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TerminatedNCT04191356Updated Oct 5, 2023

Evaluating Mobile Health Tool Use for Capturing Patient-centered Outcomes Measures in HF Patients

An observational study in Heart Failure, sponsored by Biofourmis Singapore Pte Ltd.. Terminated at 6 sites in 2 countries. Open to participants aged 21 Years to 85 Years. Per ClinicalTrials.gov, last updated 2023-10-05.

Sponsored by Biofourmis Singapore Pte Ltd. · Observational

Why this study was terminated
Collected enough data to support the Endpoints
Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
67
Ages
21 Years to 85 Years
Sex
All
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Study summary

Heart Failure (HF) is a highly prevalent disease that also carries high morbidity and mortality. The Food and Drug Administration (FDA) recognizes the importance of developing patient-centric endpoints that are relevant to patients beyond mortality and hospitalizations.

Although functional status can be objectively measured by peak exercise oxygen consumption, it is difficult and impractical to implement in large clinical studies, especially in an ambulatory real-world setting. Recently, new mobile health technologies have emerged as clinical tools and offer an opportunity to overcome these challenges in measuring functional capacity and recording symptoms.

The goal of this observational study is to evaluate the feasibility of monitoring functional capacity among patients with heart failure (HF) using mobile health monitoring platforms.

Everion® and Apple Watch Series 4 and above will be used for this study. The BiovitalsHF® mobile app can capture patients' key cardiopulmonary physiological parameters, functional capacity (using activity patterns, including guided mobile-based 6MWT, audio recording) and assessment of QoL through validated PROs.

02

Conditions studied

  • Heart Failure

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Keywords

  • 6MWT
  • accelerometer
  • biosensors
  • wearable
03

In context

Heart Failure

5,701 studies on the registry are indexed under Heart Failure; 1,220 are open to participants now.

This study's enrollment of 67 is below the median of 200 across 1,679 observational studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

Biofourmis Singapore Pte Ltd. is the lead sponsor of 4 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
21 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Approximately 150 eligible subjects will be enrolled into the study. Eligible subjects will include adults with a diagnosis of heart failure (NYHA class I to class III), and screened within 30 days after Clinic Visit or hospitalization for heart failure - either as a primary or secondary diagnosis.

Inclusion criteria

Subjects are eligible to be included in the study only if all the following criteria apply:

Subjects has provided informed consent prior to initiation of any study specific activities/procedures.

  1. Age more than 21 to less than 85 years at signing of informed consent.
  2. Diagnosis of heart failure, defined as requiring pharmacologic treatment for heart failure, with NYHA class I to class III at most recent screening assessment
  3. Screening within 30 days after Clinic Visit or hospitalization for heart failure - either as a primary or secondary diagnosis.
  4. History of (within the past 6 months) or current use of diuretics.
  5. HF patient who is willing to comply with study restrictions including Everion device management (wearing and charging the device), Apple watch Series 4 and above device management (wearing and charging the device) and BiovitalsHF Patient App Management (pairing Everion device and Apple watch Series 4 and above and BiovitalsHF Patient App, and carrying the smartphone for answering questionnaires and data reporting)

Exclusion criteria

Exclusion Criteria

Subjects are excluded from the study if any of the following criteria apply:

Disease Related

  1. Acute coronary syndrome (ST-elevation myocardial infarction, non-ST-elevation myocardial infarction, unstable angina) stroke, or transient ischemic attack, major cardiac surgery, percutaneous coronary intervention, or valvuloplasty within the 30 days prior to screening.
  2. Uncontrolled hypertension defined as sitting systolic blood pressure (SBP) more than or equal to 180 mm Hg or diastolic BP (DBP)more than or equal to 110 mm Hg.
  3. Untreated severe ventricular arrhythmia (e.g., ventricular tachycardia or ventricular fibrillation).
  4. Symptomatic bradycardia or second or third-degree heart block without a pacemaker

Other Medical Conditions

  1. Malignancy except non-melanoma skin cancers, cervical or breast ductal carcinoma in situ within the last 5 years
  2. Hospitalization with any pathology that may meaningfully interfere with functional tolerance, cardiopulmonary capacity or mobility within the 30 days prior to screening.
  3. Estimated glomerular filtration rate (eGFR) \< 20 mL/min/1.73 m2 or receiving dialysis at screening.

Prior/Concomitant Medication

  1. Currently receiving treatment or procedure in another investigational device or drug study.

Other Exclusions

  1. Likely to receive during the duration of the study, in the opinion of the investigator, planned revascularization, implantation of ICD or CRT, ventricular assist device, continuous or intermittent inotropic therapy, hospice care, or cardiac transplant.
  2. Implantable cardioverter defibrillator or initiation of cardiac resynchronization therapy (CRT) (with/without implantable cardioverter defibrillator) within 30 days prior to enrollment.
  3. Recipient of any major organ transplant (e.g. lung, liver, heart, bone marrow, kidney).
  4. Less than 4 months prior Interventional Clinical Study participation.
  5. Subject likely to not be available to complete all protocol-required study visits or procedures, and/or to comply with all required study procedures (e.g. Clinical Outcome Assessments) to the best of the subject and investigator's knowledge.
  6. History or evidence of any other clinically significant disorder, condition or disease (with the exception of those outlined above) that, in the opinion of the investigator, if consulted, would pose a risk to subject safety or interfere with the study evaluation, procedures or completion.
  7. Any individuals that are lacking the ability to consent.
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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
67 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Feasibility of monitoring functional capacity among patients using mobile health monitoring platform

