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Active, not recruitingNCT07881250EVIDENCE-RM 2Updated Oct 19, 2026

EValuation of prognostIc and Cost reDuction by tElemonitoring iN CIEDs Usual carE: an Updated Analysis Using 2019-2023 Data

An observational study in Cardiovascular Diseases (CVD) and Cardiac Implantable Electronic Device (CIED), sponsored by Implicity. Active, not recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-19.

Sponsored by Implicity · Observational

Updated Oct 19, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
100,000
Ages
18 Years and older
Sex
All
01

Study summary

The EVIDENCE-RM study is a nationwide, non-interventional retrospective study evaluating the clinical and medico-economic impact of remote monitoring (RM) in patients with an implantable cardioverter-defibrillator (ICD) or cardiac resynchronization therapy defibrillator (CRT-D). Using data from the French national health database (SNDS) between 2019 and 2023, the study compares clinical outcomes and healthcare costs between patients with and without RM, as well as between those monitored via the universal Implicity platform versus conventional manufacturer-specific solutions.

Read the detailed description

EVIDENCE-RM 2 updates the initial nationwide EVIDENCE-RM study (Varma et al., 2025) over an extended 2019-2023 period in a larger population of ICD and CRT-D recipients, using data from the French National Health Data System (SNDS) linked with the Implicity database.

Two populations are analyzed:

  • Overall Population: RM vs. no RM
  • Remote Monitoring Population: patients who initiated RM within one year of implantation, compared by RM solution (Implicity universal platform vs. conventional manufacturer-specific platforms).
02

Conditions studied

  • Cardiovascular Diseases (CVD)
  • Cardiac Implantable Electronic Device (CIED)

Keywords

  • Remote Monitoring
03

In context

Cardiovascular Diseases

5,025 studies on the registry are indexed under Cardiovascular Diseases; 930 are open to participants now.

This study's planned enrollment of 100,000 is above the median of 600 across 1,524 observational studies indexed under Cardiovascular Diseases.

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Lead sponsor

Implicity is the lead sponsor of 2 studies on the registry; 1 is 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
No
Sampling method
Non-probability sample

Study population

The study population consists of all patients aged 18 years or older, alive on January 1, 2019, and implanted with an implantable cardioverter-defibrillator (ICD) or a cardiac resynchronization therapy defibrillator (CRT-D) in France between January 1, 2010, and December 31, 2023. Data are extracted from the French National Health Data System (SNDS). The population comprises both patients receiving remote monitoring (via the Implicity platform or manufacturer-specific solutions) and patients receiving no remote monitoring.

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

  • Aged ≥ 18 years and alive on January 1, 2019
  • Implanted with an ICD or CRT-D between January 1, 2010, and December 31, 2023 according to 2022 ESC guidelines

Exclusion criteria

Exclusion Criteria:

  • Device upgrade (eg. ICD to CRT-D or PM to ICD/CRT-D or CRT-P to CRT-D)
  • Discontinuation of remote monitoring during follow-up
  • Initiation of remote monitoring >1 year device post-implantation
  • For the Remote Monitoring cohort only: Crossover between the universal Implicity platform and a conventional manufacturer specific monitoring system (Carelink for Medtronic, Latitude for Boston Scientific, Home Monitoring for Biotronik, Merlin for Abbott, Smartview for MicroPort) during follow-up and conversely
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
100,000 participants (estimated)
Patient registry
No

Groups and cohorts

  • Overall Population

    * No-RM exposure: person-time contributed before RM initiation, or throughout follow-up for patients who never initiated RM * RM exposure: person-time contributed after RM initiation, or throughout follow-up for patients already receiving RM at cohort entry

    Other: No RM exposure · Device: RM exposure

  • Remote Monitoring Population

    * Conventional RM: patients followed remotely through manufacturer-specific platforms * Implicity RM: patients followed through the universal Implicity platform

    Device: Conventional RM · Device: Implicity RM

Interventions

  • OtherNo RM exposure

    Person-time contributed before RM initiation, or throughout follow-up for patients who never initiated RM

  • DeviceRM exposure

    Person-time contributed after RM initiation, or throughout follow-up for patients already receiving RM at cohort entry

  • DeviceConventional RM

    Patients followed remotely through manufacturer-specific platforms

  • DeviceImplicity RM

    Patients followed through the universal Implicity platform

06

What researchers measure

Primary outcomes

  1. All-cause mortality

    Time frame: Up to 5 years

Secondary outcomes

  1. Number of all-cause hospitalizations (events per patient-year)

    Time frame: Up to 5 years

  2. Number of hospitalizations related to heart failure (HF) (events per patient-year)

    Time frame: Up to 5 years

  3. Number of hospitalizations related to stroke (events per patient-year)

    Time frame: Up to 5 years

  4. Number of hospitalizations related to acute myocardial infarction (events per patient-year)

    Time frame: Up to 5 years

  5. Cumulated duration of hospitalization (days)

    Time frame: Up to 5 years

  6. Cumulated duration of hospitalization related to HF (days)

    Time frame: Up to 5 years

  7. Cumulated duration of hospitalization related to stroke (days)

    Time frame: Up to 5 years

  8. Cumulated duration of hospitalization for acute myocardial infarction (days)

    Time frame: Up to 5 years

  9. Total direct healthcare costs

    Time frame: Up to 5 years

  10. Days Alive and Out of Hospital (DAOH)

    Time frame: Up to 5 years

  11. Incremental Cost-Effectiveness Ratio (ICER)

    Time frame: Up to 5 years

07

Study locations

1 site
  • Implicity
    Paris, France
08

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 19, 2026
Show all 1 update
  1. Oct 19, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07881250
Lead sponsor
Implicity
Responsible party
Sponsor
First posted
Oct 19, 2026
Start date
Oct 7, 2026
Primary completion
Nov 15, 2026 (estimated)
Completion
Nov 15, 2026 (estimated)
Last update
Oct 19, 2026

Oversight

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

Not currently enrolling

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

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