An interventional study of µCor in Heart Failure, sponsored by Zoll Medical Corporation. Completed at 61 sites in 3 countries. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2025-01-08.
Sponsored by Zoll Medical Corporation · Not applicable, Interventional, and Diagnostic
Subjects meeting the inclusion/exclusion criteria will wear the µCor for at least 90 days. During the study, clinic follow up will occur every 30 days. For all subjects, each scheduled clinic visit will include assessment of cardiac symptoms and any relevant clinically actionable events. The subject will be given a daily diary to track symptoms, unplanned hospital visits, medication changes, and all other heart failure related clinical events. Weekly phone calls to the subject will be given throughout the duration of the study to remind the patient to use the subject diary and to collect and record heart failure related clinical events. Subjects will be contacted six months and one year from initial enrollment to assess the vital status of the subject, any heart failure related clinical events since the end of µCor wear, and any health care utilization since the end of µCor wear.
Subjects meeting the inclusion/exclusion criteria will wear µCor for 90 days from the day of fitting. 500 total patients will be enrolled. There will be an interim analysis when the 200th subject has finished the study in the study to assess for distribution of patients with reduced and preserved LVEF.
Subjects will be fitted with µCor during hospital discharge or within a clinic visit that has occurred within 10 days of a heart failure related hospitalization. The µCor fitting will mark day 0 of the study. An LVEF measurement will be recorded during enrollment or within 30 days post enrollment if an LVEF measurement has not been recorded within 30 days prior to enrollment. An investigator assessment will be performed during all clinic visits. The assessment template is shown in Appendix A.
Subjects will be given a diary at enrollment that will ask them to rate their degree of specific symptoms of heart failure such as shortness of breath and fatigue as well as mark any heart failure related clinical events or medication changes that have occurred since the last entry.
Study follow up visits will occur at day 30, day 60, and day 90. During follow up visits the subjects will be asked about any heart failure related clinical events or change in symptoms that have occurred since the last follow up. The subject will receive a study based weekly phone call asking the subject about any recent heart failure related clinical events or change in heart failure symptoms. During the weekly phone call the subject will be reminded to fill out the daily diary. No phone calls will be given on the week where there is a study follow up visit. There will be 9 total phone calls.
During the Day 90 visit, the subject will be given the option to continue wearing the µCor for an additional 90 days. Furthermore, if the subject experienced a heart failure related clinical event within the initial 90 days of wear, the subject will be given the option of wearing the µCor for 30 days following the heart failure event. .If the subject chooses additional wear time, weekly phone calls and monthly visits will be structured identical to that of the main study period. The µCor will be returned at end of use.
There will be a follow up at six months and one year post enrollment to document mortality data, heart failure related clinical events, and health care utilization data.
Exclusion Criteria:
Wear the µCor device
Device: µCor
Monitor with µCor
Correlation of μCor Readings to Heart Failure Related Clinical Events
HF Event: a hospitalization primarily due to heart failure within 90 days. Time window: The 7 days prior to the 1st heart failure hospitalization, or the final 7 days of device wear if no HF event occurred.
Time frame: 3 months
Correlation of µCor Readings to Heart Failure Related Clinical Events
Definitions: Daytime: 7:00 AM - 12:00 AM Nighttime: 12:00 AM - 7:00 AM For each day on which the subject wore the device, the following values were calculated: Daytime activity: The proportion of minutes while wearing the device that the subject spent active (unitless). Nighttime heart rate: The median heart rate while wearing the device during the night (beats/min) Thoracic fluid index: The median proportion of ratio of radiofrequency-measured lung fluid readings compared to the subject's baseline (unitless). Nighttime posture: The median pitch angle while wearing the device during the night (degrees, where 0 is the horizontal). Nighttime respiration: The median respiration rate while wearing the device during the night (breaths/min) HF event: a hospitalization primarily due to heart failure
Time frame: 3 months
Establishment of Rate of Occurrence of VT/VF Episodes and Arrhythmic Death in Subjects
Rate of occurrence of VT/VF episodes at the time of enrollment in the study and rate of occurrence of arrhythmic death in subjects at 90 days and 1 year.
Time frame: Baseline, 90 days, 1 YR
Correlation Between μCor Measurements and Subject Reported Symptoms - Area Under Curve
During office visits at months 1, 2, and 3, subjects reported their degrees of dyspnea, orthopnea, and fatigue on the following scale: \[none, seldom, frequent, continuous\]. Each day that the subject wore the device, a daily median was calculated for the following measures: \[thoracic fluid index (TFI), nighttime heart rate (HR), nighttime respiration rate (RR)\]. Nighttime was defined as 12:00 AM - 7:00 AM.
