Smart watch study aims to cut heart failure hospitalizations by 20%
NCT ID NCT06909682
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study is testing whether a special wearable device, combined with artificial intelligence, can help people with chronic heart failure avoid hospital visits. About 205 adults will wear the device for six months while their health data is monitored remotely. The goal is to see if early alerts and check-ins can reduce emergency room visits and hospital stays compared to standard care.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 205 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2025
- Expected to finish
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Feb 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The SMART-CARE study will enroll adult patients (≥18 years) with chronic heart failure (CHF) from specialized cardiology and geriatrics clinics. Participants will have NYHA Class I-III heart failure and varying left ventricular ejection fraction (LVEF) classifications (HFrEF, HFmrEF, HFpEF). Patients will be recruited from tertiary hospitals and research centers, including: AOU "San Giovanni di Dio Ruggi d'Aragona" (Cardiology \& Cardiac Rehab) IRCCS Neurolesi "Bonino Pulejo" (Cardiology Unit) IRCCS Fondazione Casa Sollievo della Sofferenza (Geriatrics Unit) The study will compare: Intervention Group: AI-based remote monitoring with a wearable device. Control Group: Standard CHF management with routine follow-ups. Participants will be clinically stable but at risk of hospitalization, and those with NYHA Class IV, severe renal impairment, or terminal illnesses will be excluded.
- Ages
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19 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria * Age ≥ 18 years (adults of any sex) * Confirmed diagnosis of chronic heart failure (CHF) for at least 6 months prior to screening * Stable on optimized heart failure therapy for at least one month before enrollment * Any left ventricular ejection fraction (LVEF) classification, including: * Heart Failure with Reduced Ejection Fraction (HFrEF) * Heart Failure with Mid-Range Ejection Fraction (HFmrEF) * Heart Failure with Preserved Ejection Fraction (HFpEF) * NYHA Functional Class I, II, or III * History of at least one hospital admission or outpatient visit in the past 12 months requiring intravenous (IV) diuretics, vasodilators, or inotropes for CHF exacerbation * Ability to provide written informed consent or availability of a legally authorized representative Exclusion Criteria * NYHA Functional Class IV or anticipated heart transplant or ventricular assist device (VAD) implantation within 6 months of screening * Severe renal impairment (eGFR \< 30 mL/min/1.73 m²) or dialysis dependence * Terminal comorbidities (e.g., advanced cancer, end-stage pulmonary disease) significantly limiting life expectancy * Pregnancy * Presence of skin conditions or allergies preventing prolonged use of a wearable device * Inability to comply with study procedures (e.g., cognitive impairment, significant psychiatric disorders)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Hospital University San Giovanni di Dio and Ruggi d'Aragona
RECRUITINGSalerno, Italy
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