    Measurement of correlation between physiology and accelerometer (activity) data/derivatives with: * 6MWT * Patient-reported KCCQ * Lab results

    Time frame: 8 weeks

Secondary outcomes

  1. Compliance rate

    Compliance rate to measure the feasibility of collecting continuous, biometrics data and ePROs using mobile-health monitoring platform

    Time frame: 8 weeks

  2. Drop-out rate

    Drop-out rate to measure the feasibility of collecting continuous, biometrics data and ePROs using mobile-health monitoring platform

    Time frame: 8 weeks

  3. Mean time worn/day

    Mean time worn/day to measure the feasibility of collecting continuous, biometrics data and ePROs using mobile-health monitoring platform

    Time frame: 8 weeks

  4. Proportion of time worn that device produces reliable data

    Proportion of time worn that device produces reliable data to measure the feasibility of collecting continuous, biometrics data and ePROs using mobile-health monitoring platform

    Time frame: 8 weeks

Other outcomes

  1. Percentage of patients on HF GDMT

    Percentage of patients on beta blocker, ACE/ARN/ or ARNI and MRA

    Time frame: 8 weeks

  2. Percentage of patients on target dose of HF GDMT

    Target dose of HF GDMT is according to 2021 Update to the 2017 ACC Expert Consensus Decision Pathway for Optimization of Heart Failure Treatment

    Time frame: 8 weeks

  3. Unplanned hospital visits of patients on HF GDMT and target dose of GDMT

    30-days hospitalization, Clinic visits and ED visits, and its correlation to patients on HF GDMT and target dose of GDMT

    Time frame: 8 weeks

  4. Questionnaire for patient experience

    Questionnaire to evaluate the subjects' experience with the mobile device(s) and mobile health monitoring platform

    Time frame: 8 weeks

  5. Association of ECG/Vitals/voice-related biomarker to progression of HF disease

    Ability to detect changes in ECG/Vitals/voice biomarker, and correlate with functional status and clinical outcomes

    Time frame: 8 weeks

07

Study locations

6 sites
  • Mayo Clinic
    Jacksonville, Florida 32224, United States
  • National University Hospital
    Singapore, 119074, Singapore
  • National Heart Centre Singapore
    Singapore, 169609, Singapore
  • Tan Tock Seng Hospital
    Singapore, 308433, Singapore
  • Changi General Hospital
    Singapore, 529889, Singapore
  • Khoo Teck Puat Hospital
    Singapore, 768828, Singapore
08

References and documents

Publications

  • Campbell RT, Jhund PS, Castagno D, Hawkins NM, Petrie MC, McMurray JJ. What have we learned about patients with heart failure and preserved ejection fraction from DIG-PEF, CHARM-preserved, and I-PRESERVE? J Am Coll Cardiol. 2012 Dec 11;60(23):2349-56. doi: 10.1016/j.jacc.2012.04.064. Epub 2012 Nov 7. PubMed 23141494 ↗
  • Butler J, Hamo CE, Udelson JE, Pitt B, Yancy C, Shah SJ, Desvigne-Nickens P, Bernstein HS, Clark RL, Depre C, Dinh W, Hamer A, Kay-Mugford P, Kramer F, Lefkowitz M, Lewis K, Maya J, Maybaum S, Patel MJ, Pollack PS, Roessig L, Rotman S, Salsali A, Sims JJ, Senni M, Rosano G, Dunnmon P, Stockbridge N, Anker SD, Zile MR, Gheorghiade M. Exploring New Endpoints for Patients With Heart Failure With Preserved Ejection Fraction. Circ Heart Fail. 2016 Nov;9(11):e003358. doi: 10.1161/CIRCHEARTFAILURE.116.003358. PubMed 27756791 ↗
  • Palau P, Nunez E, Dominguez E, Sanchis J, Nunez J. Physical therapy in heart failure with preserved ejection fraction: A systematic review. Eur J Prev Cardiol. 2016 Jan;23(1):4-13. doi: 10.1177/2047487314562740. Epub 2014 Dec 8. PubMed 25488549 ↗
  • Hsieh FY, Bloch DA, Larsen MD. A simple method of sample size calculation for linear and logistic regression. Stat Med. 1998 Jul 30;17(14):1623-34. doi: 10.1002/(sici)1097-0258(19980730)17:143.0.co;2-s. PubMed 9699234 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 5, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04191356
Lead sponsor
Biofourmis Singapore Pte Ltd.
Collaborators
Food and Drug Administration (FDA), Mayo Clinic
Responsible party
Sponsor
First posted
Dec 9, 2019
Start date
Oct 17, 2020
Primary completion
Feb 6, 2023
Completion
Feb 6, 2023
Last update
Oct 5, 2023

Study contacts

Maulik Majmudar, M.D.
study chair · Biofourmis Inc.

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Oct 2023. You cannot join it, but the record below documents what was studied.

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