Time frame: 3 months
Correlation Between μCor Measurements and Subject Reported Symptoms - Number of Mild/Severe Symptoms
During office visits at months 1, 2, and 3, subjects reported their degrees of dyspnea, orthopnea, and fatigue on the following scale: \[none, seldom, frequent, continuous\]. Each day that the subject wore the device, a daily median was calculated for the following measures: \[thoracic fluid index (TFI), nighttime heart rate (HR), nighttime respiration rate (RR)\]. Nighttime was defined as 12:00 AM - 7:00 AM.
Time frame: 3 months
Frequency of Subject Reported Symptoms
During weekly phone calls and monthly office visits, subjects reported whether they experienced new arrhythmia and/or heart failure symptoms. Results indicate the number of times that subjects reported each of these two symptoms.
Time frame: 3 months
Timing of Subject Reported Symptoms
During weekly phone calls and monthly office visits, subjects reported whether they experienced new arrhythmia and/or heart failure symptoms. Results indicate the median number of weeks until a subject's first symptom report of each type.
Time frame: 3 months
Severity of Subject Reported Symptoms
Each subject was expected to undergo an in-person office visit at the site on months 0, 1, 2, and 3 in which they reported the severity of their heart failure symptoms. Results indicate the number of subjects reporting each severity level of each symptom at each office visit.
Time frame: 3 months
Hospital Readmission Rate During the Study Period
During weekly phone calls and monthly office visits, subjects reported whether they experienced a new hospitalization since their last call/visit. An adjudication committee of physicians determined whether each hospitalization was due to HF or not.
Time frame: 3 months
Hospital Readmission Rate During Previous 90 Days Prior to Enrollment in Study
At the time of enrollment, subjects reported how many hospitalizations they experienced in the 90 days prior to enrollment. Results indicate the number of subjects who reported a hospitalization in this time window.
Time frame: 3 months
Hospital Readmission Rate During Previous 90 Days Prior to Enrollment in Study
At the time of enrollment, subjects reported how many hospitalizations they experienced in the 90 days prior to enrollment. Results indicate the median number of hospitalizations reported per subject in this time window.
Time frame: 3 months
Mortality, Heart Failure Related Events, and Health Care Utilization Data at Six Months and One Year Post Enrollment
During weekly phone calls, monthly office visits, the 6-month phone call, and the 1-year phone call, subjects reported whether they experienced a hospitalization, ER visit, or unplanned doctor's office visit since the last call/visit. An adjudication committee of physicians determined whether each hospitalization was due to HF or not. On each subject's final date of study participation, their survival status was recorded.
Time frame: 6 months and 1 year
| Milestone | µCor Wearers |
|---|---|
| Started | 257 |
| Completed | 245 |
| Not completed | 12 |
| Withdrew: Protocol violation | 7 |
| Withdrew: Physician decision | 5 |
HF Event: a hospitalization primarily due to heart failure within 90 days. Time window: The 7 days prior to the 1st heart failure hospitalization, or the final 7 days of device wear if no HF event occurred.
| participants | µCor Wearers |
|---|---|
| Valid device data within time window : HF Event | 34 |
| Valid device data within time window : No HF Event | 173 |
| No valid device data within time window : HF Event | 16 |
| No valid device data within time window : No HF Event | 22 |
Definitions: Daytime: 7:00 AM - 12:00 AM Nighttime: 12:00 AM - 7:00 AM For each day on which the subject wore the device, the following values were calculated: Daytime activity: The proportion of minutes while wearing the device that the subject spent active (unitless). Nighttime heart rate: The median heart rate while wearing the device during the night (beats/min) Thoracic fluid index: The median proportion of ratio of radiofrequency-measured lung fluid readings compared to the subject's baseline (unitless). Nighttime posture: The median pitch angle while wearing the device during the night (degrees, where 0 is the horizontal). Nighttime respiration: The median respiration rate while wearing the device during the night (breaths/min) HF event: a hospitalization primarily due to heart failure
| Probability | µCor Wearers |
|---|---|
| Daytime Activity | 0.35 (0.26 to 0.45) |
| Nighttime Heart Rate | 0.59 (0.48 to 0.70) |
| Thoracic Fluid Index | 0.59 (0.49 to 0.68) |
| Nighttime Posture | 0.59 (0.49 to 0.70) |
| Nighttime Respiration | 0.59 (0.48 to 0.70) |
Rate of occurrence of VT/VF episodes at the time of enrollment in the study and rate of occurrence of arrhythmic death in subjects at 90 days and 1 year.
| participants | µCor Wearers |
|---|---|
| VT at baseline | 10 |
| VF at baseline | 3 |
| VT (non-sustained) at baseline | 12 |
| Arrhythmic death at 1 year | 2 |
| Arrhythmic death at 90 days | 1 |
During office visits at months 1, 2, and 3, subjects reported their degrees of dyspnea, orthopnea, and fatigue on the following scale: \[none, seldom, frequent, continuous\]. Each day that the subject wore the device, a daily median was calculated for the following measures: \[thoracic fluid index (TFI), nighttime heart rate (HR), nighttime respiration rate (RR)\]. Nighttime was defined as 12:00 AM - 7:00 AM.
