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Study identifier: NCT07352891 Synced from ClinicalTrials.gov · July 28, 2026
● Recruiting

Digital Remote Management Versus Usual Care for Optimization of Guideline-directed Medical Therapy in Patients With Heart Failure and Reduced Ejection Fraction: a Multicentre, Randomised, Controlled Trial (DigiCare-HFrEF)

Condition: Heart Failure With Reduced Ejection Fraction  ·  Sponsor: Beijing Anzhen Hospital

PhaseNA
Planned participants252
Who can joinAll sexes, 18 Years to no upper limit
Healthy volunteersNo

About this study

DigiCare-HFrEF is an investigator-initiated, multicentre, randomised, open-label, endpoint-blinded, superiority trial designed to evaluate whether a structured digital remote-management platform can optimise guideline-directed medical therapy (GDMT) in patients with heart failure with reduced ejection fraction (HFrEF) after hospital discharge. Eligible adults (≥18 years) with a confirmed diagnosis of HFrEF within the past 3 months (left ventricular ejection fraction ≤40%) who are not optimally treated with GDMT-defined as at least two of the four foundational drug classes (ACEi/ARB or ARNi, β-blocker, MRA, SGLT2 inhibitor) either not initiated or prescribed at \<50% of the target dose-will be randomly assigned in a 1:1 ratio to digital remote management or usual care. In the intervention arm, patients will report symptoms and key physiologic measures (e.g., blood pressure, heart rate, and body weight) via the platform; an algorithm will perform risk stratification and generate GDMT optimisation suggestions and decongestion prompts, as well as a comprehensive management for core health metrics, which are reviewed and confirmed by clinicians before implementation. The primary endpoint is the change in GDMT score from baseline to 3 months (ΔGDMT).

This description comes directly from the study's public registry record.

Talk to the study team

DigiCare-HFrEF Coordinating Center  ·  chshma@vip.sina.com  ·  chshma@vip.sina.com

Always discuss trial participation with your own doctor first.

Locations (6)

Beijing Anzhen Hospital, Capital Medical University, Beijing, ChinaBeijing, ChinaRecruiting
Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaBeijing, ChinaRecruiting
The First Affiliated Hospital of Dalian Medical University, Dalian, ChinaDalian, ChinaRecruiting
The First Hospital of Jilin University, Changchun, ChinaJilin City, ChinaRecruiting
The Second Affiliated Hospital of Nanchang University, Nanchang, ChinaNanchang, ChinaNot Yet Recruiting
Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaShanghai, ChinaNot Yet Recruiting

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Source record: clinicaltrials.gov/study/NCT07352891