ट्रायल रडार AI | ||
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क्लिनिकल ट्रायल NCT07369141 (PREDICT-CVD) के लिए पुरानी हृदय विफलता, तीव्र डी-कंपेन्सेटेड हृदय विफलता वर्तमान में अभी भर्ती शुरू नहीं है। सभी विवरणों के लिए क्लिनिकल ट्रायल रडार कार्ड दृश्य और AI खोज उपकरण देखें, या यहाँ कुछ भी पूछें। | ||
PREcision meDICine in Treatment in CardioVascular Disease (PREDICT-CVD) 430 सटीक चिकित्सा बायोमार्कर-आधारित रैंडमाइज़्ड व्यक्तिगत उपचार
The main goal of PREDICT-CVS is to demonstrate that a personalized, AI-derived biomarker-guided medication treatment algorithm that provides advice to the treating professional is superior to prevent clinical events and improve quality of life (QoL) when compared to patients receiving standard treatment of care.
Participants will be randomized into two groups
- Group 1 - Standard treatment Participant will receive ...
PREcision meDICine in Treatment in CardioVascular Disease
- PREDICT-CVD
- No 101112022 (अन्य अनुदान/वित्त पोषण संख्या) (Innovative Health Initiative Joint Undertaking (IHI JU))
- No 10088702 (अन्य अनुदान/वित्त पोषण संख्या) (UK Research and Innovation (UKRI))
- NL 009912 (अन्य पहचानकर्ता) (Overzicht van Medisch-wetenschappelijk Onderzoek in Nederland (OMON))
| प्रतिभागी समूह/शाखा | हस्तक्षेप/उपचार |
|---|---|
सक्रिय तुलना समूहStandard of Care Standard treatment for HF | Standard of Care (Investigator Choice) Standard treatment of care for HF |
प्रयोगात्मकIntervention AI algorithm to assist the treating HF professional in treatment decision | ASSIST-HF AI- algorithm AI-derived biomarker-guided treatment algorithm to assist the treating HF professional in treatment decision |
| परिणाम माप | माप विवरण | समय सीमा |
|---|---|---|
Clinical benefit | Hierarchical composite of death from any cause, number of heart failure events and or a greater difference in change from baseline in the Kansas City Cardiomyopathy Questionnaire Total Symptom Score, as assessed using a win ratio | 9 months |
| परिणाम माप | माप विवरण | समय सीमा |
|---|---|---|
Time to death from any cause | time to the first (re)hospitalization due to disease progression | 9 months (the number of days/months from randomization to the date of death) |
Time to first (re)-hospitalization due to heart failure | Time to first (re)-hospitalization due to heart failure | 9 months (the number of days/months from randomization to the date of first (re)-hospitalization due to heart failure) |
Time to all-cause hospitalization | Time to all-cause hospitalization | 9 months (the number of days/months from randomization to the date of all cause hospitalization). |
Time to cardiovascular (CV) mortality | Time to cardiovascular (CV) mortality | 9 months (the number of days/months from randomization to the date of CV death) |
Change in QoL | Change in QoL according to the KCCQ-TSS (change from baseline in KCCQ-TSS score, measured in points, with higher scores indicating better health status.) | 9 months |
Change in NT-proBNP | Change in NT-proBNP (pg/mL) | 9 months |
Change in clinical congestion score | Change in clinical congestion score (CCS). The higher the score the worst congestion is | 9 months |
Change in eGFR | Change in eGFR (mL/min/1.73 m²) | 9 months |
GDMT at 9 month | Guideline directed Medical Therapy | 9 months |
Provide written and dated informed consent for participation prior to trial admission,
Age ≥18 years, female or male
Diagnosis of heart failure* either before discharge of a heart failure hospital admission or in the outpatient setting,
Symptomatic, defined as NYHA class II - IV,
LVEF < 50% measured in the last 12 months (using any modality), with no occurrence of HF event(s) since that measurement) and
Those not previously treated with evidence-based therapies or sub-optimally treated with GDMT defined as; • Not treated with one of the foundational four** HF medication unless absolute contraindication or documented intolerance
Definition of heart failure according to the most recent Heart Failure Guidelines of the European Society of Cardiology
- Foundational four heart failure medication: BBs, ARNi, MRAs and SGLT2i. NB. This does not include ACE and ARBs these are permitted.
- Inability to understand and sign informed consent,
- Scheduled or on renal replacement therapy,
- Clearly documented intolerance to BBs, ARNI, SGLT2i or MRAs
- Diagnosis of acute myocarditis or (non)obstructive hypertrophic cardiomyopathy,
- The presence of a mechanical assist device,
- Scheduled for mechanical assist device or heart transplant,
- Acute coronary syndrome (ACS) in the past 3 months or current angina pectoris ≥class III,
- Requiring valvular surgery or revascularization in the upcoming 3 months or revascularization within the past 3 months,
- Anticipated need for surgery or any cardiovascular intervention, except implantable cardioverter defibrillator and/or cardiac resynchronization therapy, within 4 weeks,
- Other non-cardiac conditions with limited life expectancy (≤ duration of the trial/ 1 year),
- Participation in another (intervention) clinical trial (registry studies not included) until the onsite EoS visit (V5) at 9 months has been completed.
- Women who are pregnant, breastfeeding or may be considering pregnancy during the study duration.
University Medical Center Groningen
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