"HerzCheck" - Detection of Early Heart Failure Using Telemedicine in Structurally Weak Regions

NCT ID: NCT05122793

Last Updated: 2025-03-06

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

4509 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-06-21

Study Completion Date

2034-09-30

Brief Summary

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This study is intended to provide a basis for decision-making for the improved medical care of patients with asymptomatic heart failure, especially in structurally weak regions.

Detailed Description

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The aim of the study is the early detection of asymptomatic heart failure with a quality-assured cardiac screening MRI in the population in structurally weak regions and especially in patients with risk factors for the occurrence of heart failure. The diagnosis is followed by early initiation of appropriate therapeutic measures to improve the prognosis of the affected patients, avoid hospitalisations and save therapy costs, and is combined with recommended measures to minimise risk factors for the development of heart failure. The project includes a prospective, monocentric, randomised controlled clinical trial with blinded assessment of the endpoint (PROBE design). Within the scope of the study, 4,509 patients aged between 40 and 69 years who have characteristic risk factors for the development of heart failure were examined using a mobile cardiac screening MRI in the federal states of Brandenburg and Mecklenburg-Western Pomerania within Germany.

Conditions

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Heart Failure with Preserved Ejection Fraction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The present study is a prospective, monocentric, randomised controlled trial with stratification and blinded assessment of the endpoint (Prospective Randomised Open Blinded Endpoint (PROBE) design).
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Investigators
The attending physician who examines the patients is blinded.

Study Groups

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Prevention Group

In addition to the usual treatment (SoC), the prevention group receives an innovative prevention offer tailored to the severity of the heart failure (telemedical connection via health app as well as additional therapy recommendations).

Group Type EXPERIMENTAL

Prevention offer

Intervention Type BEHAVIORAL

Improvement of outcomes through lifestyle changes and improved health literacy

Control Group

The control group receives the current standard treatment according to the valid guidelines (Standard of Care = SoC).

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Prevention offer

Improvement of outcomes through lifestyle changes and improved health literacy

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Smoking
* Hypercholesterolaemia
* Arterial hypertension
* Obesity
* Chronic diabetes mellitus
* Chronic kidney disease
* Health insurance

Exclusion Criteria

* Previously diagnosed Heart Failure
Minimum Eligible Age

40 Years

Maximum Eligible Age

69 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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medneo GmbH, Germany

UNKNOWN

Sponsor Role collaborator

Medical Statistics, University Medicine of Goettingen

OTHER

Sponsor Role collaborator

University of Cologne

OTHER

Sponsor Role collaborator

University Hospital Heidelberg

OTHER

Sponsor Role collaborator

AOK Nordost

INDUSTRY

Sponsor Role collaborator

Herz- und Gefaesszentrum Bad Bevensen

OTHER

Sponsor Role collaborator

German Heart Institute

OTHER

Sponsor Role lead

Responsible Party

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Sebastian Kelle

Dr. Sebastian Kelle (MD)

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sebastian Kelle, MD

Role: PRINCIPAL_INVESTIGATOR

Deutsches Herzzentrum der Charité

Diana Graja

Role: STUDY_CHAIR

AOK Nordost

Daniel Sievritts

Role: STUDY_CHAIR

medneo GmbH

Tim Friede, PhD

Role: STUDY_CHAIR

Medical Statistics, University Medicine of Goettingen

Stephanie Stock, MD

Role: STUDY_CHAIR

University of Cologne

Norbert Frey, MD

Role: STUDY_CHAIR

University Hospital Heidelberg

Bjoern Remppis, MD

Role: STUDY_CHAIR

Herz- und Gefaesszentrum Bad Bevensen

Locations

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Deutsches Herzzentrum der Charité

Berlin, State of Berlin, Germany

Site Status

Countries

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Germany

References

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Biering-Sorensen T, Biering-Sorensen SR, Olsen FJ, Sengelov M, Jorgensen PG, Mogelvang R, Shah AM, Jensen JS. Global Longitudinal Strain by Echocardiography Predicts Long-Term Risk of Cardiovascular Morbidity and Mortality in a Low-Risk General Population: The Copenhagen City Heart Study. Circ Cardiovasc Imaging. 2017 Mar;10(3):e005521. doi: 10.1161/CIRCIMAGING.116.005521.

