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CompletedNCT06938698PROFIC-HFUpdated Apr 24, 2025

PROMs From GEstIC Heart Failure Patients

An observational study in Heart Failure, sponsored by Centro Hospitalar do Porto. Completed at 1 site in Portugal. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-24.

Sponsored by Centro Hospitalar do Porto · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
155
Ages
18 Years and older
Sex
All
01

Study summary

Heart failure (HF) is a chronic condition with substantial morbidity, and understanding its effects on patients' quality of life is essential.

Patient-reported outcomes (PROs) are any result of a disease or treatment that comes directly from the patient, without any interpretation from clinicians, using standardized scientifically-validated medical questionnaires, PROMs. Patient-reported outcome measures (PROMs) are the tools used to capture PRO information usually in the form of questionnaires.

The PROMs from GEstIC Heart Failure Patients (PROFIC-HF) study aims to assess the feasibility of digitally recording Patient-Reported Outcome Measures (PROMs) at home in real-world patients enrolled in a multidisciplinary heart failure clinic. Two HF-specific PROMs - Kansas City Questionnaire (KCCQ-12) and the Minnesota Living with Heart Failure Questionnaire (MLHFQ) - and a 2 PROMs for anxiety and depression assessment - Patient Health Questionnaire -2 (PHQ-2) and The Hospital Anxiety and Depression Scale (HADS) will be collected remotely using a digital platform that can be accessed online using a smartphone or a computer.

This study will also evaluate the correlation between quality of life changes (measured by Kansas City Cardiomyopathy Questionnaire (KCCQ-12) versus Minnesota Living with Heart Failure Questionnaire) and changes in clinical reported outcomes: assess the quality of life of real world HFpatients followed in a multidisciplinary heart failure clinic and quantify the impact of hospitalization events on patients' quality of life.

Read the detailed description

PROFIC-HF will randomize 75 participants to complete the Kansas City Cardiomyopathy Questionnaire (KCCQ-12) and 75 to complete the Minnesota Living with Heart Failure Questionnaire (MLHFQ).

The trial will pilot the use of the digital PROMs system, collected from the consultation waiting room and/or with the patient at home.

PROMs will be based on the HF Standard Set created by the International Consortium of Health Outcomes Measurements (ICHOM), adapted to the patient follow-up program already in use by GEstIC.

02

Conditions studied

  • Heart Failure

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Keywords

  • Heart Failure
  • Patient-Reported Outcome Measures
  • Clinical Outcomes
  • Quality of Life
  • Telemedicine
  • Feasibility Studies
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients diagnosed with Heart Failure, undergoing treatment at GEstIC. Eligible patients will be identified by GEstIC physicians/investigators in HF hospital appointments.

Inclusion criteria

  • Written Informed Consent (IC) signed before any study- specific procedure,
  • Adult patients diagnosed with HF, undergoing treatment at GEstIC,
  • Ability and willingness to understand the proposed questionnaires, per physician judgment and
  • Ability and willingness to access the platform for completing the data by themselves or with the help of a caregiver (proxy)

Exclusion criteria

Exclusion Criteria:

  • Inability to give the answers to the questions in the questionnaires,
  • Moderate or severe cognitive impairment that precludes the understanding of the questions, per physician judgment,
  • Malignancy or other non-cardiac condition limiting life-expectancy to \< 12 months, per physician judgment or
  • Any other condition or therapy that would make the subject unsuitable to this study and would not allow participation for the full planned study period, in the judgment of the investigator.
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
155 participants (actual)
Patient registry
No

Groups and cohorts

  • Heart Failure patients

    Patients of the GEstIC Heart Failure clinic will use a digital PROMs system, collecting information on the consultation waiting room and/or with the patient at home using a web based application that runs on the smartphone or computer with internet connection.

    Other: PROM collection

Interventions

  • OtherPROM collection

    PROM collection using a digital health web application. PROMs will be based on the HF Standard Set created by the International Consortium of Health Outcomes Measurements (ICHOM), adapted to the patient follow-up protocol already in use by GEstIC. Half the participants will complete the Kansas City Cardiomyopathy Questionnaire (KCCQ-12) and the other half will complete the Minnesota Living with Heart Failure Questionnaire (MLHFQ).

