UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000059141
Receipt number R000067650
Scientific Title A Randomized Controlled Trial on Reducing Patient Anxiety and Predicting Heart Failure Exacerbation Using a Wearable Electrocardiogram Device
Date of disclosure of the study information 2025/10/01
Last modified on 2025/09/22 09:52:49

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Basic information

Public title

A Randomized Controlled Trial on Reducing Patient Anxiety and Predicting Heart Failure Exacerbation Using a Wearable Electrocardiogram Device

Acronym

WECare-HF trial (Wearable ECG to improve Care and predict deterioration in Heart Failure)

Scientific Title

A Randomized Controlled Trial on Reducing Patient Anxiety and Predicting Heart Failure Exacerbation Using a Wearable Electrocardiogram Device

Scientific Title:Acronym

A Randomized Controlled Trial on Reducing Patient Anxiety and Predicting Heart Failure Exacerbation Using a Wearable Electrocardiogram Device

Region

Japan


Condition

Condition

Cardiac Diseases

Classification by specialty

Cardiology Cardiovascular surgery Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study investigates whether ECG monitoring during daily activities at home using a wearable ECG device can alleviate patient anxiety and identify predictors of heart failure exacerbation. Specifically, it evaluates ECG monitoring during daily activities at home for two weeks post-discharge in cardiac patients using a wearable ECG device, focusing on the following aspects:
(1) Evaluate whether ECG monitoring at home contributes to improving patients' sense of security after discharge.
(2) Evaluate whether ECG monitoring information obtained at home can predict factors associated with worsening heart failure.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

HADS (Hospital Anxiety and Depression Scale)

Key secondary outcomes

1) Exercise Self-Efficacy Scale
2) NT-proBNP
3) Presence or absence of readmission due to worsening heart failure, etc.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment Behavior,custom

Interventions/Control_1

The wearable ECG group will be provided with a wearable ECG device and a smartphone with a dedicated app installed. ECG data during daily life will be collected from immediately after discharge until noon the following day, one week later, and two weeks later. Additionally, spot measurements will be evaluated, such as attaching the device 5 minutes before starting daily activities like walking or shopping at home and removing it 5 minutes after the activity ends. Participants in the wearable ECG group will also record their lifestyle activities (sleep, meal, exercise, etc.) on a daily activity log. Analyzed ECG data will be provided as an analysis report via email attachment the day after discharge and one week later. The report will be handed out directly during the first outpatient visit. During the observation period, participants will receive occasional messages offering encouragement and reminding them to wear the ECG monitor.

Interventions/Control_2

Provide only standard discharge instructions

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

20 years-old <=

Age-upper limit

90 years-old >

Gender

Male and Female

Key inclusion criteria

1. Patients with heart disease who underwent cardiac rehabilitation at the Rehabilitation Department of Juntendo University Hospital during the study period
2. Individuals aged 20 to 90 years at the time of consent acquisition
3. Individuals who, after receiving sufficient explanation regarding participation in this study and demonstrating full understanding, provided their free and informed consent via SmartPRO electronic consent

Key exclusion criteria

1. Individuals who experienced a serious cardiac event, such as cardiac arrest, during hospitalization
2. Individuals with low ADL who are not independent in daily living
3. Individuals who have difficulty operating a smartphone
4. Other individuals deemed unsuitable as research subjects by the principal investigator
Eligibility is determined when an individual meets all (2) selection criteria and does not meet any (3) exclusion criteria among the (1) research subjects described above.

Target sample size

80


Research contact person

Name of lead principal investigator

1st name Tetsuya
Middle name
Last name Takahashi

Organization

Juntendo University Hospital

Division name

Department of Rehabilitation Medicine

Zip code

113-8421

Address

3-1-3 Hongo, Bunkyo-ku, Tokyo, 113-8421, JAPAN

TEL

03-3813-3111

Email

te-takahashi@juntendo.ac.jp


Public contact

Name of contact person

1st name Tetsuya
Middle name
Last name Takahashi

Organization

Juntendo University

Division name

Faculty of Health Science

Zip code

113-0033

Address

3-2-12 Hongo, Bunkyo-ku, Tokyo, 113-0033, JAPAN

TEL

03-3812-1780

Homepage URL


Email

te-takahashi@juntendo.ac.jp


Sponsor or person

Institute

Juntendo University

Institute

Department

Personal name



Funding Source

Organization

Japan Keirin Autorace Foundation

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Juntendo University, Research Ethics Committee

Address

3-1-3 Hongo, Bunkyo-ku, Tokyo, 113-8421, JAPAN

Tel

03-5802-1584

Email

hongo-rinri@juntendo.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

2025 Year 10 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

2025 Year 09 Month 18 Day

Date of IRB


Anticipated trial start date

2025 Year 10 Month 01 Day

Last follow-up date

2026 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 09 Month 19 Day

Last modified on

2025 Year 09 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067650