Trial Outcomes & Findings for Clinical Validation Study for Noninvasive Cardiopulmonary Management Device (NCT NCT04865640)

NCT ID: NCT04865640

Last Updated: 2024-08-06

Results Overview

Correlation Coefficient for Respiration Rate accuracy (test device vs reference device).

Recruitment status

COMPLETED

Target enrollment

40 participants

Primary outcome timeframe

Device reading (3 minutes)

Results posted on

2024-08-06

Participant Flow

Participant milestones

Participant milestones
Measure
Healthy Cohort
The target population for this cohort is healthy adult volunteers who do not have preexisting heart or lung conditions or illness. The goal is to recruit a participant population with a range of body types and BMIs and an approximately even split of genders. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Pathologic Cohort
The target population for this cohort is adult patients who have been diagnosed with cardiopulmonary conditions. These can include chronic pulmonary conditions, chronic cardiac conditions, and those who are taking diuretic medications, living with heart failure, Chronic Obstructive Pulmonary Disorder (COPD), or recovering from coronary-artery disease-related events. The goal is to recruit a participant population with a range of body types and BMIs and an approximately even split of genders as well as conditions outlined above (e.g. at least 5 each of COPD, HF, recovering from a coronary artery disease-related event, and taking diuretic medication) Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Overall Study
STARTED
20
20
Overall Study
COMPLETED
20
20
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Clinical Validation Study for Noninvasive Cardiopulmonary Management Device

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Healthy Cohort
n=20 Participants
The target population for this cohort is healthy adult volunteers who do not have preexisting heart or lung conditions or illness. The goal is to recruit a participant population with a range of body types and BMIs and an approximately even split of genders. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Pathologic Cohort
n=20 Participants
The target population for this cohort is adult patients who have been diagnosed with cardiopulmonary conditions. These can include chronic pulmonary conditions, chronic cardiac conditions, and those who are taking diuretic medications, living with heart failure, Chronic Obstructive Pulmonary Disorder (COPD), or recovering from coronary-artery disease-related events. The goal is to recruit a participant population with a range of body types and BMIs and an approximately even split of genders as well as conditions outlined above (e.g. at least 5 each of COPD, HF, recovering from a coronary artery disease-related event, and taking diuretic medication) Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Total
n=40 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
15 Participants
n=5 Participants
8 Participants
n=7 Participants
23 Participants
n=5 Participants
Age, Categorical
>=65 years
5 Participants
n=5 Participants
12 Participants
n=7 Participants
17 Participants
n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
4 Participants
n=7 Participants
14 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
16 Participants
n=7 Participants
26 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
19 Participants
n=5 Participants
20 Participants
n=7 Participants
39 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
20 Participants
n=5 Participants
20 Participants
n=7 Participants
40 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
20 participants
n=5 Participants
20 participants
n=7 Participants
40 participants
n=5 Participants
Body Mass Index (BMI)
25.92 kg/m^2
STANDARD_DEVIATION 3.47 • n=5 Participants
33.73 kg/m^2
STANDARD_DEVIATION 7.37 • n=7 Participants
29.83 kg/m^2
STANDARD_DEVIATION 5.42 • n=5 Participants

PRIMARY outcome

Timeframe: Device reading (3 minutes)

Population: Analysis of the Healthy Cohort for both Supine and Upright positions

Correlation Coefficient for Respiration Rate accuracy (test device vs reference device).

Outcome measures

Outcome measures
Measure
Supine Position
n=150 Number of Measurements
This data group is comprised of device measurements from the Supine position of the Healthy Cohort. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Upright Position
n=133 Number of Measurements
This data group is comprised of device measurements from the Upright position of the Healthy Cohort. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Cardiologist 2
Cardiologist 2 annotation of CPM Device ECG strip for abnormal rhythms
Correlation Coefficient for Accuracy of Test Device vs Reference Device
0.99 Correlation Coefficient
0.95 Correlation Coefficient

PRIMARY outcome

Timeframe: Device reading (3 minutes)

Population: Analysis of the Healthy Cohort for both Supine and Upright positions

Outcome measures

Outcome measures
Measure
Supine Position
n=150 Device measurements
This data group is comprised of device measurements from the Supine position of the Healthy Cohort. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Upright Position
n=133 Device measurements
This data group is comprised of device measurements from the Upright position of the Healthy Cohort. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Cardiologist 2
Cardiologist 2 annotation of CPM Device ECG strip for abnormal rhythms
Root Mean Square Error Accuracy Between CPM and Reference Device for Respiration Rate
1.74 Breaths per minute
3.26 Breaths per minute

