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Detecting Syncope by an Integrated Multisensor Patch-type Recorder (Patch-VD)

Primary Purpose

Syncope, Vasovagal

Status
Completed
Phase
Not Applicable
Locations
Italy
Study Type
Interventional
Intervention
BP monitoring during tilt testing
Sponsored by
Istituto Auxologico Italiano
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Syncope, Vasovagal focused on measuring syncope, tilt table test, blood pressure monitoring

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Consecutive patients, >18 years of age, referred for tilt testing because affected by suspected reflex syncope Exclusion Criteria: Incapability to perform tilt testing

Sites / Locations

  • IRCCS Istituto Auxologico Italiano

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

patch monitoring

standard BP monitoring

Arm Description

Outcomes

Primary Outcome Measures

BP pattern
Difference between baseline (rest) BP and BP at the (pre)syncopal event ("Delta BP slope") during tilt testing with RootiRx and with standard method

Secondary Outcome Measures

BP drop
Absolute BP values during tilt event with RootiRx and with Finometer

Full Information

First Posted
March 11, 2023
Last Updated
March 23, 2023
Sponsor
Istituto Auxologico Italiano
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1. Study Identification

Unique Protocol Identification Number
NCT05782699
Brief Title
Detecting Syncope by an Integrated Multisensor Patch-type Recorder
Acronym
Patch-VD
Official Title
Detection of Impending Reflex Syncope by Means of an Integrated Multisensor Patch-type Recorder
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Completed
Study Start Date
June 25, 2021 (Actual)
Primary Completion Date
May 31, 2022 (Actual)
Study Completion Date
May 31, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Istituto Auxologico Italiano

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The main purpose of this study is to assess the reliability of a new cuffless patch BP monitor in detecting episodes of hypotensive (pre)syncope during tilt testing.
Detailed Description
Background While ECG monitoring is a reliable and established method that allows to document bradycardia in a substantial proportion of patients affected by cardioinhibitory reflex syncope, the documentation of a transient hypotension is only seldom achieved in patients affected by hypotensive syncope. Conventional ambulatory blood pressure (BP) monitoring (ABPM) has important limitations due to the short period of monitoring (usually 24-48 hours) and the intermittent nature of BP measurements (usually every 15-20 min). The main purpose of this study is to assess the reliability of a new cuffless patch BP monitor in detecting episodes of hypotensive (pre)syncope. Secondary aim regards the estimation of feasibility of this tool. Method The study is a prospective intrapatient comparison between BP measured by mean of a cuffless patch BP monitor (RootiRX System, Rooti Labs Ltd., Taipei, Taiwan) and by mean of the standard method during tilt testing. Study design BP values observed during tilt testing baseline and at the time of impeding syncope will be measured by mean of the RootiRX device and will be compared with the standard of reference. BP will be recorded at rest at baseline, shortly after upright in tilting position (at stabilization), at the time of occurrence of syncope (presyncope) or, alternatively at the time of maximum hypotensive effect, if syncope will not occur, and finally in the recovery period at the end of the test after returning in supine position.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Syncope, Vasovagal
Keywords
syncope, tilt table test, blood pressure monitoring

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Arm Title
patch monitoring
Arm Type
Experimental
Arm Title
standard BP monitoring
Arm Type
Active Comparator
Intervention Type
Device
Intervention Name(s)
BP monitoring during tilt testing
Intervention Description
BP measure at various times during tilt testing
Primary Outcome Measure Information:
Title
BP pattern
Description
Difference between baseline (rest) BP and BP at the (pre)syncopal event ("Delta BP slope") during tilt testing with RootiRx and with standard method
Time Frame
2 hours
Secondary Outcome Measure Information:
Title
BP drop
Description
Absolute BP values during tilt event with RootiRx and with Finometer
Time Frame
2 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Consecutive patients, >18 years of age, referred for tilt testing because affected by suspected reflex syncope Exclusion Criteria: Incapability to perform tilt testing
Facility Information:
Facility Name
IRCCS Istituto Auxologico Italiano
City
Milan
State/Province
MI
ZIP/Postal Code
16149
Country
Italy

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Time Frame
Upon reasonable request after the publication of the principal study
IPD Sharing Access Criteria
m.brignole@auxologico.it

Learn more about this trial

Detecting Syncope by an Integrated Multisensor Patch-type Recorder

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