Preventing hospital admission for ATTR cardiomyopathy with home telemonitoring
Official title: PATHWAY-RCT: Preventing Admission To Hospital With Attr cardiomyopathY Using Remote Cardiac Telemonitoring
Run by Richmond Pharmacology Limited · NCT05098665 · Data updated 2026-11-12
This will test whether a home telemonitoring service using daily weight scales can reduce hospital admissions for adults with ATTR cardiac amyloidosis.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 320 (estimated) |
| Sponsor | Richmond Pharmacology Limited Industry-sponsored |
| Locations | 1 site (London, London) |
| Status | Recruiting |
| Started | January 1, 2025 |
| Main results expected | December 2027 |
| Study ends | December 2027 |
| Registry record updated | June 16, 2026 |
| Trial ID | NCT05098665 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) with an established diagnosis of ATTR cardiomyopathy who can consent, are under care at the participating centre, and can use BodyTrace scales with mobile connectivity are eligible.
✕Probably not a fit
Patients on dialysis or with end-stage renal failure, those with low serum albumin or other non-fluid causes of swelling, people unable to use or connect the scales at home, or those excluded for high diuretic use are unlikely to benefit from this intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional trial provides patients with remote monitoring equipment (BodyTrace weight scales) to record daily body weight at home, with data sent to a clinical monitoring team. The service is intended to detect early fluid retention so clinicians can intervene (for example by adjusting diuretics) before problems require hospital admission. Participants are adults with established ATTR cardiomyopathy who can use the equipment and have mobile connectivity, and they remain under care at the study site. Key outcomes include rates of hospital admission for heart failure and feasibility of the telemonitoring pathway.
Why it matters
Potential benefit: If successful, the telemonitoring approach could lower the number of hospital admissions by catching fluid build-up earlier and enabling timely outpatient treatment.
How similar studies have gone: Telemonitoring has previously reduced admissions and mortality in general heart failure populations, but there is limited published evidence specifically in ATTR cardiomyopathy.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Adults aged ≥18 at the date of signing informed consent which is defined as the beginning of the Screening Period. 2. An established diagnosis of ATTR cardiomyopathy as defined by protocol. 3. Ability to provide written, personally signed and dated informed consent to participate in the study, in accordance with the ICH Good Clinical Practice (GCP) Guideline E6 (R2) (2016) and applicable regulations, before completing any study-related procedures. 4. An understanding, ability, and willingness to fully comply with study procedures and restrictions. 5. Currently a patient at a study site (NAC). Exclusion Criteria: 1. An inability to have or use BodyTrace device scales at usual residence (for example no mobile network cellular signal) 2. On dialysis or end-stage renal failure (eGFR \<25mL/min) 3. Serum albumin \<20g/dL or other non-hypervolaemia cause of tissue oedema (e.g. protein-losing enteropathy, nephrotic syndrome) 4. Use of greater than 2 oral diuretics (e.g. on maximum oral diuretic therapy)
Where it's running
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Richmond Research Institute
London, London, United Kingdom Recruiting
Study contacts
- Principal investigator: Tamer Rezk, MBBS MRCP PhD — National Amyloidosis Centre, Royal Free Hospital
- Study coordinator: James Rickard, MPharm
- Email: j.rickard@richmondresearchinstitute.org
- Phone: +44 02070425800
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Liver and Coagulation Markers in ATTR Cardiac Amyloidosis
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Cardiac Amyloidosis: See if Intracardiac Thrombi are Common on CT
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We'll test whether a [64Cu]FBP8 PET/MR scan can find blood clots inside the heart of people with cardiac amyloidosis who have atrial fibrillation or atrial flutter.
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Chest pain screening for hidden cardiac amyloidosis
We will test whether men over 65 who have chest pain but no coronary artery disease might have hidden cardiac amyloidosis using blood and urine tests, ECG and echocardiography, bone scintigraphy, and sometimes a heart biopsy.
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This project tests whether advanced cardiac MRI techniques can help diagnose and predict future risk for people with rare heart muscle diseases like Danon, Fabry, cardiac amyloidosis, Noonan syndrome, and cardiac sarcoidosis.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.