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RecruitingNCT06688396DCM-DETECTUpdated Jan 30, 2025

Dilated Cardiomyopathy Detection Using AI and Screening With Mobile Technology (DCM-DETECT)

An interventional study of Mobile 6L AI-EKG Screening in Dilated Cardiomyopathy, Heart Failure and Heart Disease, sponsored by Lancaster General Hospital. Recruiting at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-01-30.

Sponsored by Lancaster General Hospital · Not applicable, Interventional, and Screening

From the registry’s dates

  • Started Dec 2024; still recruiting 1 year 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
150
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a prospective, single-arm clinical trial in which participants with dilated cardiomyopathy will invite their first degree relatives to undergo mobile cardiac, electrocardiogram screening.

Read the detailed description

The purpose of this study is to examine the impact of an "Artificial Intelligent" (AI) enhanced 6Lead (6L) mobile electrocardiogram (EKG) in encouraging first degree relatives (FDR) of probands with a dilated cardiomyopathy (DCM) to obtain appropriate cardiac screening.

The AI enhanced EKG (AI-EKG) will be acquired using the AliveCor KardiaMobile 6L system which allows the generation of prediction probabilities for reduced left ventricular function (LVEF). The AliveCor KardiaMobile 6L device is an FDA approved handheld smart device that records an EKG in 30 seconds to 5-minute increments. The device is an ambulatory wireless device that connects to a smartphone and is easy to use. The EKG signal is communicated wirelessly via Bluetooth to a mobile computing platform (MCP) which can be a smartphone or tablet. The MCP will be running either the KardiaRx mobile application if the participant is remote, or the KardiaStation App if the participation is on sight at either the Lancaster General Hospital (LGH) campus or the Central Pennsylvania Clinic (CPC) location. The 6L EKG is transmitted following processing by the Kardia Apps. The results of the EKG tracings recorded by the AliveCor devices will not be entered into the electronic medical record or used to guide clinical care. The EKG data from the recordings identified only by the connection code will be uploaded to the AliveCor cloud for proprietary AI analysis designed to detect impaired LVEF. This AI software for LVEF analysis is FDA approved.

All participating FDR will be encouraged to pursue cardiac screening per American College of Cardiology/American Heart Association (ACC/AHA) recommendations.

If available, the probands clinical 12Lead (12L) EKGs will be obtained if recorded within 30 days of their Kardia 6L recording. The concordance of the algorithm results applied to the Kardia 6L data with the 12L FDA approved LVEF algorithm results will be assessed.

02

Conditions studied

  • Dilated Cardiomyopathy
  • Heart Failure
  • Heart Disease

Keywords

  • Dilated Cardiomyopathy
  • Heart Failure
  • Heart Disease
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 planned enrollment of 150 is above the median of 72 across 3,736 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

Lancaster General Hospital is the lead sponsor of 19 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria (Proband)

  • Male or female age ≥ 18 years
  • Confirmed diagnosis of non-ischemic DCM determined at the discretion of the treating physician and defined as LVEF ≤ 45% at any time during the clinical course of the patient
  • Must have at least one living adult FDR
  • Able to provide informed consent

Inclusion Criteria (FDR)

  • Male or female age ≥ 18 years who are first-degree relatives of patients with DCM
  • Proband has provided informed consent
  • FDR able to provide informed verbal consent
  • Access to a smartphone or digital tablet with cellular data or Wi-Fi access

Exclusion Criteria (Proband)

  • DCM attributed to any other secondary form of cardiomyopathy per the investigator's determination
  • Proband has previously informed FDR to undergo cardiac screening
  • Ischemic cause of reduced LVEF

