ClinicalTrials.gg
Not yet recruitingNCT07828730SAGE-ASUpdated Sep 18, 2026

Sparrow App Guided Evaluation (SAGE) Vanguard Trial for Aortic Stenosis in Adults Aged Seventy and Older

An interventional study of Stethophone in Moderate or Severe Aortic Stenosis, sponsored by Sunnybrook Health Sciences Centre. Not yet recruiting. Open to participants aged 70 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-18.

Sponsored by Sunnybrook Health Sciences Centre · Not applicable, Interventional, and Screening

Phase
Not applicable
Study type
Interventional
Enrollment
1,000
Allocation
Randomized
Ages
70 Years and older
Sex
All
01

Study summary

The purpose of this research is to look at an approved intervention (Stethophone application) to obtain additional information about improving detection of moderate or severe aortic stenosis when compared with usual standard of care.

Read the detailed description

This study employs a stepped-wedge cluster randomized design involving four primary care practices affiliated with KMH Cardiology. Each family practice constitutes a single cluster.

All participating practices will start as usual standard of care. At three-month intervals, one practice will be randomly selected to crossover from usual standard of care (control group) to the intervention group. There will be a 2-week wash in period when a family practice crosses over from control to intervention. This process will continue until all practices have implemented the intervention, resulting in full intervention by 15 months.

Investigators hypothesize that the Sparrow screening pathway will result in a higher proportion of patients with a positive echo for moderate or severe aortic stenosis than usual care without protocol driven screening.

02

Conditions studied

  • Moderate or Severe Aortic Stenosis

Keywords

  • moderate or severe aortic stenosis
03

In context

Lymphoma, Follicular

1,891 studies on the registry are indexed under Lymphoma, Follicular; 290 are open to participants now.

This study's planned enrollment of 1,000 is above the median of 48 across 1,503 interventional studies indexed under Lymphoma, Follicular.

Browse Lymphoma, Follicular studies →

Lead sponsor

Sunnybrook Health Sciences Centre is the lead sponsor of 584 studies on the registry; 135 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 2 (33%) have results posted.

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

04

Who can participate

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

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

  1. Age 70 years or older at the time of consent.
  2. Written from participant
  3. Receiving care at a participating primary care practice during the study period.

Exclusion criteria

Exclusion Criteria:

  1. Known moderate or severe aortic stenosis before enrolment.
  2. Prior surgical or transcatheter aortic valve replacement.
  3. Any condition that, in the opinion of the investigator or treating clinician, would preclude or make participation impractical or unsafe.
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
1,000 participants (estimated)

Study arms

  • Active comparator
    Intervention

    During intervention periods, trained clinic personnel will obtain heart sound recordings at three standard chest positions using the Stethophone application, with at least 30 seconds of recording at each position.

    Device: Stethophone

  • No intervention
    Standard of Care

    No study procedures. Patients will be consented for obtaining data related to ECHO confirmation for of moderate or severe aortic stenosis (if applicable) followed by referral for valve clinic assessment (if need be) for the duration of this study.

Interventions

  • DeviceStethophone

    The device is a FDA \& HC approved mobile application, the Stethophone (developed by Sparrow BioAcoustics), that transforms a smartphone into a digital stethoscope and analytic tool able to identify murmurs that may indicate aortic stenosis.

06

What researchers measure

Primary outcomes

  1. Number of new diagnosis of moderate or severe aortic stenosis on transthoracic echo/1000 patients screened of patients over 70 years

    Determine whether Sparrow app based screening increases the number of patients with a new diagnosis of moderate or severe aortic stenosis confirmed by transthoracic echo within 3 months

    Time frame: Within 3 months after enrolment.

Secondary outcomes

  1. Proportion of eligible participants screened during intervention periods

    Proportion of eligible participants screened during intervention periods

    Time frame: From enrollment until Day 1

  2. Distribution of algorithm outputs

    Distribution of algorithm outputs as normal, suggestive of aortic stenosis, other murmur detected, or inconclusive

    Time frame: From enrollment until Day 1

  3. Proportion completing transthoracic echocardiography after an abnormal or inconclusive result

    Proportion of participants completing transthoracic echocardiography after an abnormal or inconclusive result

    Time frame: Enrollment to 3 months

  4. Average time from abnormal screen to echocardiography

    Average time from abnormal screen to echocardiography

    Time frame: Enrollment to transthoracic echocardiography, assessed up to 3 months

  5. Average time from confirmed diagnosis to referral to valve clinic, where applicable

    Average time from confirmed diagnosis to referral to valve clinic, where applicable

    Time frame: ECHO confirmation to valve clinic referral, an average of 3 months

  6. Diagnostic yield of transthoracic echocardiography

    1. proportion of completed TTE studies demonstrating moderate or severe aortic stenosis or other clinically significant structural heart disease among all abnormal screening result; 2. proportion of moderate/severe aortic stenosis with referral to the valve clinic

    Time frame: enrollment to ECHO confirmation or valve clinic referral whichever comes last, an average of 3 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No — The Aggregate data will be presented and/or published. The IPD will not be available keeping patients privacy in mind.

No publications or documents are linked to this record.

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

Start is estimated for Sep 2026; primary completion for Dec 2027, 15 months later.

Of 141 non-industry interventional studies with no phase under Lymphoma, Follicular, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 47. This study's planned 15 months is below that.

Counting every sponsor, half of 165 studies reached it within 27 months; a quarter within 13 and three quarters within 47.

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

Registered
Aug 19, 2026
First posted
Sep 18, 2026
StartEst.
Sep 2026
Primary completionEst.
Dec 2027
CompletionEst.
Mar 2028
Last update
Sep 18, 2026
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 Sep 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07828730
Collaborators
KMH Cardiology and Diagnostic Centres, Sparrow Acoustics Inc., Ontario Health, Canadian Cardiovascular Society, Edwards life sciences, Medtronic
Responsible party
Sponsor
First posted
Sep 18, 2026
Start date
Sep 2026 (estimated)
Primary completion
Dec 2027 (estimated)
Completion
Mar 2028 (estimated)
Last update
Sep 18, 2026

Study contacts

Nicolas Bowers, MD MSc FRCPC FACC FSCAI
principal investigator · Sunnybrook Health Sciences Centre

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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