Heart Failure (HF) Assessment With B-type Natriuretic Peptide (BNP) In The Home

NCT ID: NCT00946231

Last Updated: 2012-08-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

187 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-07-31

Study Completion Date

2011-10-31

Brief Summary

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The HABIT clinical study is being performed to determine the benefit and optimal frequency for at home testing of B-type natriuretic peptide (BNP) for heart failure patients following hospitalization from decompensation. Subjects will be enrolled following hospitalization for decompensated heart failure. Enrolled subjects will be trained on the use of the Triage Touch meter for fingerstick BNP assessment; these subjects will then test their BNP levels daily using the Triage Touch product for approximately 60 days.

Detailed Description

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This is a multi-center, single-arm double-blinded prospective clinical study to determine the optimal frequency of home B-type natriuretic peptide (BNP) testing and the changes in BNP concentrations that correlate with clinical heart failure (HF) decompensation and related adverse clinical outcomes in at-risk HF patients. Approximately 200 subjects will be enrolled.

Conditions

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Heart Failure

Keywords

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Heart Failure BNP B-type natriuretic peptide home testing

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Heart Failure

Subjects admitted to the hospital with decompensated heart failure.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Adults (18 years of age or older);
* Admitted to the hospital or observation unit with a diagnosis of decompensated HF for which treatment will be administered;
* Blood BNP level measurement \> 400 pg/mL documented during admission; If NT-proBNP is used routinely in the laboratory at a clinical site rather than BNP, then blood NT-proBNP level measurement \> 1,600 pg/mL documented during admission.
* Successfully trained on how to perform a fingerstick and to use the Triage touch.
* Either the subject or their care provider is fluent in reading and writing English

Exclusion Criteria

* Unwilling or unable to provide written informed consent;
* Acute coronary syndrome (ACS) that is concomitant with the diagnosis of decompensated HF and for which treatment will be provided.

A history of ACS is not reason for exclusion if it is not concomitant with the present decompensated HF for which admission is being made. Small elevations in cardiac troponin that are considered by the treating physician to be associated with myocardial injury due to the acute decompensated HF and not due to a concomitant ACS or myocardial infarction are not a basis for exclusion.

* Previous cardiac transplantation - or cardiac transplantation anticipated within 3 months;
* Current or planned use of a left ventricular assist device (LVAD), use of outpatient intravenous inotropic HF therapy, major surgical procedure or percutaneous coronary intervention within 3 months;
* Life expectancy less than 3 months due to causes other than HF or cardiovascular disease (e.g., cancer);
* End stage renal disease;
* Prisoner or other institutionalized or vulnerable individual;
* Residence in regions where either transmission of Triage Touch data or a home visit on day 5 is not possible.
* Dementia, tremors or other impediments to performing daily home BNP testing via fingerstick.
* Deemed by the Investigator not to be likely to comply with study-mandated procedures or instructions.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Inverness Medical Innovations

INDUSTRY

Sponsor Role collaborator

Abbott RDx Cardiometabolic

OTHER

Sponsor Role lead

Responsible Party

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Biosite Incorporated

Principal Investigators

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Alan S Maisel, MD

Role: PRINCIPAL_INVESTIGATOR

Veterans Affairs San Diego Healthcare System

Locations

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Care Clinical Research Corp DBA Beaver Medical Center

Banning, California, United States

Site Status

Scripps Clinic Torrey Pines

La Jolla, California, United States

Site Status

Loma Linda University Medical Center

Loma Linda, California, United States

Site Status

Loma Linda VA Medical Center

Loma Linda, California, United States

Site Status

Mission Internal Medical Group

Mission Viejo, California, United States

Site Status

St. Josephs Hospital

Orange, California, United States

Site Status

University of California Irvine Medical Center

Orange, California, United States

Site Status

Desert Cardiology Center

Rancho Mirage, California, United States

Site Status

UCSD Medical Center

San Diego, California, United States

Site Status

San Diego Cardiac Center

San Diego, California, United States

Site Status

VA- UCSD

San Diego, California, United States

Site Status

Countries

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United States

References

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Maisel A, Barnard D, Jaski B, Frivold G, Marais J, Azer M, Miyamoto MI, Lombardo D, Kelsay D, Borden K, Iqbal N, Taub PR, Kupfer K, Clopton P, Greenberg B. Primary results of the HABIT Trial (heart failure assessment with BNP in the home). J Am Coll Cardiol. 2013 Apr 23;61(16):1726-35. doi: 10.1016/j.jacc.2013.01.052. Epub 2013 Mar 26.

Reference Type DERIVED
PMID: 23500322 (View on PubMed)

Other Identifiers

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BSTE-0108

Identifier Type: -

Identifier Source: org_study_id