Italy
  • F. Veneziale Hospital
    Isernia, Italy
  • Vito Fazzi Hospital
    Lecce, Italy
  • Piemonte Hospital
    Messina, Italy
  • Sacco Hospital
    Milano, Italy
  • F.B.F.
    Napoli, Italy
  • Federico II Hospital
    Napoli, Italy
  • Monaldi Hospital - Gruppo Sun
    Napoli, Italy
  • Monaldi Hospital, U.O. Aritmologia
    Napoli, Italy
  • Policlinico Federico II
    Napoli, Italy
  • Policlinico Universitario di Padova
    Padova, Italy
  • ARNAS Civico
    Palermo, Italy
  • Cervello Hospital
    Palermo, Italy
  • Santa Maria della Misericordia Hospital
    Perugia, Italy
  • Guglielmo da Saliceto Civil Hospital
    Piacenza, Italy
  • Santa Maria degli Angeli Hospital
    Pordenone, Italy
  • Santa Maria Nuova Hospital
    Reggio Emilia, Italy
  • Degli Infermi Hospital
    Rimini, Italy
  • Casa di Cura Villa Pia
    Roma, Italy
  • Policlinico Casilino
    Roma, Italy
  • Policlinico Tor Vergata
    Roma, Italy
  • Policlinico Umberto I
    Roma, Italy
  • San Filippo Neri Hospital
    Rome, Italy
  • San Giovanni di Dio e Ruggi D'Aragona Hospital
    Salerno, Italy
  • San Donà di Piave Hospital
    San Donà di Piave, Italy
  • Teresa Masselli Mascia Hospital
    San Severo, Italy
  • P.O. SS. Annunziata
    Taranto, Italy
  • Sant'Antonio Abate Hospital
    Trapani, Italy
  • Ca' Foncello Hospital
    Treviso, Italy
  • Di Circolo Hospital
    Varese, Italy
  • Macchi Hospital
    Varese, Italy
  • SS. Giovanni e Paolo Hospital
    Venezia, Italy
08

References and documents

Publications

  • Ricci RP, Morichelli L, D'Onofrio A, Calo L, Vaccari D, Zanotto G, Curnis A, Buja G, Rovai N, Gargaro A. Effectiveness of remote monitoring of CIEDs in detection and treatment of clinical and device-related cardiovascular events in daily practice: the HomeGuide Registry. Europace. 2013 Jul;15(7):970-7. doi: 10.1093/europace/eus440. Epub 2013 Jan 29. PubMed 23362021 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Mar 2008, a primary completion of Dec 2011 and a completion of Dec 2011. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 24, 2011
First posted
Oct 26, 2011
Start
Mar 2008
Primary completionActual
Dec 2011
CompletionActual
Dec 2011
Last update
Mar 28, 2013
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 28, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01459874
Lead sponsor
San Filippo Neri General Hospital
Collaborators
Biotronik Italia
Responsible party
Renato Pietro Ricci (Principal Investigator, San Filippo Neri General Hospital) — Principal investigator
First posted
Oct 26, 2011
Start date
Mar 2008
Primary completion
Dec 2011
Completion
Dec 2011
Last update
Mar 28, 2013

Study contacts

Renato Pietro Ricci
principal investigator · San Filippo Neri Hospital, Rome, Italy
Loredana Morichelli
study chair · San Filippo Neri Hospital, Rome, Italy
Gianfranco Buja
study chair · Policlinico universitario, University of Padua, Italy
Leonardo Calò
study chair · Policlinico Casilino, Rome, Italy
Antonio Curnis
study chair · Spedali Civili, University of Brescia, Italy
Antonio D'Onofrio
study chair · Monaldi Hospital, Italy
Diego Vaccari
study chair · Montebelluna Hospital, Italy
Gabriele Zanotto
study chair · Legnago Hospital, Verona, Italy
Alessio Gargaro
study chair · Biotronik Italia
Nicola Rovai
study chair · Biotronik Italia

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2013. You cannot join it, but the record below documents what was studied.

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