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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00538356
Registration number
NCT00538356
Ethics application status
Date submitted
1/10/2007
Date registered
2/10/2007
Date last updated
23/12/2014
Titles & IDs
Public title
Influence of Home Monitoring on the Clinical Status of Heart Failure Patients With an Impaired Left Ventricular Function
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Scientific title
IN-TIME: Influence of Home Monitoring on the Clinical Status of Heart Failure Patients
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Secondary ID [1]
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There is no secondary ID
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Secondary ID [2]
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HS042
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Universal Trial Number (UTN)
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Trial acronym
IN-TIME
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Ventricular Fibrillation
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Ventricular Tachycardia
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Congestive Heart Failure
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Condition category
Condition code
Cardiovascular
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Coronary heart disease
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Cardiovascular
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - ICD or CRT-D with Home Monitoring feature deactivated
Treatment: Devices - ICD or CRT-D with Home Monitoring feature activated
Experimental: Home Monitoring - ICD or CRT-D with Home Monitoring feature activated Home Monitoring data will be analyzed regularly and patients will be contacted and scheduled for additional follow-up after predefined events
Active comparator: Control - ICD or CRT-D with Home Monitoring feature deactivated Patients will be treated as per standard of care in each participating clinic
Treatment: Devices: ICD or CRT-D with Home Monitoring feature deactivated
Standard care
Treatment: Devices: ICD or CRT-D with Home Monitoring feature activated
Standard care + patient management by Home Monitoring
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Composite Score of death, hospitalization for heart failure, NYHA class and global assessment (Packer Score)
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Assessment method [1]
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Timepoint [1]
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12 months
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Secondary outcome [1]
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Rehospitalizations due to worsening heart failure; Correlation of Home Monitoring values with the clinical status; Incidence and reasons for Home Monitoring based interventions; Home Monitoring workflow analysis
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Assessment method [1]
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Timepoint [1]
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12 months
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Eligibility
Key inclusion criteria
* Indication for single chamber ICD, dual chamber ICD or CRT-D
* Chronic heart failure (= 3 months)
* NYHA Class II or III for 1 month prior to screening
* LVEF = 35% within 3 months prior to screening
* Indication for therapy with diuretics
* Patient informed consent
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Uncontrolled hypertension
* NYHA class I or IV
* Permanent atrial fibrillation
* Life expectancy < 1 year
* Restrictive, infiltrative or hypertrophic cardiomyopathy, constrictive pericarditis, acute myocarditis
* Severe mitral regurgitation
* Symptomatic aortic stenosis
* Tricuspid valve replacement
* Known drug or alcohol abuse
* Expected non-compliance
* Pregnancy
* Participation in another telemonitoring concept
* Participation in another study
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/07/2007
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/08/2013
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Sample size
Target
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Accrual to date
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Final
720
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Sydney Adventist Hospital - Wahroonga
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Recruitment postcode(s) [1]
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2076 - Wahroonga
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Recruitment outside Australia
Country [1]
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Austria
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State/province [1]
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Innsbruck
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Czech Republic
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Praha
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Denmark
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Aalborg
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Denmark
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Hellerup
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Denmark
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Odense
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Denmark
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Århus N
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Country [7]
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Germany
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Bad Berka
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Germany
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Bad Neustadt
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Germany
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Bad Segeberg
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Germany
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Berlin
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Germany
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Bielefeld
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Germany
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Bonn
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Germany
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Coburg
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Germany
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Detmold
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Germany
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Essen
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Germany
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Gießen
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Germany
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Hannover
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Germany
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State/province [18]
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Homburg/Saar
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Germany
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Leipzig
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Germany
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Lübeck
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Germany
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State/province [21]
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Lünen
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Germany
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State/province [22]
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Munich - Schwabing
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Germany
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State/province [23]
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München
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Germany
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Nordhausen
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Germany
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Paderborn
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Germany
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Pirna
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Israel
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Ashkelon
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Israel
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Petach-Tikva
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Israel
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State/province [29]
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Tel-Hashomer
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Latvia
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State/province [30]
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Riga
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Biotronik SE & Co. KG
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
Re-hospitalizations or deaths by worsening heart failure are often preceded by distinct trends of clinical parameters such as atrial or ventricular arrhythmia, activity, heart rate variability, or ventricular ectopy. The Home Monitoring™ capability offered by BIOTRONIK active implants has the potential to detect some of these trends early and thus to offer the possibility to intervene in time for prevention of fatal worsening of heart failure. To investigate the predictive value of Home Monitoring parameters, patients with symptomatic heart failure and reduced ejection fraction receiving an implantable cardioverter-defibrillator (ICD) or an ICD in combination with cardiac resynchronization therapy (CRT-D) will be randomized between prospective patient management by Home Monitoring analysis or standard care. The influence of Home Monitoring on the clinical status of heart failure patients will be assessed.
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Trial website
https://clinicaltrials.gov/study/NCT00538356
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Trial related presentations / publications
Arya A, Block M, Kautzner J, Lewalter T, Mortel H, Sack S, Schumacher B, Sogaard P, Taborsky M, Husser D, Hindricks G; IN-TIME investigators. Influence of Home Monitoring on the clinical status of heart failure patients: Design and rationale of the IN-TIME study. Eur J Heart Fail. 2008 Nov;10(11):1143-8. doi: 10.1016/j.ejheart.2008.08.004. Epub 2008 Sep 19. Hindricks G, Taborsky M, Glikson M, Heinrich U, Schumacher B, Katz A, Brachmann J, Lewalter T, Goette A, Block M, Kautzner J, Sack S, Husser D, Piorkowski C, Sogaard P; IN-TIME study group*. Implant-based multiparameter telemonitoring of patients with heart failure (IN-TIME): a randomised controlled trial. Lancet. 2014 Aug 16;384(9943):583-590. doi: 10.1016/S0140-6736(14)61176-4.
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Public notes
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Contacts
Principal investigator
Name
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Gerhard Hindricks, Prof. Dr.
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Address
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Herzzentrum Leipzig, Germany
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00538356
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