This is an observational, prospective, single arm, multi-center registry to evaluate the Cordella™ Heart Failure System (CHFS) in up to 250 NYHA Class III HF patients .
The subjects in this registry will participate in the Screening Visit, and Follow-Up Visits. After the Screening Visit, eligible subjects will be trained on at-home use of the CHFS to measure BP, HR, SpO2, weight and optional ECG. They will be instructed to perform daily measurements of the parameters which will all be wirelessly transmitted to a secure website for review using the myCordella™ Patient Management Portal (PMP). Clinicians will be able to view Blood Pressure (BP), Heart Rate (HR), peripheral capillary oxygen saturation (SpO2), weight and Electrocardiogram (ECG) (optional) data through the myCordella™ PMP. Subjects will return for follow up visits at 3, 6, and 12 months after enrollment or until study termination. At Month 6, the primary endpoint will be assessed through evaluation of the subjects Quality of Life using the completed KCCQ Questions. Assessment of secondary endpoints will be performed throughout the study duration, including evaluation of adverse events, and heart failure-related hospitalizations and medication changes. Additionally, Health Economics will be assessed per subject and per site via a detailed site questionnaire.
Study Type
OBSERVATIONAL
Enrollment
7
The Cordella™ Heart Failure System electronically transfers communications and data from a set of medical devices in a heart failure patient's home to a database for storage, retrieval, and display to healthcare providers.
USC Keck School of Medicine
Los Angeles, California, United States
UCSF Medical Center
San Francisco, California, United States
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, United States
Craig Cardiovascular Center
Gonzales, Texas, United States
Kansas City Cardiomyopathy Questionnaire (KCCQ) change from baseline to 6 month
The KCCQ is a 23-item, self-administered instrument that quantifies physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. An overall summary score can be derived from the physical function, symptom (frequency and severity), social function and quality of life domains. For each domain, the validity, reproducibility, responsiveness and interpretability have been independently established. Scores are transformed to a range of 0-100, in which higher scores reflect better health status. For brevity, only the performance characteristics of the overall summary score are presented in this discussion.The answers patients give to the KCCQ's questions are used to calculate scores in ten scales: Physical Limitation, Symptom Stability, Symptom Frequency, Symptom Burden, Total Symptom, Social Limitation, Self-Efficacy, Quality of Life, Clinical Summary, Overall Summary
Time frame: Baseline- 6 month
Percentage of device success
Percentage of device success as documented by ability of the System to successfully transmit data (BP, HR, SpO2, weight and optional ECG) to a secure database.
Time frame: 12 months post Enrollment
Frequency of Adverse Events
Frequency and rates of adverse events(AEs) throughout the study
Time frame: 12 months post Enrollment
Heart Failure Hospitalizations
Number of HF hospitalizations, HF treatments in a hospital day-care setting, or urgent outpatient clinic HF visits
Time frame: 12 months post Enrollment
Device/system-related complications
Incidence of Device/system-related complications
Time frame: 12 months post Enrollment
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Adherence to regular myCordella™ Peripherals measurements
Compliance in using myCordella™ at minimum 5 out of 7 days
Time frame: 12 months post Enrollment
Heart Failure Related Medication Changes
Changes to Heart Failure Related Medication from Baseline through 12 month post Enrollment
Time frame: 12 months post Enrollment
Health Economic Questionnaire & Cost Effectiveness Analysis
Cost Effectiveness of treating Complex Chronic Care Management (CCM) patients with Heart Failure using the Cordella™ Heart Failure System will be assessed with a questionnaire generated by a Health Economics expert from sponsor. Analyses will include: CCM billing practices, overall economic costs for: hospitalizations (including length of stay), treatment in day-care settings, treatment in urgent care, medication costs, as well as indriect costs (missed days at work, caregiver support, etc.)
Time frame: 12 months post Enrollment
Kansas City Cardiomyopathy Questionnaire (KCCQ) change from baseline to 12 month
The KCCQ is a 23-item, self-administered instrument that quantifies physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. An overall summary score can be derived from the physical function, symptom (frequency and severity), social function and quality of life domains. For each domain, the validity, reproducibility, responsiveness and interpretability have been independently established. Scores are transformed to a range of 0-100, in which higher scores reflect better health status. For brevity, only the performance characteristics of the overall summary score are presented in this discussion.The answers patients give to the KCCQ's questions are used to calculate scores in ten scales: Physical Limitation, Symptom Stability, Symptom Frequency, Symptom Burden, Total Symptom, Social Limitation, Self-Efficacy, Quality of Life, Clinical Summary, Overall Summary
Time frame: 12 months post Enrollment