Reference Type BACKGROUND
PMID: 28264868 (View on PubMed)

Liu B, Dardeer AM, Moody WE, Hayer MK, Baig S, Price AM, Leyva F, Edwards NC, Steeds RP. Reference ranges for three-dimensional feature tracking cardiac magnetic resonance: comparison with two-dimensional methodology and relevance of age and gender. Int J Cardiovasc Imaging. 2018 May;34(5):761-775. doi: 10.1007/s10554-017-1277-x. Epub 2017 Nov 27.

Reference Type BACKGROUND
PMID: 29181827 (View on PubMed)

Friede T, Kieser M. Sample size recalculation in internal pilot study designs: a review. Biom J. 2006 Aug;48(4):537-55. doi: 10.1002/bimj.200510238.

Reference Type BACKGROUND
PMID: 16972704 (View on PubMed)

Huber A, Oldridge N, Benzer W, Saner H, Hofer S. Validation of the German HeartQoL: a short health-related quality of life questionnaire for cardiac patients. Qual Life Res. 2020 Apr;29(4):1093-1105. doi: 10.1007/s11136-019-02384-6. Epub 2019 Dec 12.

Reference Type BACKGROUND
PMID: 31832979 (View on PubMed)

Mach F, Baigent C, Catapano AL, Koskinas KC, Casula M, Badimon L, Chapman MJ, De Backer GG, Delgado V, Ference BA, Graham IM, Halliday A, Landmesser U, Mihaylova B, Pedersen TR, Riccardi G, Richter DJ, Sabatine MS, Taskinen MR, Tokgozoglu L, Wiklund O; ESC Scientific Document Group. 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. Eur Heart J. 2020 Jan 1;41(1):111-188. doi: 10.1093/eurheartj/ehz455. No abstract available.

Reference Type BACKGROUND
PMID: 31504418 (View on PubMed)

Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF, Coats AJS, Falk V, Gonzalez-Juanatey JR, Harjola VP, Jankowska EA, Jessup M, Linde C, Nihoyannopoulos P, Parissis JT, Pieske B, Riley JP, Rosano GMC, Ruilope LM, Ruschitzka F, Rutten FH, van der Meer P; ESC Scientific Document Group. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2016 Jul 14;37(27):2129-2200. doi: 10.1093/eurheartj/ehw128. Epub 2016 May 20. No abstract available.

Reference Type BACKGROUND
PMID: 27206819 (View on PubMed)

Rademakers F, Nagel E. Is Global Longitudinal Strain a Superior Parameter for Predicting Outcome After Myocardial Infarction? JACC Cardiovasc Imaging. 2018 Oct;11(10):1458-1460. doi: 10.1016/j.jcmg.2017.11.005. Epub 2017 Dec 13. No abstract available.

Reference Type BACKGROUND
PMID: 29248650 (View on PubMed)

Schneider JE, Stojanovic I. Economic evaluation of cardiac magnetic resonance with fast-SENC in the diagnosis and management of early heart failure. Health Econ Rev. 2019 May 23;9(1):13. doi: 10.1186/s13561-019-0229-7.

Reference Type BACKGROUND
PMID: 31123926 (View on PubMed)

Tanacli R, Hashemi D, Lapinskas T, Edelmann F, Gebker R, Pedrizzetti G, Schuster A, Nagel E, Pieske B, Dungen HD, Kelle S. Range Variability in CMR Feature Tracking Multilayer Strain across Different Stages of Heart Failure. Sci Rep. 2019 Nov 11;9(1):16478. doi: 10.1038/s41598-019-52683-8.

Reference Type BACKGROUND
PMID: 31712641 (View on PubMed)

Unkel S, Amiri M, Benda N, Beyersmann J, Knoerzer D, Kupas K, Langer F, Leverkus F, Loos A, Ose C, Proctor T, Schmoor C, Schwenke C, Skipka G, Unnebrink K, Voss F, Friede T. On estimands and the analysis of adverse events in the presence of varying follow-up times within the benefit assessment of therapies. Pharm Stat. 2019 Mar;18(2):166-183. doi: 10.1002/pst.1915. Epub 2018 Nov 20.

