ClinicalTrials.gg
RecruitingNCT06431828BIOMONI-DIGUpdated May 31, 2024

Remote Symptom Review in Patients With Implantable Diagnostic Holter

An interventional study of APP in Atrial Fibrillation, Syncope and Bradycardia, sponsored by Andres Iñiguez Romo. Recruiting at 1 site in Spain. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2024-05-31.

Sponsored by Andres Iñiguez Romo · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Primary completion was expected by May 2025, 1 year 6 months ago, but the record still lists the study as recruiting.
  • Started Apr 2024; still recruiting 2 years 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

To study the clinical and organizational benefit of implementing a methodology for monitoring patients receiving an implantable diagnostic BIOMONITOR III holter and successive models, consisting of remote review of alerts sent by the device via the HOME MONITORING remote monitoring platform and the transmission of relevant patient symptoms through the use of a specific application installable on the patient's phone. The efficiency of this methodology will be compared with a control group consisting of monitoring through the usual clinical practice of the hospital.

Read the detailed description

Population of patients: Patients over 18 years old who require the implantation of an implantable diagnostic holter due to indications of syncope or atrial fibrillation, and who are willing to use an application installed on their phone to telematically send clinical symptoms that may occur during the active study period.

Design: Clinical, randomized, prospective, single-center study.

Investigational Device: BIOMONITOR III implantable cardiac holter and successive models with HOMEMONITORING remote monitoring system for constant monitoring of patient's cardiac signals. Installation of the Patient APP on the patient's phone for symptom transmission.

Overall Objective: To study the clinical and organizational benefit of implementing a methodology for monitoring patients receiving an implantable diagnostic BIOMONITOR III holter and successive models, consisting of remote review of alerts sent by the device via the HOME MONITORING remote monitoring platform and the transmission of relevant patient symptoms through the use of a specific application installable on the patient's phone. The efficiency of this methodology will be compared with a control group consisting of monitoring through the usual clinical practice of the hospital.

02

Conditions studied

  • Atrial Fibrillation
  • Syncope
  • Bradycardia
  • Arrythmia

Keywords

  • Implantable loop recorder
  • Arrythmia
  • Atrial Fibrillation
  • Home Monitoring
03

In context

Atrial Fibrillation

4,009 studies on the registry are indexed under Atrial Fibrillation; 961 are open to participants now.

This study's planned enrollment of 60 is below the median of 150 across 2,476 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Andres Iñiguez Romo is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

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 indicated for implantation of a subcutaneous implantable holter due to syncope or cryptogenic stroke (atrial fibrillation detection)
  • Patients over 18 years old.
  • Patients who consent to the installation of a patient application for telematic submission of patient-related symptoms.
  • Patients capable of using the patient application.

Exclusion criteria

Exclusion Criteria:

  • Patients over 80 years of age or, failing that, not able to use an application to send their symptoms.
  • of less than 12 months for any reason.
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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

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

Study arms

  • Experimental
    Homemonitoring + APP

    The patients receive the usual standard treatment with remote holter monitoring along with an app for the notification of adverse events.

    Other: APP

  • No intervention
    Homemonitoring

    The patients receive the usual standard treatment with remote holter monitoring

Interventions

  • OtherAPP

    The patients will download an app through which they will be able to report adverse events related to their cardiovascular health.

06

What researchers measure

Primary outcomes

  1. TIME FRAME

    Time from the first alert by Home Monitoring of the implantable holter to the clinical diagnosis according to the patient's clinical indication.

    Time frame: one year

Secondary outcomes

  1. Number of in-person visits in each group

    Number of in-person visits in each group

    Time frame: one year

  2. Incidence remote transmissions activated by patient indication

    Number of remote transmissions activated by patient indication

    Time frame: one year

  3. Rate of false positives

    Number of false positives, according to physician's diagnosis.