| Probability | µCor Wearers |
|---|---|
| Dyspnea - TFI | 0.56 (0.49 to 0.62) |
| Dyspnea - HR | 0.53 (0.46 to 0.60) |
| Dyspnea - RR | 0.47 (0.40 to 0.54) |
| Orthopnea - TFI | 0.54 (0.46 to 0.62) |
| Orthopnea - HR | 0.59 (0.51 to 0.67) |
| Orthopnea - RR | 0.55 (0.47 to 0.64) |
| Fatigue - TFI | 0.57 (0.50 to 0.63) |
| Fatigue - HR | 0.55 (0.48 to 0.62) |
| Fatigue - RR | 0.47 (0.40 to 0.54) |
During office visits at months 1, 2, and 3, subjects reported their degrees of dyspnea, orthopnea, and fatigue on the following scale: \[none, seldom, frequent, continuous\]. Each day that the subject wore the device, a daily median was calculated for the following measures: \[thoracic fluid index (TFI), nighttime heart rate (HR), nighttime respiration rate (RR)\]. Nighttime was defined as 12:00 AM - 7:00 AM.
| Symptoms | µCor Wearers With Mild Symptoms | uCor Wearers With Severe Symptoms |
|---|---|---|
| Dyspnea - TFI | 147 | 124 |
| Dyspnea - HR | 135 | 117 |
| Dyspnea - RR | 136 | 124 |
| Orthopnea - TFI | 206 | 65 |
| Orthopnea - HR | 190 | 57 |
| Orthopnea - RR | 197 | 64 |
| Fatigue - TFI | 134 | 141 |
| Fatigue - HR | 120 | 126 |
| Fatigue - RR | 128 | 130 |
During weekly phone calls and monthly office visits, subjects reported whether they experienced new arrhythmia and/or heart failure symptoms. Results indicate the number of times that subjects reported each of these two symptoms.
| Participants | µCor Wearers |
|---|---|
| Frequency of self-reported arrhythmia symptoms — 0 Arrhythmia symptoms | 123 |
| Frequency of self-reported arrhythmia symptoms — 1 Arrhythmia symptom | 52 |
| Frequency of self-reported arrhythmia symptoms — 2 Arrhythmia symptoms | 22 |
| Frequency of self-reported arrhythmia symptoms — 3 Arrhythmia symptoms | 17 |
| Frequency of self-reported arrhythmia symptoms — 4 Arrhythmia symptoms | 3 |
| Frequency of self-reported arrhythmia symptoms — 5 Arrhythmia symptoms | 8 |
| Frequency of self-reported arrhythmia symptoms — 6+ Arrhythmia symptoms | 3 |
| Frequency of self-reported heart failure symptoms — 0 Arrhythmia symptoms | 83 |
| Frequency of self-reported heart failure symptoms — 1 Arrhythmia symptom | 62 |
| Frequency of self-reported heart failure symptoms — 2 Arrhythmia symptoms | 30 |
| Frequency of self-reported heart failure symptoms — 3 Arrhythmia symptoms | 21 |
| Frequency of self-reported heart failure symptoms — 4 Arrhythmia symptoms | 9 |
| Frequency of self-reported heart failure symptoms — 5 Arrhythmia symptoms | 10 |
| Frequency of self-reported heart failure symptoms — 6+ Arrhythmia symptoms | 13 |
During weekly phone calls and monthly office visits, subjects reported whether they experienced new arrhythmia and/or heart failure symptoms. Results indicate the median number of weeks until a subject's first symptom report of each type.
| Weeks | uCor Wearers |
|---|---|
| Time from start of study until first arrhythmia symptom report (median, interquartile range) | 4 (2 to 6) |
| Time from start of study until first heart failure symptom report (median, interquartile range) | 3 (2 to 5) |
Each subject was expected to undergo an in-person office visit at the site on months 0, 1, 2, and 3 in which they reported the severity of their heart failure symptoms. Results indicate the number of subjects reporting each severity level of each symptom at each office visit.