PRIMARY outcome

Timeframe: Device reading (3 minutes)

Population: Analysis of Supine and Upright Positions for Healthy Cohort

Accuracy of CPM System calculated rTV (relative Tidal Volume) as compared to reference device calculated TV (Tidal Volume)

Outcome measures

Outcome measures
Measure
Supine Position
n=260 Device measurements
This data group is comprised of device measurements from the Supine position of the Healthy Cohort. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Upright Position
n=260 Device measurements
This data group is comprised of device measurements from the Upright position of the Healthy Cohort. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Cardiologist 2
Cardiologist 2 annotation of CPM Device ECG strip for abnormal rhythms
Correlation Coefficient Between Reference Tidal Volume (TV) and Test Device Relative Tidal Volume (rTV)
0.98 Correlation coefficient
Interval 0.96 to 0.99
0.94 Correlation coefficient
Interval 0.91 to 0.97

PRIMARY outcome

Timeframe: device reading (3 minutes)

Analyses were performed to quantify replication variability. The analysis used Mixed models for repeated measures (MMRM) to obtain the variance component estimates controlling for changes in true status as measured by the bioimpedance reference. The variance components include replication variance within application with three measurements per application (i.e., short-term variance) and application variance with three applications, including an application one hour later (longer-term variance). The model also includes subject to subject variance (adjusted for changes in the bioimpedance reference). Variability among applications is partially explained by changes in bioimpedance reference. Total variance is partitioned into measurement variance, application variance, and subject variance.

Outcome measures

Outcome measures
Measure
Supine Position
n=180 device measurements
This data group is comprised of device measurements from the Supine position of the Healthy Cohort. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Upright Position
This data group is comprised of device measurements from the Upright position of the Healthy Cohort. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Cardiologist 2
Cardiologist 2 annotation of CPM Device ECG strip for abnormal rhythms
Standard Deviation of Thoracic Impedance
2.08 Ohms
Interval 1.84 to 2.38

PRIMARY outcome

Timeframe: Device reading (3 minutes)

The magnitude of drift was evaluated by comparing the magnitude of this longer-term variance to the short term (replication) variance in relative term and comparing the absolute incremental contribution of the longer-term standard deviation to 6 ohms. If adding application variance (controlling for change in bioimpedance reference) does not appreciably increase the total nonsubject variance, no appreciable drift across will have been demonstrated.

Outcome measures

Outcome measures
Measure
Supine Position
n=180 device measurements
This data group is comprised of device measurements from the Supine position of the Healthy Cohort. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Upright Position
This data group is comprised of device measurements from the Upright position of the Healthy Cohort. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Cardiologist 2
Cardiologist 2 annotation of CPM Device ECG strip for abnormal rhythms
Magnitude of Drift for Thoracic Impedance
2.75 Ohms
Interval 2.46 to 3.13

SECONDARY outcome

Timeframe: Device measurement (3 minutes)

Population: ECG Strips from Pathologic Cohort

Confirm that ECG characteristics align with those from bench results using a simulator

Outcome measures

Outcome measures
Measure
Supine Position
n=60 Device measurement ECG Strips
This data group is comprised of device measurements from the Supine position of the Healthy Cohort. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Upright Position
n=60 Device measurement ECG Strips
This data group is comprised of device measurements from the Upright position of the Healthy Cohort. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Cardiologist 2
Cardiologist 2 annotation of CPM Device ECG strip for abnormal rhythms
ECG Heart Rate Confirmation
Maximum Absolute Error
17 Beats per minute (BPM)
15 Beats per minute (BPM)
ECG Heart Rate Confirmation
Mean Absolute Error
4.93 Beats per minute (BPM)
5.5 Beats per minute (BPM)
ECG Heart Rate Confirmation
Bias Error
-4.67 Beats per minute (BPM)
-5.07 Beats per minute (BPM)
ECG Heart Rate Confirmation
Standard Deviation of Error
4.79 Beats per minute (BPM)
5.21 Beats per minute (BPM)
ECG Heart Rate Confirmation
Coefficient of determination
0.91 Beats per minute (BPM)
0.90 Beats per minute (BPM)

SECONDARY outcome

Timeframe: Baseline

Confirm that ECG characteristics align with those from bench results using a simulator

