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CompletedNCT05847998DICART IIUpdated Aug 1, 2025

Second Generation DICART Prototype Validation

An interventional study of Standardized measurement of capillary refill time by second generation DICART prototype and Clinical measurement of capillary refill time in Acute Circulatory Failure and Shock, sponsored by Hospices Civils de Lyon. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-08-01.

Sponsored by Hospices Civils de Lyon · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
25
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

Capillary refill time (CRT) is a clinical sign for diagnosis of acute circulatory failure and response to treatment but is also associated with prognosis in patient with shock.

CRT is clinically evaluated by physician with a high risk of inter and intra evaluator variations, depending, for example, on measurement site, pressure applicated or visual evaluation.

The investigator hypothesizes that CRT measurement with second generation DICART prototype will be well correlated with clinical measurement.

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Conditions studied

  • Acute Circulatory Failure
  • Shock

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Keywords

  • Acute Circulatory Failure
  • Shock
  • capillary refill time (CRT)
  • prognosis
  • diagnostic
  • evaluation
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In context

Shock

916 studies on the registry are indexed under Shock; 176 are open to participants now.

This study's enrollment of 25 is below the median of 77 across 540 interventional studies indexed under Shock.

Browse Shock studies →

Lead sponsor

Hospices Civils de Lyon is the lead sponsor of 1,826 studies on the registry; 439 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

->18 years old

  • Acute circulatory failure
  • Written informed consent given by patient or its relatives

Exclusion criteria

Exclusion Criteria:

  • Pregnant women, breastfeeding women, childbearing age women without oral contraception
  • Cutaneous lesion at measurement site
  • Patient under legal protection
  • Patient already included in another interventional clinical trial
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
25 participants (actual)

Study arms

  • Experimental
    measurement of capillary refill time

    measurement in a cohort of ICU adult patients with acute circulatory failure

    Device: Standardized measurement of capillary refill time by second generation DICART prototype · Diagnostic Test: Clinical measurement of capillary refill time

Interventions

  • DeviceStandardized measurement of capillary refill time by second generation DICART prototype

    Capillary refill time is measured by two independent operators, each one blinded from the other, with second generation DICART prototype. Each operator performs two series of three consecutive measurement on the finger. Then, an operator performs a train of three measurements on the knee, and the other operator on the thorax

  • Diagnostic testClinical measurement of capillary refill time

    Capillary refill time is clinically measured by two independent operators, each one blinded from the other. Each operator performs, two series of three consecutive measurement on the second finger. Then, an operator performs a train of three measurements on the knee, and the other operator on the thorax, inverted relative to DICART measurements.

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What researchers measure

Primary outcomes

  1. clinical capillary refill time measurement.

    Intraclass correlation coefficient between clinical and automatic DICART capillary refill time measurement.

    Time frame: during procedure

  2. automatic DICART capillary refill time measurement.

    Intraclass correlation coefficient between clinical and automatic DICART capillary refill time measurement.

    Time frame: during procedure

Secondary outcomes

  1. ROC curve with DICART device

    ROC curve for DICART performance to detect a tissular hypoperfusion, defined as a clinical CRT superior to 3s

    Time frame: during procedure

  2. Inter-operator reproducibility in CRT measurement with DICART device

    reproducibility in CRT measurement with DICART device using Bland-Altman comparison analysis

    Time frame: during procedure

  3. Inter-operator reproducibility in CRT measurement with clinical method

    reproducibility in CRT measurement with DICART device using Bland-Altman comparison analysis

    Time frame: during procedure

  4. Intra-operator reproducibility in CRT measurement with DICART device

    reproducibility in CRT measurement with DICART device using Bland-Altman comparison analysis

    Time frame: during procedure

  5. Intra-operator reproducibility in CRT measurement with clinical method

    reproducibility in CRT measurement with DICART device using Bland-Altman comparison analysis

    Time frame: during procedure

  6. vital status

    Association between CRT and 30 day survival without renal replacement therapy

    Time frame: 30 days

  7. survival rate without renal replacement therapy

    Time frame: 30 days

  8. skin lesion assessed by clinical examination

    Safety consideration about DICART use: qualitative skin examination

    Time frame: during procedure

  9. rash assessed by clinical examination

    Safety consideration about DICART use: qualitative skin examination pain evaluation by numerical rating scale (0 means none and 3 severe)

    Time frame: during procedure

  10. pain evaluation by numerical rating scale

    Safety consideration about DICART use: pain evaluation by numerical rating scale 0 corresponds to "no pain" and 10 to "worst pain imaginable".

    Time frame: during procedure

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Study locations

1 site
  • Louis Pradel Cardiologic Hospistal
    Bron, France
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References and documents

Publications

  • Descamps A, Jacquet-Lagreze M, Aussal T, Fellahi JL, Ruste M. DiCARTTM device to measure capillary refill time: a validation study in patients with acute circulatory failure. J Clin Monit Comput. 2025 Oct;39(5):831-840. doi: 10.1007/s10877-025-01271-5. Epub 2025 Feb 26. PubMed 40011397 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05847998
Lead sponsor
Hospices Civils de Lyon
Responsible party
Sponsor
First posted
May 8, 2023
Start date
Apr 6, 2023
Primary completion
Oct 28, 2023
Completion
Oct 28, 2023
Last update
Aug 1, 2025

Study contacts

Matthias JACQUET-LAGREZE, MD, PHD
principal investigator · Hospices Civils de Lyon

Oversight

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

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This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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