Trial Outcomes & Findings for Electrocardiogram Clinical Validation Study (NCT NCT03492554)

NCT ID: NCT03492554

Last Updated: 2020-12-03

Results Overview

Specificity of rhythm classification

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

602 participants

Primary outcome timeframe

1 Day

Results posted on

2020-12-03

Participant Flow

Participant milestones

Participant milestones
Measure
Atrial Fibrillation (AF)
Patient with a known history of AF who is in AF at the time of study screening. 1-Lead ECG: All participants will record three single-lead ECGs 12-Lead ECG: All participants will simultaneously record three 12-lead ECGs
Normal Sinus Rhythm (SR)
Patient with no known diagnosis of AF or other arrhythmia 1-Lead ECG: All participants will record three single-lead ECGs 12-Lead ECG: All participants will simultaneously record three 12-lead ECGs
Overall Study
STARTED
301
301
Overall Study
COMPLETED
301
287
Overall Study
NOT COMPLETED
0
14

Reasons for withdrawal

Reasons for withdrawal
Measure
Atrial Fibrillation (AF)
Patient with a known history of AF who is in AF at the time of study screening. 1-Lead ECG: All participants will record three single-lead ECGs 12-Lead ECG: All participants will simultaneously record three 12-lead ECGs
Normal Sinus Rhythm (SR)
Patient with no known diagnosis of AF or other arrhythmia 1-Lead ECG: All participants will record three single-lead ECGs 12-Lead ECG: All participants will simultaneously record three 12-lead ECGs
Overall Study
Protocol Violation
0
14

Baseline Characteristics

Electrocardiogram Clinical Validation Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Atrial Fibrillation (AF)
n=301 Participants
Patient with a known history of AF who is in AF at the time of study screening. 1-Lead ECG: All participants will record three single-lead ECGs 12-Lead ECG: All participants will simultaneously record three 12-lead ECGs
Normal Sinus Rhythm (SR)
n=287 Participants
Patient with no known diagnosis of AF or other arrhythmia 1-Lead ECG: All participants will record three single-lead ECGs 12-Lead ECG: All participants will simultaneously record three 12-lead ECGs
Total
n=588 Participants
Total of all reporting groups
Age, Continuous
73.8 years
STANDARD_DEVIATION 8.62 • n=99 Participants
59.5 years
STANDARD_DEVIATION 17.73 • n=107 Participants
66.9 years
STANDARD_DEVIATION 15.47 • n=206 Participants
Sex: Female, Male
Female
92 Participants
n=99 Participants
159 Participants
n=107 Participants
251 Participants
n=206 Participants
Sex: Female, Male
Male
209 Participants
n=99 Participants
128 Participants
n=107 Participants
337 Participants
n=206 Participants
Race/Ethnicity, Customized
Ethnicity : Hispanic or Latino
19 Participants
n=99 Participants
57 Participants
n=107 Participants
76 Participants
n=206 Participants
Race/Ethnicity, Customized
Ethnicity : Not Hispanic or Latino
282 Participants
n=99 Participants
230 Participants
n=107 Participants
512 Participants
n=206 Participants
Race/Ethnicity, Customized
Race: American Indian or Alaska Native
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
Race/Ethnicity, Customized
Race: Asian
1 Participants
n=99 Participants
2 Participants
n=107 Participants
3 Participants
n=206 Participants
Race/Ethnicity, Customized
Race: Black or African American
8 Participants
n=99 Participants
46 Participants
n=107 Participants
54 Participants
n=206 Participants
Race/Ethnicity, Customized
Race: Native Hawaiian or Other Pacific Islanders
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race/Ethnicity, Customized
Race: White
292 Participants
n=99 Participants
236 Participants
n=107 Participants
528 Participants
n=206 Participants
Race/Ethnicity, Customized
Race: Not Reported
0 Participants
n=99 Participants
3 Participants
n=107 Participants
3 Participants
n=206 Participants
Region of Enrollment
United States
301 Participants
n=99 Participants
287 Participants
n=107 Participants
588 Participants
n=206 Participants

PRIMARY outcome

Timeframe: 1 Day

Population: Classifiable Analysis Set: All subjects who had readable/classifiable paired Software and Reference strips were used. This analysis set was used for analyzing the primary endpoints of sensitivity and specificity.

