Heart failure patients may skip hospital visits with digital home monitoring
NCT ID NCT06576752
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether people with acute heart failure can be safely followed up at home using digital tools instead of going to the hospital. About 450 patients will be randomly assigned to either in-person hospital visits or remote digital check-ups. The goal is to see if both methods lead to similar use of recommended heart failure medications.
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.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 450 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2024
- Expected to finish
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Dec 2029
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.
- Ages
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18 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: * Hospital admission within the 72 hours prior to screening for acute HF. * NT-proBNP ≥ 1,000 pg/mL measured during the hospitalization * Systolic blood pressure ≥ 100 mmHg and of heart rate ≥ 60 bpm within 24 hours before randomization * Serum potassium ≤ 5.0 mEq/L (mmol/L). * ≤ ½ the optimal dose of ACEi/ARB/ARNi or beta-blocker or MRA. * Written informed consent to participate in the study. Exclusion Criteria: 1. Age below 18 or above 85 years. 2. Clearly documented intolerance to high doses of beta-blockers 3. Clearly documented intolerance to high doses of renin-angiotensin system (RAS) blockers (both ACEi and ARB). 4. Renal disease or estimated glomerular filtration rate (eGFR) below 30 mL/min/1.73m2 at screening or history of dialysis. 5. Prior (defined as less than 30 days from screening) or current enrollment in a HF intervention or participation in an investigational drug or device study within the 30 days prior to screening 6. Index event (admission for acute HF) triggered primarily by a completely reversable etiology so that it is unlikely the patient will be classified with chronic HF after discharge, such as Takotsubo syndrome (stress cardiomyopathy). In the setting of acute coronary syndrome or tachycardia, this should be managed before considering the presence of HF. This does not apply to patients with chronic HF prior to the index event. 7. Severe non-adherence to medications 8. Psychiatric or neurological disorder, cirrhosis, or active malignancy leading to a life expectancy less than 6 months. 9. History of heart transplant or on a transplant list, or using or planned to be implanted with a ventricular assist device. 10. Uncorrected thyroid disease, active myocarditis, or known amyloid or hypertrophic obstructive cardiomyopathy. 11. Inability to comply with all study requirements, due to major co-morbidities, social or financial issues, or a history of noncompliance with medical regimens, that might compromise the patients ability to understand and/or comply with the protocol instructions or follow-up procedures. 12. Low digital competency classified as inability to handle a smartphone or tablet. 13. Language barriers requiring the need for an external interpreter. 14. Pregnant or nursing (lactating) women.
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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
11 sites. 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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Akershus University Hospital
RECRUITINGLørenskog, Akershus, 1478, Norway
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Drammen Hospital, Vestre Viken HF
RECRUITINGDrammen, Vestre Viken, 1878, Norway
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Innlandet sykehus
RECRUITINGHamar, Norway
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Levanger Sykehus
RECRUITINGLevanger, Norway
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Oslo University Hospital
RECRUITINGOslo, Norway
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Stavanger University Hospital
RECRUITINGStavanger, Norway
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Sørlandet Sykehus
RECRUITINGArendal, Norway
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Tromsø University Hospital
RECRUITINGTromsø, Norway
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Tønsberg Sykehus
RECRUITINGTønsberg, Norway
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Ålesund Hospital
RECRUITINGÅlesund, Norway
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Østfold Hospital
RECRUITINGMoss, Norway
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Other studies related to the condition(s) this trial covers.
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- Can modern heart failure drugs reverse damage in three months?