VIRT-CR: Effect of a Virtually Implemented Cardiac Rehabilitation Program

Sponsor
University of Pennsylvania (Other)
Overall Status
Recruiting
CT.gov ID
NCT05201976
Collaborator
Independence Blue Cross (Other), CardaHealth (Other)
225
1
2
21.7
10.3

Study Details

Study Description

Brief Summary

A clinical trial investigating the effects of a virtually implemented home-based cardiac rehab program with real-time, video based exercise supervision and vitals monitoring.

Condition or Disease Intervention/Treatment Phase
  • Other: Virtually administered Cardiac Rehab program
  • Other: Standard of Care in person Cardiac Rehab Program
N/A

Detailed Description

This study will use a randomized, controlled trial design to test the effectiveness of a virtually implemented cardiac rehabilitation (CR) program with real-time, video based supervised exercise and vitals monitoring as compared to traditional center based rehab in patients with a clinical indication for cardiac rehab. The primary outcome of effectiveness will be change in cardiorespiratory fitness as assessed by maximal VO2 achieved at the start of CR and on upon completion of CR.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
225 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
Randomized, non-inferiority, Case vs. Control (1 to 1)Randomized, non-inferiority, Case vs. Control (1 to 1)
Masking:
Single (Investigator)
Primary Purpose:
Health Services Research
Official Title:
A Clinical Trial Investigating the Effects of a Virtually Implemented Home Based Cardiac Rehab Program With Real-time, Video-based Exercise Supervision and Vitals Monitoring
Actual Study Start Date :
Dec 8, 2021
Anticipated Primary Completion Date :
Oct 1, 2023
Anticipated Study Completion Date :
Oct 1, 2023

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Intervention

Virtual cardiac rehab program delivered through the CardaHealth platform.

Other: Virtually administered Cardiac Rehab program
Virtual cardiac rehab program delivered through the CardaHealth platform.

Active Comparator: Control

Clinically ordered standard of care cardiac rehab program (in-person).

Other: Standard of Care in person Cardiac Rehab Program
Clinically ordered standard of care cardiac rehab program (in-person).

Outcome Measures

Primary Outcome Measures

  1. Change in VO2 max (ml/kg/min) [At baseline visit and at the end of study approximately 40 weeks]

    Cardiorespiratory fitness as assessed by maximal VO2

Secondary Outcome Measures

  1. Attendance [Mean number of cardiac rehab sessions completed per patient, over the course of 12 weeks or 36 sessions.]

    Subject's adherence to scheduled cardiac rehab sessions.

  2. Quality of Life questionnaire [Prior to beginning of cardiac rehabilitation and then at completion of cardiac rehabilitation program approximately 36 weeks]

    Subject's completion of SF-36

  3. Blood Pressure [Start of each cardiac rehab session, over the course of 12 weeks or 36 sessions.]

    Change in systolic and diastolic blood pressure over the duration of the study. BP will be self-assessed by the subjects at the start of each session.

  4. Major adverse cardiovascular events (MACE) [Events will be collected up to 27 months post study enrollment]

    Major cardiovascular events include cardiovascular hospitalizations and mortality

  5. Survey [At completion of cardiac rehabilitation program approximately 36 weeks]

    Patient satisfaction, physician satisfaction

  6. Change in LDL [Labs will be collected up to 27 months post study enrollment]

    Ascertained through the electronic health through routinely collected values

  7. Change in HDL [Labs will be collected up to 27 months post study enrollment]

    Ascertained through the electronic health through routinely collected values

  8. Change in triglycerides [Labs will be collected up to 27 months post study enrollment]

    Ascertained through the electronic health through routinely collected values

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Patients who have been prescribed cardiac rehabilitation as part of their standard of care
Exclusion Criteria:
  • Patients with significant exercise limitations other than cardiovascular disease

  • Patients who are unable to exercise in home

  • Patients with active cancer treatment

  • Patients who do not have an email address or a cell phone

Contacts and Locations

Locations

Site City State Country Postal Code
1 University of Pennsylvania Philadelphia Pennsylvania United States 19054

Sponsors and Collaborators

  • University of Pennsylvania
  • Independence Blue Cross
  • CardaHealth

Investigators

  • Principal Investigator: Srinath Adusumalli, MD, University of Pennsylvania
  • Principal Investigator: Neel Chokshi, MD, University of Pennsylvania

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Srinath Adusumalli, MD, MS, FACC, Principal Investigator, University of Pennsylvania
ClinicalTrials.gov Identifier:
NCT05201976
Other Study ID Numbers:
  • 848902
First Posted:
Jan 21, 2022
Last Update Posted:
May 23, 2022
Last Verified:
May 1, 2022
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of May 23, 2022