Mobile Technology-Based System for Patient Engagement and Physician-Directed Remote Management of Heart Failure

Not Recruiting

Trial ID: NCT05647317


This pilot study is to assess the feasibility, preliminary utility and acceptance of a digital technology-based system for heart failure management.

Official Title

Design of a Mobile Technology-Based System for Patient Engagement and Physician-Directed Remote Management of Heart Failure

Stanford Investigator(s)

Alexander Tarlochan Singh Sandhu
Alexander Tarlochan Singh Sandhu

Assistant Professor of Medicine (Cardiovascular Medicine)


Inclusion Criteria:

   - Age ≥ 18

   - Diagnosis of heart failure

   - Most recent left ventricular ejection fraction ≤ 40% in the prior year based on
   echocardiogram, MRI, CT, or nuclear perfusion

   - Primary cardiologist enrolled in the study

   - Currently admitted with upcoming discharge or discharged from hospital within the
   prior 2 weeks

   - At least two eligible heart failure therapies (guideline-recommended BB, RASI, MRA, or
   SGLT2i) not yet initiated or on ≤ 50% of target dose

Exclusion Criteria:

   - Receives dialysis

   - Inotropic therapy during hospitalization

   - History of heart transplant or actively listed on heart transplant waiting list

   - History of left ventricular assist device implantation

   - Cardiac amyloidosis

   - Pregnant or currently trying to be pregnant

   - Life expectancy estimated less than 6 months related to non-cardiac comorbidities as
   per investigator's judgement

   - Actively enrolled in hospice or comfort care

   - Currently participating in an investigational device or drug study or having
   participated in such a study within 30 days prior to screening

   - Subject or their caregiver without a smartphone

   - Subject or their caregiver not proficient with written and spoken English

   - Subject unavailable to complete all study procedures (e.g., interviews) to the best of
   the subject and investigator's knowledge

   - Any other disorder or condition that, in the opinion of the investigator would pose a
   risk to subject safety or interfere with the study evaluation, procedures or

   - Subject has diminished decision-making capacity

   - Planned discharge to skilled nursing facility


other: A combination of a provider-facing desktop and mobile application with a patient-facing mobile application

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Alexander Sandhu, MD