    • evidence of myocardial infarction, inducible ischemia or chest pain on stress testing in absence of coronary angiogram to rule out ischemic disease
    • history of acute coronary syndromes (STEMI (ST-Elevation Myocardial Infarction), NSTEMI (Non-ST-Elevation Myocardial Infarction) or unstable angina) revascularization or ≥75% stenosis of either left main or Left Anterior Descending (LAD) or ≥75% stenosis of 2 major epicardial vessels on angiogram
  • Moderate or greater primary valvular abnormality not due to underlying cardiomyopathy
  • Congenital structural heart disease
  • Severe and untreated or untreatable hypertension
  • Cardiomyopathy due to acute or reversible conditions; examples include tachyarrhythmias, thyroid disorders, iron overload
  • Any secondary cause of reduced LVEF such as pregnancy, myocarditis, amyloidosis, sarcoidosis, exposure to toxins including alcohol, substance abuse or chemotherapeutic drug
  • (CPC Participants only) Home address outside of traveling range

Exclusion Criteria (FDR)

  • Previously informed about cardiac screening or has completed cardiac screening by transthoracic echocardiogram (TTE)
  • Previously diagnosed with reduced LVEF
  • (CPC Participants only) Home address outside of traveling range
05

Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    DCM Screening

    Participants (probands) with dilated cardiomyopathy (DCM) will invite their first-degree relatives (FDR) to participate in DCM screening to examine the impact of an "Artificial Intelligent" (AI) enhanced 6lead (6L) mobile electrocardiogram (EKG) in encouraging FDR of probands with a DCM to obtain appropriate cardiac screening.

    Device: Mobile 6L AI-EKG Screening

Interventions

  • DeviceMobile 6L AI-EKG Screening

    Participants (probands) with DCM will invite their first-degree relatives to undergo DCM screening procedures. Probands and first-degree relatives will complete a mobile 6L AI-EKG which will be transmitted to a mobile app and interpreted by the AI-EKG algorithm. Results will be shared electronically or verbally to the participant. If available, the probands clinical 12L EKGs will be obtained if recorded within 30 days of their Kardia 6L recording. All participating FDR will be encouraged to pursue cardiac screening per ACC/AHA recommendations. Study staff will obtain echocardiogram results up to 6 months of participant enrollment.

06

What researchers measure

Primary outcomes

  1. This study's primary endpoint is to assess the feasibility of performing AI-EKG test and the subsequent uptake of cardiac screening in FDR of DCM patients.

    The number of consented FDR who successfully undergo AI-EKG and subsequent recommended cardiac follow up.

    Time frame: Assessed for a minimum of 3 months post enrollment up to 6 months post enrollment.

Secondary outcomes

  1. Positive AI-EKG screens among FDR of DCM probands (LVEF ≤ 45%)/total population of the FDR of DCM probands undergoing AI-EKG.

    Time frame: Assessed at time of EKG results. About 2 weeks post collection.

Other outcomes

  1. Responses to decliner survey questions addressing barriers to adoption of AI technology, variables that contribute to the reluctance to participate, and logistical barriers to research. surveys.

    Time frame: Assessed at time of decline and survey completion, about 30 minutes.

  2. Positive cardiac screening procedures /total number of FDR undergoing cardiac screening procedures

    Time frame: Assessed at 3 months post enrollment check-in or 6 months post enrollment check-in if not completed by 3 months.

  3. Comparison of AI EKG reduced LVEF algorithm results between 6L Kardia EKG and 12L AI EKG, if available, in DCM probands.

    Time frame: Assessed during data analysis, 2 years after study start.

07

Study locations

1 of 1 sites recruiting
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 30, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06688396
Lead sponsor
Lancaster General Hospital
Collaborators
Mayo Clinic
Responsible party
Sponsor
First posted
Nov 14, 2024
Start date
Dec 4, 2024
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Jan 30, 2025

Study contacts

Halle Becker, MPH
Contact
Halle.Becker@pennmedicine.upenn.edu
717-544-1777
Jonathan Derr, MBA
Contact
Jonathan.Derr@pennmedicine.upenn.edu
717-544-1777
Roy Small, MD
principal investigator · Penn Medicine / Lancaster General Hospital

Oversight

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

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