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
About this trial
This is an interventional diagnostic trial for Syncope, Vasovagal focused on measuring syncope, tilt table test, blood pressure monitoring
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
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
NCT ID
NCT05782699
First Posted
March 11, 2023
Last Updated
March 23, 2023
Sponsor
Istituto Auxologico Italiano
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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