Prospective Evaluation of Artificial Intelligence-enabled Screening for Transthyretin Amyloid Cardiomyopathy (ATTR-CM)

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorYale University

About this trial

The TRACE-AI Diagnostic Study will evaluate the performance of artificial intelligence (AI) models applied to electrocardiograms (AI-ECG) and echocardiograms (AI-Echo) to identify transthyretin amyloid cardiomyopathy (ATTR-CM) in adults with heart failure. Model performance will be validated through comparison with technetium-99m pyrophosphate (PYP) imaging results.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients 18 years or older with at least one of each component cardiovascular diagnosis testing (ECG and Echo) in the YNHHS.

Patients with a diagnosis of HFpEF or HFmrEF

Participant from Phase I TRACE-AI Study with AI-ECG and AI-Echo screen in the preceding 36 months

Disqualifiers

Patients who have opted out of research studies

Patients with cardiac amyloid diagnostic test in the past 36 months

Patients with hypertrophic cardiomyopathy or end-stage renal disease

Pregnant women

Trial population

The study population will include participants from the YNHHS who were identified in Phase I of the TRACE-AI study. Eligible individuals must have a confirmed diagnosis of HFpEF or HFmrEF, 75 with a positive AI-based screening result from both AI-ECG and AI-Echo and 75 with a negative AI-based screen, and no prior diagnostic work-up for cardiac amyloidosis.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • ATTR-CM AI-ECG and AI-Echo Model

    Diagnostic test

    AI-based sequential screening approach for ATTR-CM

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

Performance of the sequential screening approach

Measured by the positive predictive value (PPV) of the test for ATTR-CM, based on confirmatory imaging and clinical testing

Time frame
From enrollment through completion of PYP scan at baseline study visit

Secondary outcomes

Other outcomes

Sponsors and contacts

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Yale University

Lead sponsor

Bridgebio Pharma, Inc

Collaborator

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