| Participants | µCor Wearers - Month 0 | uCor Wearers - Month 1 | uCor Wearers - Month 2 | uCor Wearers - Month 3 |
|---|---|---|---|---|
| Severity of Dyspnea — Continuous | 21 | 16 | 8 | 7 |
| Severity of Dyspnea — Frequent | 132 | 61 | 53 | 43 |
| Severity of Dyspnea — Seldom | 53 | 55 | 40 | 35 |
| Severity of Dyspnea — None | 31 | 31 | 28 | 26 |
| Severity of Dyspnea — No data | 8 | 82 | 116 | 134 |
| Severity of Orthopnea — Continuous | 21 | 15 | 8 | 6 |
| Severity of Orthopnea — Frequent | 72 | 35 | 16 | 18 |
| Severity of Orthopnea — Seldom | 62 | 44 | 40 | 24 |
| Severity of Orthopnea — None | 82 | 69 | 66 | 63 |
| Severity of Orthopnea — No data | 8 | 82 | 115 | 134 |
| Severity of Fatigue — Continuous | 35 | 22 | 19 | 16 |
| Severity of Fatigue — Frequent | 114 | 62 | 48 | 37 |
| Severity of Fatigue — Seldom | 55 | 50 | 41 | 37 |
| Severity of Fatigue — None | 33 | 29 | 22 | 21 |
| Severity of Fatigue — No data | 8 | 82 | 115 | 134 |
During weekly phone calls and monthly office visits, subjects reported whether they experienced a new hospitalization since their last call/visit. An adjudication committee of physicians determined whether each hospitalization was due to HF or not.
| Participants | µCor Wearers |
|---|---|
| Hospital Readmission Rate During the Study Period | 50 |
At the time of enrollment, subjects reported how many hospitalizations they experienced in the 90 days prior to enrollment. Results indicate the number of subjects who reported a hospitalization in this time window.
| Participants | µCor Wearers |
|---|---|
| Hospital Readmission Rate During Previous 90 Days Prior to Enrollment in Study | 206 |
At the time of enrollment, subjects reported how many hospitalizations they experienced in the 90 days prior to enrollment. Results indicate the median number of hospitalizations reported per subject in this time window.
| Hospitalizations | µCor Wearers |
|---|---|
| Hospital Readmission Rate During Previous 90 Days Prior to Enrollment in Study | 2 (1 to 2) |
During weekly phone calls, monthly office visits, the 6-month phone call, and the 1-year phone call, subjects reported whether they experienced a hospitalization, ER visit, or unplanned doctor's office visit since the last call/visit. An adjudication committee of physicians determined whether each hospitalization was due to HF or not. On each subject's final date of study participation, their survival status was recorded.
| Participants | Subjects at 6 Months | Subjects at 1 Year |
|---|---|---|
| Mortality: Number of subjects reported dead | 21 | 31 |
| Heart Failure (HF) Related Events: Number of subjects with a hospital readmission for HF | 68 | 77 |
| Health Care Utilization: Number of subjects with a hospitalization for any reason | 127 | 137 |
| Health Care Utilization: Number of subjects with an Emergency Room visit for any reason | 109 | 117 |
| Health Care Utilization: Number of subjects with an unplanned doctor's office visit for any reason | 54 | 62 |
Collected over 1 Year. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| µCor Wearers | 35/257 (13.6%) | 1/257 (0.4%) | 149/257 (58%) |
| Event | µCor Wearers |
|---|---|
| Procedural Complication to ECHOInjury, poisoning and procedural complications | 1/257 |
| Event | µCor Wearers |
|---|---|
| Skin IrritationSkin and subcutaneous tissue disorders | 146/257 |
| DiscomfortProduct Issues | 3/257 |
| Age, Continuous(years) | µCor Wearers |
|---|---|
| Mean | 65.7 ± 13.0 |
| Sex: Female, Male(Participants) | µCor Wearers |
|---|---|
| Female | 101 |
| Male | 144 |
| Race/Ethnicity, Customized(participants) | µCor Wearers |
|---|---|
| Ethnicity : Caucasian | 154 |
| Ethnicity : Black or African American | 62 |
| Ethnicity : Hispanic or Latin | 16 |
| Ethnicity : Other | 5 |
| Ethnicity : American Indian or Alaskan Native | 2 |
| Ethnicity : Asian | 1 |
| Ethnicity : Don't Know / No Response | 1 |
| Ethnicity: Multiple Ethnicities | 4 |
| Region of Enrollment(participants) | µCor Wearers |
|---|---|
| Austria | 13 |
| United States | 221 |
| Germany | 11 |
| Body Mass Index (BMI)(kg/m^2) | µCor Wearers |
|---|---|
| Mean | 33.6 ± 10.4 |
| Blood Pressure (systolic)(mmHg) | µCor Wearers |
|---|---|
| Mean | 122.1 ± 19.3 |
| Blood Pressure (diastolic)(mmHg) | µCor Wearers |
|---|---|
| Mean | 71.5 ± 12.2 |
| Respiration Rate(breaths per min) | µCor Wearers |
|---|---|
| Mean | 18.1 ± 2.8 |
8 further baseline measures are reported on the registry.
Documents are hosted by the registry — open the source record to download them.
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Zoll Medical Corporation