About this trial
This randomized, controlled, open-label, parallel, multicenter clinical study evaluates the efficacy of SmartSignalHF compared with heart failure (HF) remote monitoring (RM) standard of care in implanted patients with heart failure. The primary objective is to determine whether SmartSignalHF reduces all-cause mortality and HF hospitalizations at 12 months.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient aged 18-85
Patient diagnosed with a New York Heart Association (NYHA) class II or III
Patients with left ventricular ejection fraction ≼ 40 %
Patient implanted with an ICD or CRT-D (BiV and/or LBBA pacing) since at least 30 days and compatible with SignalHF (Biotronik, Boston Scientific and Medtronic)
Disqualifiers
Patients undergoing or awaiting heart transplant or left ventricular assist device (LVAD) procedures
Patients with a life expectancy of less than 12 months
Patients enrolled in concurrent clinical studies
Patients with a history of non-compliance with medical care or inability to comply with the study protocol
Trial design
Parallel
Treatments tested in this trial
SmartSignalHF
DeviceSmartSignalHF; a solution aiming to predict episodes of cardiac decompensation in patients implanted with an ICD or CRT-D
HF RM standard of care
DeviceHF RM standard of care defined in the country (France or Germany)
Treatment groups
Trial outcomes
Primary outcomes
Composite measure of all-cause mortality and HF hospitalizations
Secondary outcomes
All-cause mortality
HF mortality
HF hospitalizations
HF readmissions