Specificity of rhythm classification

Outcome measures

Outcome measures
Measure
Normal Sinus Rhythm (SR)
n=239 Participants
Patient with no known diagnosis of AF or other arrhythmia 1-Lead ECG: All participants will record three single-lead ECGs 12-Lead ECG: All participants will simultaneously record three 12-lead ECGs
Normal Sinus Rhythm (SR)
Patient with no known diagnosis of AF or other arrhythmia 1-Lead ECG: All participants will record three single-lead ECGs 12-Lead ECG: All participants will simultaneously record three 12-lead ECGs
Number of Participants With Software's Rhythm Classification of SR in Agreement to a Physician's Interpretation of a Gold Standard 12-lead ECG
238 Participants

PRIMARY outcome

Timeframe: 1 Day

Population: Classifiable Analysis Set: All subjects who had readable/classifiable paired Software and Reference strips were used. This analysis set was used for analyzing the primary endpoints of sensitivity and specificity.

Sensitivity of rhythm classification

Outcome measures

Outcome measures
Measure
Normal Sinus Rhythm (SR)
n=240 Participants
Patient with no known diagnosis of AF or other arrhythmia 1-Lead ECG: All participants will record three single-lead ECGs 12-Lead ECG: All participants will simultaneously record three 12-lead ECGs
Normal Sinus Rhythm (SR)
Patient with no known diagnosis of AF or other arrhythmia 1-Lead ECG: All participants will record three single-lead ECGs 12-Lead ECG: All participants will simultaneously record three 12-lead ECGs
Number of Participants With Software's Rhythm Classification of AF in Agreement to a Physician's Interpretation of a Gold Standard 12-lead ECG
236 Participants

SECONDARY outcome

Timeframe: 1 Day

Population: Waveform Assessment Analysis Set: Paired Software and Reference strips collected from subjects were randomly selected. If 6 consecutive paired beats for analysis cannot be found in these strips, they were excluded from further analysis. This analysis set was used for assessing the quality of the clinical waveform.

Number of ECGs that pass a visual overlay

Outcome measures

Outcome measures
Measure
Normal Sinus Rhythm (SR)
n=61 Participants
Patient with no known diagnosis of AF or other arrhythmia 1-Lead ECG: All participants will record three single-lead ECGs 12-Lead ECG: All participants will simultaneously record three 12-lead ECGs
Normal Sinus Rhythm (SR)
n=65 Participants
Patient with no known diagnosis of AF or other arrhythmia 1-Lead ECG: All participants will record three single-lead ECGs 12-Lead ECG: All participants will simultaneously record three 12-lead ECGs
Number of Participants With Software's Ability to Produce a Clinically Equivalent Waveform in Agreement to a Gold Standard Lead 1 Reference
60 Participants
65 Participants

SECONDARY outcome

Timeframe: 1 Day

Population: Waveform Assessment Analysis Set: Paired Software and Reference strips collected from subjects were randomly selected. If 6 consecutive paired beats for analysis cannot be found in these strips, they were excluded from further analysis. This analysis set was used for assessing the quality of the clinical waveform.

Difference in R-wave amplitudes between the software and gold standard reference

Outcome measures

Outcome measures
Measure
Normal Sinus Rhythm (SR)
n=61 Participants
Patient with no known diagnosis of AF or other arrhythmia 1-Lead ECG: All participants will record three single-lead ECGs 12-Lead ECG: All participants will simultaneously record three 12-lead ECGs
Normal Sinus Rhythm (SR)
n=65 Participants
Patient with no known diagnosis of AF or other arrhythmia 1-Lead ECG: All participants will record three single-lead ECGs 12-Lead ECG: All participants will simultaneously record three 12-lead ECGs
Number of Participants With Software's Ability to Produce a Clinically Equivalent Waveform in Agreement to a Gold Standard Lead 1 Reference
58 Participants
65 Participants

SECONDARY outcome

Timeframe: 1 Day

Average ease of use on a 1 (Unable to Use) to 5 (Easiest to Use) scale

Outcome measures

Outcome measures
Measure
Normal Sinus Rhythm (SR)
n=301 Participants
Patient with no known diagnosis of AF or other arrhythmia 1-Lead ECG: All participants will record three single-lead ECGs 12-Lead ECG: All participants will simultaneously record three 12-lead ECGs
Normal Sinus Rhythm (SR)
n=287 Participants
Patient with no known diagnosis of AF or other arrhythmia 1-Lead ECG: All participants will record three single-lead ECGs 12-Lead ECG: All participants will simultaneously record three 12-lead ECGs
Ease of Use
1 = Unable to Use
2 Participants
1 Participants
Ease of Use
2 = Below Average Ease of Use
4 Participants
2 Participants
Ease of Use
3 = Average Ease of Use
14 Participants
16 Participants
Ease of Use
4 = Above Average Ease of Use
41 Participants
29 Participants
Ease of Use
5 = Easiest to Use
240 Participants
239 Participants

Adverse Events

Atrial Fibrillation (AF)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Normal Sinus Rhythm (SR)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Health Technology Clinical Operations

Apple

Phone: 1-866-905-5303

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place