CClinicalTrials.gg
CompletedNCT05847790REACTIVEUpdated Oct 30, 2025

Remote Pregnancy Monitoring to Improve Access

An interventional study of Invu monitoring belt and Standard of care in Fetal Monitoring, sponsored by University of Pennsylvania. Completed at 1 site in United States. Open to female participants. Per ClinicalTrials.gov, last updated 2025-10-30.

Sponsored by University of Pennsylvania · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Primary completion was Sep 2025, 1 year ago, and no results have been posted to the registry.
Phase
Not applicable
Study type
Interventional
Enrollment
400
Allocation
Randomized
Sex
Female
01

Study summary

The goal of this clinical trial is to determine the effectiveness of remote nonstress test (NST) compared to in-clinic NSTs in improving fetal testing completion rates. Participants will be randomized to either in-clinic NSTs or use of an FDA-approved remote monitoring belt for their pregnancy monitoring.

02

Conditions studied

  • Fetal Monitoring

Keywords

  • Fetal monitoring
  • antenatal testing
03

In context

Lead sponsor

University of Pennsylvania is the lead sponsor of 1,635 studies on the registry; 239 are open to participants now.

Of its 154 completed or terminated interventional studies of FDA-regulated products, 104 (68%) have results posted.

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
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Singleton pregnancy
  • Gestational age between 30 weeks 0 days and 35 weeks 6 days
  • Pregnant patients who have clinical indication for fetal surveillance with NSTs (based on UPHS Health System clinical guidelines for antenatal monitoring)
  • Able to provide written consent
  • English speaking

Exclusion criteria

Exclusion Criteria:

  • Multiple gestations
  • Maternal pre-gravid BMI greater than 45kg/m2
  • Presence of an implanted pacemaker or defibrillator
  • Active abdominal skin infection
  • A known amniotic fluid index (AFI) less than 5cm or greater than 25cm on the most recent ultrasound (if available) prior to randomization
  • Delivery is planned within 2 weeks of potential randomization
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
400 participants (actual)

Study arms

  • Experimental
    Remote NST

    Device: Invu monitoring belt

  • Active comparator
    In-clinic NST - Standard of Care

    Other: Standard of care

Interventions

  • DeviceInvu monitoring belt

    INVU monitoring belt used for remote NSTs

  • OtherStandard of care

    In-clinic NSTs - standard of care

06

What researchers measure

Primary outcomes

  1. Overall Fetal Testing Completion Rate

    percentage of recommended antenatal testing sessions that were successfully completed as defined as a clinically interpreted test was performed

    Time frame: from 32 weeks gestational age to delivery, average of 10 weeks after enrollment.

  2. Fetal Testing Completion Rate in Black versus non-Black subjects

    Comparison between Black and non-Black subjects' percentage of recommended antenatal testing sessions that were successfully completed as defined as a clinically interpreted test was performed.

    Time frame: from 32 weeks gestational age to delivery, average of 10 weeks after enrollment.

Secondary outcomes

  1. Fetal Monitoring outcomes: Number of visits to the antenatal testing unit

    Count of visits to the office for in-person monitoring

    Time frame: from 32 weeks gestational age to delivery, average of 10 weeks after enrollment.

  2. Fetal Monitoring outcomes: Frequency of provider recommended prolonged monitoring

    Count of number of times provider recommends prolonged monitoring (defined by greater than 40 minutes of time on the monitor).

    Time frame: from 32 weeks gestational age to delivery, average of 10 weeks after enrollment.

  3. Fetal Monitoring outcomes: Time on NST monitor

    Sum of the number of minutes the subject is on the NST monitor

    Time frame: from 32 weeks gestational age to delivery, average of 10 weeks after enrollment.

  4. Fetal Monitoring outcomes: Number of non-reactive NSTs

    Count of the number of visits

    Time frame: from 32 weeks gestational age to delivery, average of 10 weeks after enrollment.

  5. Fetal Monitoring outcomes: Number of biophysical profiles performed for non-reactive NST tests

    Count of the number of biophysical profiles performed for non-reactive NST visits

    Time frame: from 32 weeks gestational age to delivery, average of 10 weeks after enrollment.