    Time frame: one year

  4. Rate of symptoms sent by the patient

    Number of false positives (according to physician's diagnosis)

    Time frame: one year

  5. Rate of symptoms sent by the patient that correspond to remote alerts sent by the patient

    Rate of symptoms sent by the patient that correspond to remote alerts sent by the patient (e.g., the symptom corresponds to a detected arrhythmia)

    Time frame: one year

  6. Rate of symptoms not corresponding to detected arrhythmias

    Rate of symptoms not corresponding to detected arrhythmias(e.g., the symptom corresponds to a detected arrhythmia)

    Time frame: one year

  7. Number of new non-cardiac clinical diagnoses discovered thanks to the symptoms sent by the patient.

    Number of new non-cardiac clinical diagnoses discovered thanks to the symptoms sent by the patient.corresponds to a detected arrhythmia

    Time frame: one year

  8. Efficacy of implementing a clinical process based on remote monitoring of patient symptoms

    Change in patient interaction with the physician - fewer calls/visits to the hospital.

    Time frame: one year

  9. Qualitative Patient Objectives

    Measured through a satisfaction survey on the use or non-use of the patient application to telematically send their symptoms

    Time frame: one year

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Gupta N, Yang J, Reynolds K, Lenane J, Garcia E, Sung SH, Harrison TN, Solomon MD, Go AS; KP-RHYTHM Study Group. Diagnostic Yield, Outcomes, and Resource Utilization With Different Ambulatory Electrocardiographic Monitoring Strategies. Am J Cardiol. 2022 Mar 1;166:38-44. doi: 10.1016/j.amjcard.2021.11.027. Epub 2021 Dec 23. PubMed 34953575 ↗
  • Sharma AN, Baranchuk A. Ambulatory External Electrocardiography Monitoring: Holter, Extended Holter, Mobile Cardiac Telemetry Monitoring. Card Electrophysiol Clin. 2021 Sep;13(3):427-438. doi: 10.1016/j.ccep.2021.04.003. Epub 2021 Jul 8. PubMed 34330370 ↗
  • Varma N, Epstein AE, Schweikert R, Michalski J, Love CJ; TRUST Investigators. Role of Automatic Wireless Remote Monitoring Immediately Following ICD Implant: The Lumos-T Reduces Routine Office Device Follow-Up Study (TRUST) Trial. J Cardiovasc Electrophysiol. 2016 Mar;27(3):321-6. doi: 10.1111/jce.12895. Epub 2016 Jan 27. PubMed 26661687 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2024 (actual). Primary completion is estimated for May 2025, 13 months after the start.

Of 796 non-industry interventional studies with no phase under Atrial Fibrillation, half reached primary completion within 40 months of starting (the median), counting those still running; a quarter within 21 and three quarters within 59. This study's planned 13 months is below that.

Counting every sponsor, half of 1,051 studies reached it within 33 months; a quarter within 18 and three quarters within 54.

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

Registered
May 8, 2024
First posted
May 29, 2024
StartActual
Apr 22, 2024
Primary completionEst.
May 2025
CompletionEst.
May 2026
Last update
May 31, 2024
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 May 31, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06431828
Lead sponsor
Andres Iñiguez Romo
Collaborators
Fundacin Biomedica Galicia Sur, Fundacion Investigacion Interhospitalaria Cardiovascular
Responsible party
Andres Iñiguez Romo (Head of Cardiology, Fundacin Biomedica Galicia Sur) — Sponsor-investigator
First posted
May 29, 2024
Start date
Apr 22, 2024
Primary completion
May 2025 (estimated)
Completion
May 2026 (estimated)
Last update
May 31, 2024

Study contacts

Andrés Iñiguez Romo, MD, PhD
Contact
andres.iniguez.romo@sergas.es
+34986825564
Elvis Teijeira Fernández, MD, PhD
Contact
elvis.teijeira.fernandez@sergas.es
+34986825564
Andrés Iñiguez Romo, MD, phD
study chair · Servicio Galego de Saude

Oversight

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

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