05

What researchers measure

Primary outcomes

  1. Health-related quality of life as measured by KCCQ-12 versus MLHFQ

    Kansas City Cardiomyopathy Questionnaire (KCCQ-12) and Minnesota living with Heart Failure (MLHFQ) are a quality of life (QoL) questionnaires specific for heart failure. Patients will be randomized to answer to only one of the questionnaires. KCCQ consists of 12 questions specific to HF and appraises QoL over the last two weeks; scores range from 0 to 100, where higher score means better QoL. The MLHFQ consists of 21 questions and appraises QoL over the previous month. Questions are answered using a Likert scale ranging from 0-5; score range is 0-105, with higher score representing a poorer QoL.

    Time frame: Measurement at 0, 1 and 6 months after informed consent.

Secondary outcomes

  1. Correlation between quality of life changes, measured by Kansas City Cardiomyopathy Questionnaire (KCCQ-12) versus Minnesota Living with Heart Failure Questionnaire (MLHFQ), and changes in clinical reported outcomes.

    KCCQ-12 and MLHFQ are HF-specific quality of life questionnaires. Patients will either answer to only one of the questionnaires.

    Time frame: Measurement at 0, 1 and 6 months after informed consent.

  2. Assessment the effect of HF hospitalizations in the quality of life of real world HF patients.

    Measurement of quality of life after HF hospitalizations, using Kansas City Cardiomyopathy Questionnaire (KCCQ-12) versus Minnesota living with Heart Failure (MLHFQ). Patients will be randomized to answer to only one of the questionnaires. KCCQ consists of 12 questions specific to HF and appraises QoL over the two weeks; scores range from 0 to 100, where higher score means better QoL. The MLHFQ consists of 21 questions and appraises QoL over the previous month. Questions are answered using a Likert scale ranging from 0-5; score range is 0-105, with higher score representing a poorer QoL..

    Time frame: Measurement at 0, 1 and 6 months from discharge.

  3. Assessment of anxiety and depression by Hospital Anxiety and Depression Scale (HADS)

    HADS will be used to assess anxiety and depression. HADS is a 14-item scale, in which all items are rated on a 4-point Likert scale, and scores are 19 computed by summing the scores of each subscale, for anxiety or depression. Scores range from 0 to 20, where higher scores indicate more anxiety or depression symptoms.

    Time frame: Measurement at 0, 1 and 6 months after informed consent.

06

Study locations

1 site
  • Centro Hospitalar Universitário do Porto
    Porto, 4099-001, Portugal
07

References and documents

Publications

  • Burns DJP, Arora J, Okunade O, Beltrame JF, Bernardez-Pereira S, Crespo-Leiro MG, Filippatos GS, Hardman S, Hoes AW, Hutchison S, Jessup M, Kinsella T, Knapton M, Lam CSP, Masoudi FA, McIntyre H, Mindham R, Morgan L, Otterspoor L, Parker V, Persson HE, Pinnock C, Reid CM, Riley J, Stevenson LW, McDonagh TA. International Consortium for Health Outcomes Measurement (ICHOM): Standardized Patient-Centered Outcomes Measurement Set for Heart Failure Patients. JACC Heart Fail. 2020 Mar;8(3):212-222. doi: 10.1016/j.jchf.2019.09.007. Epub 2019 Dec 11. PubMed 31838032 ↗
  • Marques, I., Gomes, C., Viamonte, S., Ferreira, G. e Mendonça, C. 2017. Clínica Multidisciplinar de Insuficiência Cardíaca: Como Implementar. Medicina Interna. 24, 4 (Dez. 2017), 308-317. DOI:https://doi.org/10.24950/rspmi/R58/17/2017.

Individual participant data

Plan to share: Undecided

08

Registry details

Key details

Study ID
NCT06938698
Lead sponsor
Centro Hospitalar do Porto
Collaborators
Promptly Health, EIT Health
Responsible party
Irene Marques (Internal Medicine Senior Consultant, Centro Hospitalar do Porto) — Principal investigator
First posted
Apr 22, 2025
Start date
Dec 12, 2022
Primary completion
Mar 15, 2024
Completion
Mar 15, 2024
Last update
Apr 24, 2025

Study contacts

Irene Marques, MD
principal investigator · Centro Hospitalar do Porto

Oversight

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

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