  6. Fetal Monitoring outcomes: Overall number of visits to the obstetrical triage unit

    Count of the number of visits to the obstetrical triage unit

    Time frame: from 32 weeks gestational age to delivery, average of 10 weeks after enrollment.

  7. Fetal Monitoring outcomes: Overall number of visits to the obstetrical triage unit directly related to a fetal monitoring visit

    Count of the number of visit directly related to an outpatient fetal monitoring appointment or session

    Time frame: from 32 weeks gestational age to delivery, average of 10 weeks after enrollment.

  8. Fetal Monitoring outcomes: Frequency of recommendation for delivery based on findings on fetal monitoring result

    Count of the number of subjects in each arm who receive a recommendation for delivery based on the findings of the fetal monitoring results.

    Time frame: from 32 weeks gestational age to delivery, average of 10 weeks after enrollment.

  9. Fetal Monitoring outcomes: Number of times a NST is not completed within the prescribed window

    Count of number of NSTs which occur outside of prescribed window, for example, if a weekly testing regimen is prescribed, an appointment 8 or more days following the last one would count as 1 missed calendar window.

    Time frame: from 32 weeks gestational age to delivery, average of 10 weeks after enrollment.

  10. Obstetrics outcomes: Gestational age at delivery

    gestational age at time of delivery

    Time frame: time of delivery

  11. Obstetrics outcomes: Number of participants with Preterm delivery

    preterm delivery is defined as less than 37 weeks gestational age

    Time frame: time of delivery

  12. Obstetrics outcomes: Mode of delivery

    categorized as vaginal or cesarean

    Time frame: time of delivery

  13. Obstetrics outcomes: Number of participants with an Indication for labor induction

    in subjects who have labor induction, indication for inducing labor

    Time frame: time of labor induction

  14. Obstetrics outcomes: Number of participants with an Indication for cesarean section

    in subjects who have a cesarean section delivery, indication for cesarean section

    Time frame: time of delivery

  15. Obstetrics outcomes: Composite neonatal morbidity score

    Composite score of neonatal morbidity comprised of one or more of the following: severe respiratory distress, neonatal resuscitation outside of the delivery room, and death. This score could range from 0 to 3 with a higher score meaning a worse outcome

    Time frame: from delivery to 6 weeks post-delivery

  16. Obstetrics outcomes: Neonatal cord blood pH

    Time frame: time of delivery

  17. Obstetrics outcomes: Apgar scores

    Apgar score at five and ten minutes after delivery, the score ranges from 0 to 10 with a higher score meaning a better outcome.

    Time frame: five and ten minutes after delivery

  18. Obstetrics outcomes: Number of participants with an Admission to the neonatal intensive care unit

    Time frame: from delivery to 6 weeks post-delivery

  19. Obstetrics outcomes: Admission to the neonatal intensive care unit for greater than 48 hours

    Time frame: from delivery to 6 weeks post-delivery

  20. Obstetrics outcomes: Maternal length of stay

    Time frame: from delivery to discharge, up to 6 weeks post-delivery

  21. Obstetrics outcomes: Neonatal length of stay

    Time frame: from birth to discharge, up to 6 weeks after birth

  22. Cost-effectiveness outcomes: Productivity loss survey

    This survey will collect in half days increments the productivity impacts of the pregnancy, NSTs and for seeking health care for those reasons

    Time frame: at three timepoints, at time of randomization, 3 weeks after randomization (plus or minus 1 week) and 5 weeks after randomization (plus or minus 1 week)

  23. Cost-effectiveness outcomes: Costs

    Costs will be estimated based on collection of data on all health care visits, including outpatient, ED, OB triage and hospital admissions

    Time frame: from 32 weeks to delivery, average of 10 weeks after enrollment.

  24. Implementation outcomes: Theory-informed Acceptability Questionnaire

    8-item Likert scale with range of values from 8 to 40 with a high score being more acceptable.

    Time frame: at time of delivery

07

Study locations

1 site
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 30, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05847790
Lead sponsor
University of Pennsylvania
Collaborators
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Responsible party
Samuel Parry, MD (Professor of OBGYN, University of Pennsylvania) — Principal investigator
First posted
May 8, 2023
Start date
May 25, 2023
Primary completion
Sep 26, 2025
Completion
Sep 26, 2025
Last update
Oct 30, 2025

Oversight

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

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This study is completed, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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