Reference Type BACKGROUND
PMID: 30458579 (View on PubMed)

Cosentino F, Grant PJ, Aboyans V, Bailey CJ, Ceriello A, Delgado V, Federici M, Filippatos G, Grobbee DE, Hansen TB, Huikuri HV, Johansson I, Juni P, Lettino M, Marx N, Mellbin LG, Ostgren CJ, Rocca B, Roffi M, Sattar N, Seferovic PM, Sousa-Uva M, Valensi P, Wheeler DC; ESC Scientific Document Group. 2019 ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD. Eur Heart J. 2020 Jan 7;41(2):255-323. doi: 10.1093/eurheartj/ehz486. No abstract available.

Reference Type BACKGROUND
PMID: 31497854 (View on PubMed)

Chopra VK, Anker SD. Anaemia, iron deficiency and heart failure in 2020: facts and numbers. ESC Heart Fail. 2020 Oct;7(5):2007-2011. doi: 10.1002/ehf2.12797. Epub 2020 Jun 30.

Reference Type BACKGROUND
PMID: 32602663 (View on PubMed)

Doeblin P, Hashemi D, Tanacli R, Lapinskas T, Gebker R, Stehning C, Motzkus LA, Blum M, Tahirovic E, Dordevic A, Kraft R, Zamani SM, Pieske B, Edelmann F, Dungen HD, Kelle S. CMR Tissue Characterization in Patients with HFmrEF. J Clin Med. 2019 Nov 5;8(11):1877. doi: 10.3390/jcm8111877.

Reference Type BACKGROUND
PMID: 31694263 (View on PubMed)

Fischer F, Gibbons C, Coste J, Valderas JM, Rose M, Leplege A. Measurement invariance and general population reference values of the PROMIS Profile 29 in the UK, France, and Germany. Qual Life Res. 2018 Apr;27(4):999-1014. doi: 10.1007/s11136-018-1785-8. Epub 2018 Jan 19.

Reference Type BACKGROUND
PMID: 29350345 (View on PubMed)

Gaggin HK, Januzzi JL Jr. Biomarkers and diagnostics in heart failure. Biochim Biophys Acta. 2013 Dec;1832(12):2442-50. doi: 10.1016/j.bbadis.2012.12.014. Epub 2013 Jan 9.

Reference Type BACKGROUND
PMID: 23313577 (View on PubMed)

Pedrizzetti G, Lapinskas T, Tonti G, Stoiber L, Zaliunas R, Gebker R, Pieske B, Kelle S. The Relationship Between EF and Strain Permits a More Accurate Assessment of LV Systolic Function. JACC Cardiovasc Imaging. 2019 Sep;12(9):1893-1895. doi: 10.1016/j.jcmg.2019.03.019. Epub 2019 May 15. No abstract available.

Reference Type BACKGROUND
PMID: 31103586 (View on PubMed)

Kelle S, Nolden AC, Muller ML, Beyer RE, Steen H, Remppis BA, Wieditz J, Kentenich H, Tuit A, Cvetkovic M, Witt UE, Andre F, Schmidt S, Huppertz A, Simic D, Muller D, Shukri A, Issing M, Glardon A, Reber KC, Landmesser U, Frey N, Pieske B, Stock S, Falk V, Friede T, Thiede G. Rationale and design of the HERZCHECK trial: Detection of early heart failure using telemedicine and cardiovascular magnetic resonance in structurally weak regions (NCT05122793). J Cardiovasc Magn Reson. 2025 Summer;27(1):101841. doi: 10.1016/j.jocmr.2025.101841. Epub 2025 Jan 15.

Reference Type DERIVED
PMID: 39824461 (View on PubMed)

Related Links

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https://www.herzcheck.org/startseite/

Project Website in German language

Other Identifiers

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EA4/204/20

Identifier Type: -

Identifier Source: org_study_id

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