COMPLETED

Evaluating Strategies to Improve Guideline Directed Medical Therapy: The GDMT Research, Education & Assist Trial for Heart Failure Care

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

Heart failure with reduced ejection fraction (HFrEF) is associated with high mortality and adverse events (hospitalization or urgent outpatient visits for HF), along with diminished quality of life. Despite convincing data that evidenced-based, guideline-directed medical therapies (GDMT) improve mortality and heart failure-related events, there remains insufficient utilization of these life-saving drugs (evidence-based beta-blockers (EBBB), angiotensin-neprilysin inhibitors (ARNI)/ angiotensin converting enzyme inhibitors (ACEi)/ angiotensin receptor blockers (ARB), mineralocorticoid receptor antagonists (MRA) and sodium-glucose cotransporter 2 inhibitors (SGLT2i) in patients with HFrEF. The primary objective of this study is to implement and evaluate a multifaceted, interdisciplinary intervention to improve GDMT use, reduce mortality, and reduce future heart failure events in patients with HFrEF.

Official Title

Evaluating Strategies to Improve Guideline Directed Medical Therapy: The GDMT Research, Education & Assist Trial for Heart Failure Care (GREAT-HF Care)

Quick Facts

Study Start:2023-08-01
Study Completion:2025-05-17
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:COMPLETED

Study ID

NCT05990296

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Patients aged 18 years or older AND
  2. * Completed visit at included Geisinger cardiology outpatient clinics (office visit or telemedicine) AND
  3. * Clinicians are on a list of currently active Geisinger clinicians in outpatient cardiology clinics who can prescribe heart failure medications AND
  4. * Active problem list diagnosis of HFrEF at time of Cardiology clinic encounter OR Left Ventricular Ejection Fraction (LVEF) \< 40: most recent to the cardiology clinic encounter within 2 years of the visit.
  1. * Currently in hospice or palliative care (ICD 10 code: Z51.5)
  2. * Patient is allergic to each category of GDMT
  3. * Patient is prescribed medications from all four categories of GDMT, including ARNI specifically

Contacts and Locations

Study Locations (Sites)

Geisinger Cardiology Clinics
Danville, Pennsylvania, 17822
United States

Collaborators and Investigators

Sponsor: Geisinger Clinic

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2023-08-01
Study Completion Date2025-05-17

Study Record Updates

Study Start Date2023-08-01
Study Completion Date2025-05-17

Terms related to this study

Keywords Provided by Researchers

  • Heart Failure with Reduced Ejection Fraction
  • Guideline Directed Medical Therapy
  • Angiotensin-neprilysin inhibitors (ARNI)
  • Sodium-glucose cotransporter 2 inhibitors (SGLT2i)
  • Clinical Decision Support
  • Best Practice Alert
  • Pharmacist
  • Education
  • Behavioral Economics
  • Best Practice Advisory

Additional Relevant MeSH Terms

  • Heart Failure
  • Heart Failure With Reduced Ejection Fraction