UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000050501
Receipt number R000057520
Scientific Title Investigation of clinical application of an AI program to predict left ventricular systolic dysfunction from ECG
Date of disclosure of the study information 2023/04/01
Last modified on 2023/03/07 16:25:11

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Basic information

Public title

Investigation of clinical application of an AI program to predict left ventricular systolic dysfunction from ECG

Acronym

Investigation of clinical application of an AI program to predict left ventricular systolic dysfunction from ECG

Scientific Title

Investigation of clinical application of an AI program to predict left ventricular systolic dysfunction from ECG

Scientific Title:Acronym

Investigation of clinical application of an AI program to predict left ventricular systolic dysfunction from ECG

Region

Japan


Condition

Condition

Cardiovascular disease

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Many cardiac diseases, such as ischemic heart disease, cardiomyopathy, and myocarditis, are known to cause left ventricular systolic dysfunction as they progress. In particular, when these diseases have a chronic course, left ventricular systolic dysfunction may occur asymptomatically, and irreversible changes are often already present at the time of diagnosis. The prognosis for patients with left ventricular systolic dysfunction is also known to be poor, even in asymptomatic patients. On the other hand, it is also known that appropriate pharmacotherapy and device therapy can improve the prognosis of patients with left ventricular systolic dysfunction. Although it would be of great clinical significance if patients with left ventricular systolic dysfunction could be diagnosed at an earlier stage and linked to treatment, screening tests for left ventricular systolic dysfunction are extremely limited, and early diagnosis is known to be very difficult. The development of simple and effective screening tools is needed in this field. In recent years, deep learning has been applied to the medical field, and it is known to be particularly successful in assisting medical image diagnosis. We have developed an AI analysis program that accurately classifies patients with left ventricular systolic dysfunction by applying deep learning analysis to 12-lead electrocardiograms performed on patients suspected of having cardiac disease. In this study, we will evaluate the performance of the AI analysis program using newly collected data on patients suspected of having cardiac disease at multiple institutions in a retrospective manner, with a view to clinical application of the developed AI analysis program, and obtain regulatory approval as a medical device program by the Ministry of Health, Labour and Welfare.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Sensitivity and specificity of the AI analysis program to detect the presence of reduced left ventricular ejection fraction

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Of the cases in which echocardiography was performed or read by the relevant department at the participating institution from the date of approval through December 2023, those cases in which an electrocardiogram was performed in the 14 days prior to the echocardiography.

Key exclusion criteria

Patients under 18 years of age, post-implantation permanent pacemaker, post-implantation implantable cardioverter defibrillator, post-implantation cardiac resynchronization therapy device, and patients who are unable to provide consent or who have opted out and been denied.

Target sample size

600


Research contact person

Name of lead principal investigator

1st name Satoshi
Middle name
Last name Kodera

Organization

The University of Tokyo Hospital

Division name

Department of Cardiovascular Medicine

Zip code

113-8655

Address

Hongo 7-3-1, Bunkyo-ku, Tokyo, Japan

TEL

03-3815-5411

Email

koderasatoshi@gmail.com


Public contact

Name of contact person

1st name Satoshi
Middle name
Last name Kodera

Organization

The University of Tokyo Hospital

Division name

Department of Cardiovascular Medicine

Zip code

113-8655

Address

Hongo 7-3-1, Bunkyo-ku, Tokyo, Japan

TEL

03-3815-5411

Homepage URL


Email

koderasatoshi@gmail.com


Sponsor or person

Institute

The University of Tokyo Hospital

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee, Graduate School of Medicine, The University of Tokyo

Address

Hongo 7-3-1, Bunkyo-ku, Tokyo, Japan

Tel

03-5841-0818

Email

ethics@m.u-tokyo.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2023 Year 04 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2023 Year 04 Month 01 Day

Date of IRB


Anticipated trial start date

2023 Year 04 Month 01 Day

Last follow-up date

2028 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

None


Management information

Registered date

2023 Year 03 Month 06 Day

Last modified on

2023 Year 03 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000057520


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name