1164 Participants Needed

Remote Patient Management for Cardiac Arrhythmias

(RPM CIED Tachy Trial)

Recruiting at 11 trial locations
RP
KG
PT
Overseen ByPatricia Theoret
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Ratika Parkash

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how remote patient management (RPM) can assist individuals with cardiac arrhythmias, which are irregular heartbeats. The researchers aim to determine if remote monitoring is as effective as the usual care involving regular in-clinic visits. Participants will receive either only remote follow-ups or a combination of remote and in-person care. Those with a defibrillator from Medtronic, Abbott, or Boston Scientific who can use remote monitoring tools might be suitable for this trial. As an unphased trial, this study provides a unique opportunity to contribute to innovative research that could enhance future cardiac care.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that Remote Patient Management is safe for cardiac arrhythmias?

Studies have shown that managing heart rhythm problems remotely is generally well-received by patients. Research indicates that wearable devices and remote monitoring can help detect and track heart rhythm issues early. This method allows doctors to monitor patients closely without frequent in-person visits.

Reports suggest that remote management is safe and enhances patient care by enabling quicker responses to changes in heart health. So far, no major reports have linked negative effects directly to remote monitoring. This approach is gaining popularity as it helps patients manage their condition more independently while staying connected with healthcare providers.12345

Why are researchers excited about this trial?

Researchers are excited about remote patient management for cardiac arrhythmias because it offers a more continuous and convenient way to monitor heart conditions compared to traditional methods. Unlike the standard care that involves periodic in-clinic visits, remote management allows for real-time data collection and patient monitoring from the comfort of home. This approach not only reduces the need for frequent hospital visits but also enables quicker response to any irregular heart activity, potentially leading to better patient outcomes and quality of life.

What evidence suggests that this trial's treatments could be effective for cardiac arrhythmias?

This trial will compare Remote Patient Management with Standard of Care for cardiac arrhythmias. Research has shown that managing heart rhythm problems from home can be very effective. Studies have found that remote monitoring helps catch irregular heartbeats early, which patients might not notice on their own. Wearable devices and remote systems allow for continuous tracking, making it easier to manage heart issues. In one survey, nearly 89% of patients using remote monitoring felt comfortable managing their health at home. Additionally, remote monitoring has been linked to better outcomes for patients with implanted heart devices. This method can transform heart care by providing constant supervision and timely assistance.23678

Who Is on the Research Team?

RP

Ratika Parkash, MD FRCPC

Principal Investigator

Nova Scotia Health Authority

Are You a Good Fit for This Trial?

This trial is for individuals who can consent and have a specific Medtronic or Abbott defibrillator that supports remote monitoring. They must have a family physician and not be part of another clinical trial. It's not for those needing frequent heart clinic visits or with unreliable pacemaker function.

Inclusion Criteria

Able to provide consent
You have a specific type of defibrillator from Medtronic or Abbott that can be monitored remotely using Carelink or Merlin.

Exclusion Criteria

No family physician
The device that helps your heart beat cannot be trusted to work properly on its own.
Participation in another randomized clinical trial
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Remote Patient Management

Participants are managed remotely using VIRTUES and Remote View technologies, avoiding travel to specialized clinics

18 months
Remote monitoring only

Standard of Care

Participants receive remote monitoring at 6-month intervals, alternating with yearly in-clinic visits

18 months
6-month remote monitoring, yearly in-clinic visits

Follow-up

Participants are monitored for safety and effectiveness after the main trial period

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Remote Patient Management
  • Standard of Care
Trial Overview The study compares two approaches to managing cardiac arrhythmias: one group will use remote patient management tools, while the other will receive usual care without these tools. Participants are randomly assigned to groups, considering their current tech use and location.
How Is the Trial Designed?
2Treatment groups
Active Control
Placebo Group
Group I: Remote Patient ManagementActive Control1 Intervention
Group II: Standard of CarePlacebo Group1 Intervention

Remote Patient Management is already approved in United States, European Union, Canada for the following indications:

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Approved in United States as Remote Patient Monitoring for:
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Approved in European Union as Remote Patient Monitoring for:
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Approved in Canada as Remote Patient Monitoring for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Ratika Parkash

