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PATHWAY-RCT: Preventing Admission To Hospital With Attr cardiomyopathY

Sponsor: Richmond Research Institute

NCT ID: NCT05098665

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
Telemonitoring service (combination product)
How long the study runs
Study runs about 35 months (dates as stated)
About the drug or intervention
Telemonitoring service — combination product: Patients in the active arm will receive a cellular network connected set of digital scales, and instructed to take their weight each morning at the same time.
Patient visit burden
Not specified by the sponsor
Type of study
Testing a treatment
Ages
18 Years and over
Who
All
Number of participants
320
Started
2025-01-01
Last checked
2026-03

Plain English Summary

What is this study?

  • • Testing a new treatment for cardiac amyloidosis
  • • NA - 320 participants
  • • Cardiac amyloidosis is a condition where the heart muscle, amongst other tissues, is infiltrated by the abnormal build-up of proteins called amyloid

Who can take part?

  • • Ages 18 Years and over
  • • Diagnosed with cardiac amyloidosis

Where?

  • • London - Richmond Research Institute

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

Cardiac amyloidosis is a condition where the heart muscle, amongst other tissues, is infiltrated by the abnormal build-up of proteins called amyloid. This stiffens and thickens the heart muscle over time which makes it less efficient and puts further stress and strain on the other chambers of the heart, leading to heart failure. The commonest form, that affects predominantly the elderly, is called 'wild-type' ATTR amyloid (TTR is the protein that accumulates). In this condition a patient has a 60% chance of admission to hospital each year after diagnosis. There is no current treatment for ATTR amyloid other than using water tablets to reduce excess fluid and prevent more serious fluid build up in lungs and other tissues. Increasing body weight is the most reliable clinical sign of this fluid build up. Tele-monitoring is the practice of monitoring patients from a distance and has been shown to reduce heart failure admissions and death in patients with heart failure from any cause. Due to reduced access to primary and secondary care during COVID-19 the investigators instigated tele-monitoring of heart failure in ATTR amyloid patients. This appeared to be an effective intervention in the pilot study. The investigators propose to monitor the weight of patients with cardiac amyloidosis at home and intervene where a build up of fluid is observed by telephone discussion with a doctor. The investigators propose to evidence this in a prospective clinical trial. The investigators will evaluate the effect fairly by comparing tele-monitoring with usual care.

Cardiac Amyloidosis

How this trial compares with your answers

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What we know so far

Condition· Matched your search
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Still need:

  • • Tell us your age for better matching
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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years and over
  • Who can join: All genders

Biomarkers mentioned

eGFR

What the study is looking for

  • ✓Adults aged ≥18 at the date of signing agreement to take part which is defined as the beginning of the Screening Period.
  • ✓An established diagnosis of ATTR cardiomyopathy as defined by protocol.
  • ✓An understanding, ability, and willingness to fully comply with study procedures and restrictions.
  • ✓Currently a patient at a study site (NAC).

Who cannot take part

  • ✗An inability to have or use BodyTrace device scales at usual residence (for example no mobile network cellular signal)
  • ✗On dialysis or end-stage kidney failure (eGFR \<25mL/min)
  • ✗Serum albumin \<20g/dL or other non-hypervolaemia cause of tissue oedema (e.g. protein-losing enteropathy, nephrotic...
  • ✗Use of greater than 2 oral diuretics (e.g. on maximum oral diuretic therapy)
See the full 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 Is This Study? (1 UK site)

Richmond Research Institute

London SW17 0RE, United Kingdom

Recruiting
Site contact (verified)
Jorg Taubel, MD FFPMPrincipal Investigator
Dominic Pimenta, MBBS MRCP BSc (Hons)grants@richmondresearchinstitute.org

How to Get in Touch

James Rickard, MPharm

Sponsor contact

CONTACT

+44 02070425800 j.rickard@richmondresearchinstitute.org

Keith Berelowitz

Sponsor contact

CONTACT

02070425800 k.berelowitz@richmondpharmacology.com
Data sourced from ClinicalTrials.gov · Last verified: 2026-03