Outcome measures

Outcome measures
Measure
Supine Position
n=200 device measurements
This data group is comprised of device measurements from the Supine position of the Healthy Cohort. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Upright Position
This data group is comprised of device measurements from the Upright position of the Healthy Cohort. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Cardiologist 2
Cardiologist 2 annotation of CPM Device ECG strip for abnormal rhythms
Skin Temperature Confirmation.
26.33 degrees Celcius
Standard Deviation 0.46

SECONDARY outcome

Timeframe: Device measurement (3 minutes)

Population: ECG Strips from Pathologic Cohort

Comparing device ECG Abnormal Rhythm Flags raised by CPM system to cardiologist atrial fibrillation annotation of device ECG strips (3 strips per participant). Counts determine total number of ECG strips flagged with abnormalities if the CPM device or cardiologist annotated atrial fibrillation.

Outcome measures

Outcome measures
Measure
Supine Position
n=60 Device measurement ECG Strips
This data group is comprised of device measurements from the Supine position of the Healthy Cohort. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Upright Position
n=60 Device measurement ECG Strips
This data group is comprised of device measurements from the Upright position of the Healthy Cohort. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Cardiologist 2
n=60 Device measurement ECG Strips
Cardiologist 2 annotation of CPM Device ECG strip for abnormal rhythms
ECG Confirmation for Abnormal Rhythms
6 ECG Strips with atrial fibrillation
6 ECG Strips with atrial fibrillation
6 ECG Strips with atrial fibrillation

SECONDARY outcome

Timeframe: device reading (3 minutes)

Population: ECG Strips from Pathologic Cohort

Confirm that ECG characteristics align with those from bench results using a simulator

Outcome measures

Outcome measures
Measure
Supine Position
n=60 Device measurement ECG Strips
This data group is comprised of device measurements from the Supine position of the Healthy Cohort. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Upright Position
n=60 Device measurement ECG Strips
This data group is comprised of device measurements from the Upright position of the Healthy Cohort. Noninterventional and noninvasive: The ADI At-Home CPM (Cardiopulmonary Management) System is intended for adults undergoing monitoring for cardiopulmonary conditions under the direction of a licensed medical professional to measure, record, and periodically transmit physiological data.
Cardiologist 2
Cardiologist 2 annotation of CPM Device ECG strip for abnormal rhythms
ECG QRS, QT and QTc Confirmation
QRS width - Maximum Absolute Error
57.5 ms (millisecond)
57.5 ms (millisecond)
ECG QRS, QT and QTc Confirmation
QRS Width - Mean Absolute Error
26.4 ms (millisecond)
27.4 ms (millisecond)
ECG QRS, QT and QTc Confirmation
QRS Width - Bias Error
25.4 ms (millisecond)
26.3 ms (millisecond)
ECG QRS, QT and QTc Confirmation
QRS Width - Standard Deviation of Error
17.4 ms (millisecond)
18.3 ms (millisecond)
ECG QRS, QT and QTc Confirmation
QRS Width - Coefficient of determination
0.48 ms (millisecond)
0.45 ms (millisecond)
ECG QRS, QT and QTc Confirmation
QT interval - Mean Absolute Error
51.7 ms (millisecond)
49.2 ms (millisecond)
ECG QRS, QT and QTc Confirmation
QT interval - Bias Error
24.9 ms (millisecond)
22.6 ms (millisecond)
ECG QRS, QT and QTc Confirmation
QT interval - Standard Deviation of Error
66.9 ms (millisecond)
67.2 ms (millisecond)
ECG QRS, QT and QTc Confirmation
QT interval - Coefficient of determination
0.22 ms (millisecond)
0.21 ms (millisecond)
ECG QRS, QT and QTc Confirmation
QTc interval - Maximum Absolute Error
257.4 ms (millisecond)
257.4 ms (millisecond)
ECG QRS, QT and QTc Confirmation
QTc interval - Mean Absolute Error
50.8 ms (millisecond)
48.4 ms (millisecond)
ECG QRS, QT and QTc Confirmation
QTc interval - Bias Error
10.6 ms (millisecond)
7.0 ms (millisecond)
ECG QRS, QT and QTc Confirmation
QTc interval - Standard Deviation of Error
77.8 ms (millisecond)
77.0 ms (millisecond)
ECG QRS, QT and QTc Confirmation
QTc interval - Coefficient of determination
0.0 ms (millisecond)
0.0 ms (millisecond)

Adverse Events

Healthy Cohort

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Pathologic Cohort

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Tony Akl

Medical Products Group | Analog Devices Inc.

Phone: 781-937-1665

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place