Lead Sponsor

Trials
5
Recruited
2,400+

Abbott Medical Devices

Industry Sponsor

Trials
659
Recruited
420,000+
Founded
1888
Headquarters
Abbott Park, Illinois, USA
Known For
Medical Devices Innovation
Top Products
FreeStyle Libre, MitraClip, XIENCE Stents, TECNIS IOLs
Dr. Etahn Korngold profile image

Dr. Etahn Korngold

Abbott Medical Devices

Chief Medical Officer

Medical training at Harvard Medical School and Massachusetts General Hospital

Robert B. Ford profile image

Robert B. Ford

Abbott Medical Devices

Chief Executive Officer since 2020

Bachelor's degree from Boston College, MBA from UC Berkeley, Haas School of Business

Medtronic

Industry Sponsor

Trials
627
Recruited
767,000+
Geoff Martha profile image

Geoff Martha

Medtronic

Chief Executive Officer since 2020

Finance degree from Penn State University

Dr. Richard Kuntz profile image

Dr. Richard Kuntz

Medtronic

Chief Medical Officer since 2023

MD, MSc

Cardiac Arrhythmia Network of Canada

Collaborator

Trials
14
Recruited
8,400+

Published Research Related to This Trial

A study involving 1,538 heart failure patients over 12 months showed that remote patient management (RPM) led to high adherence rates (89.1%) for daily health measurements, indicating its effectiveness in monitoring patient health.
Patients reported high satisfaction with the RPM program, and adherence varied by age and location, suggesting that tailored approaches may be needed to maintain engagement, especially in younger patients and those in urban areas.
Patient reported experience and adherence to remote patient management in chronic heart failure patients: a posthoc analysis of the TIM-HF2 trial.Prescher, S., Winkler, S., Riehle, L., et al.[2023]
Remote patient monitoring (RPM) for cardiac electrophysiological conditions, including the use of cardiac implantable electronic devices (CIEDs), has been shown to enhance care quality, increase patient satisfaction, and be cost-effective, as supported by various studies.
Recent advancements in RPM include the integration of wearable technologies, such as the Apple Watch, and the establishment of networks like the American College of Cardiology's digital transformation initiative, which aim to improve monitoring and management of cardiovascular diseases.
Digital Medicine and Evolution of Remote Patient Monitoring in Cardiac Electrophysiology: A State-of-the-Art Perspective.Atreja, A., Francis, S., Kurra, S., et al.[2020]
Remote patient monitoring (RPM) is a practical tool for tracking physical activity in outpatient care, providing more reliable data than self-reports, as demonstrated in four pilot studies across various medical specialties.
RPM can enhance the management of chronic diseases and rehabilitation by offering clinicians objective feedback on patient progress, although attention must be given to ensure all populations can access these digital health services.
Implementing Remote Patient Monitoring of Physical Activity in Clinical Practice.McCarthy, M., Jevotovsky, D., Mann, D., et al.[2023]

Citations

A New Remote Monitoring System: Evaluation of the ...One of the key benefits of remote cardiac monitoring is its ability to detect irregular heartbeats and arrhythmias that may go unnoticed by the patient [32]. So ...
Advancing cardiac arrhythmia management: The integration of ...Core Tip: Wearable technology and remote monitoring are transforming the management of cardiac arrhythmias by enabling early detection, continuous monitoring, ...
Remote Patient Monitoring: Patient Outcomes Data in 2023HealthSnap's Remote Patient Monitoring program continues to deliver impactful results, reaffirming its pivotal role in chronic disease management.
Using Remote Patient Monitoring Technologies for Better ...Remote monitoring improves outcome after. ICD implantation: the clinical efficacy in the management of heart failure (EFFECT) study. Europace. 2015;17:1267-75.
Remote Patient Management for Cardiac ArrhythmiasA survey of 3172 patients enrolled in a remote patient monitoring (RPM) program showed that 88.97% felt comfortable managing their health from home, indicating ...
Benefits and Challenges of Remote Patient Monitoring as ...Common benefits included continuous monitoring of patients to provide prompt care, improvement of patient self-care, efficient communication, increased patient ...
What Is Remote Patient Monitoring (RPM)?Remote patient monitoring lets clinicians access at-home and mobile devices, including wearables, to monitor and manage their patients' chronic and acute ...
REMOTE PATIENT MANAGEMENTThe majority of cardiologists would be more likely to use RPM if the devices were medical-grade (86%), if there was EHR interoperability. (86%), if RPM data ...
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