Transthyretin Cardiac Amyloidosis
Conditions
Keywords
Transthyretin cardiac amyloidosis, ATTR, AI-based ECG Analysis
Brief summary
CONCERTO is a retrospective, observational, multicentric and single-arm study to perform an external validation of the cloud-based and AI-powered electrocardiogram (ECG) analysis platform, named Willem™, to detect Transthyretin cardiac amyloidosis (ATTR-CA). Thus, this study will assess Willem™ ability to distinguish between truly diagnosed ATTR-CA patients and confirmed non-ATTR-CA patients from ECG data.
Detailed description
Transthyretin cardiac amyloidosis (ATTR-CA) is an infiltrative cardiomyopathy affecting cardiac health. Results from clinical trials have shown the importance of early diagnosis to improve outcomes and maximize treatment efficacy. An electrocardiogram (ECG) is the most commonly performed cardiac diagnostic procedure, providing a large amount of information that can reflect cardiac structure and physiology. In this regard, ECG could be an ideal screening tool for ATTR-CA given its wide use, non-invasive nature, low cost and high sensitivity to reflect ATTR-CA abnormalities. The CE-marked Willem™ ECG Analysis platform has already shown its capability to process ECG data to detect cardiac patterns and arrythmias. This retrospective, observational, multicentric and single-arm study aims to expand the capabilities of the Willem™ ECG Analysis platform, in this case to detect ATTR-CA from ECG analysis.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects ≥ 18 years old * Subjects with 12-leads ECG records with a 10 seconds minimum length on digital format
Exclusion criteria
* Patients with paced rhythm on the ECG.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Device performance | Baseline (closest clinical assessment to ATTR-CA diagnosis) | Assessment of Willem ability to distinguish between confirmed diagnosed ATTR-CA patients and subjects with no ATTR-CA diagnosis from ECG data of sufficient quality. The diagnostic performance metrics will be accuracy, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and F1-score. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Device performance with sub-optimal ECG data quality | Baseline (closest clinical assessment to ATTR-CA diagnosis) | Assessment of Willem ability to distinguish between confirmed diagnosed ATTR-CA patients and subjects with no ATTR-CA diagnosis from ECG data which does not meet the minimum pre-specified quality requirements. The diagnostic performance metrics will be accuracy, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and F1-score. |
Countries
France, Germany, Spain, United Kingdom, United States
Contacts
Hospital Universitario Puerta de Hierro