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Completed

NCT Number: NCT04914702

Feasibility and Comparison of Continuously Monitored Vital Signs in Pediatric Patients With Cancer.

In this pilot study the feasibility continous recording of vital signs in pediatric patients under chemotherapy for cancer, is studied.

Vital signs and are recorded with two different wearable devices (WDs): Everion®, by Biovotion (now Biofourmis), Zurich, Switzerland and CORE® by GreenTEG, Zurich, Switzerland. Patients can choose if they want to wear one or both WDs during this study. Those opting to wear two WDs can choose if they want to wear them in parallel, or sequentially.

Results from the two different WDs will be compared. Study duration for each participant is 14 days per device.

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Key information

Age range

1 month–17 year

Sex eligibility

All sexes

Study type

Observational

Primary location

University Children's Hospital Basel, University of Basel, Basel, Switzerland

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About this study

In a previous study (Bern 2019 WD Pilot, NcT04134429) the investigators found that continuous recording of vital signs with the Everion® is feasible in good quality across a wide age range (3 to 16 years) of pediatric patients undergoing chemotherapy for cancer. However, the pre-defined criterion to claim feasibility was not formally reached and low compliance was the main reason identified.

In this study the investigators want to assess the impact of measures aiming to increase compliance on feasibility for the Everion®.

Second, the investigators want to assess the feasibility of a second device, made commercially available only in October 2020, the CORE® WD by GreenTEG. Results from the two different wearable devices will be compared. Study duration for each participant is 14 days per device.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Chemotherapy treatment because of any malignancy, expected to last ≥1 month at time of recruitment for myelosuppressive therapy; or at least one cycle of myeloablative therapy requiring autologous (Bern/Basel) or allogeneic (Basel) hematopoietic stem cell transplantation.
  • Age from 1 month to 17.99 years at time of recruitment
  • Written informed consent from parents and participants, where applicable

Exclusion criteria

  • Local skin diseases prohibiting wearing of the WD.
  • Denied written informed consent from participants

Treatment and study plan

Everion®

Device

The Everion® is an on-skin wearable devices measuring vital signs. It will be given to the participants for the duration of 2 weeks (fourteen days) with the instruction to wear all the time, with exception of the time needed for the patients' hygiene.

CORE®

Device

The CORE® is an on-skin wearable devices measuring vital signs. It will be given to the participants for the duration of 2 weeks (fourteen days) with the instruction to wear all the time, with exception of the time needed for the patients' hygiene.

Primary outcomes

  1. Feasibility of continous recording of core temperature with the two wearable devices (WDs)

    Time frame: 14 days

    The primary outcome is defined as at least sufficient data quality (Everion® ≥50, quality score 0 (lowest) to 100 (best); CORE® ≥2, quality score 1 (lowest) to 4 (best)) of core temperature measurement, with arrival on dashboard ≤30 minutes after recording, during a cumulative duration of ≥18/24h per day (midnight to midnight), on ≥7 days within the 14 days of the study period.

Secondary outcomes

  1. Feasibility of continous recording of heart rate with the Everion®

    Time frame: 14 days

    At least sufficient data quality (Everion® ≥50, quality score 0 (lowest) to 100 (best) of heart rate measurement, with arrival on dashboard ≤30 minutes after recording, during a cumulative duration of ≥18/24h per day (midnight to midnight), on ≥7 days within the 14 days of the study period.

  2. Feasibility of continous recording of heart rate variability with the Everion®

    Time frame: 14 days

    At least sufficient data quality (Everion® ≥50, quality score 0 (lowest) to 100 (best) of heart rate variability measurement, with arrival on dashboard ≤30 minutes after recording, during a cumulative duration of ≥18/24h per day (midnight to midnight), on ≥7 days within the 14 days of the study period.

  3. Feasibility of continous recording of respiration rate with the Everion®

    Time frame: 14 days

    At least sufficient data quality (Everion® ≥50, quality score 0 (lowest) to 100 (best) of respiration rate measurement, with arrival on dashboard ≤30 minutes after recording, during a cumulative duration of ≥18/24h per day (midnight to midnight), on ≥7 days within the 14 days of the study period.

  4. Cumulative time of monitoring core temperature with the two wearable devices (WDs)

    Time frame: 14 days

    Cumulative length of time with recorded core temperature with at least sufficient data quality (Everion® ≥50, quality score 0 (lowest) to 100 (best); CORE® ≥2, quality score 1 (lowest) to 4 (best)) per study day.

  5. Cumulative time of monitoring heart rate with the Everion®

    Time frame: 14 days

    Cumulative length of time with recorded heart rate with at least sufficient data quality (Everion® ≥50, quality score 0 (lowest) to 100 (best)) per study day.

  6. Cumulative time of monitoring heart rate variability with the Everion®

    Time frame: 14 days

    Cumulative length of time with recorded heart rate variability with at least sufficient data quality (Everion® ≥50, quality score 0 (lowest) to 100 (best)) per study day.

  7. Cumulative time of monitoring respiration rate with the Everion®

    Time frame: 14 days

    Cumulative length of time with recorded respiration rate with at least sufficient data quality (Everion® ≥50, quality score 0 (lowest) to 100 (best)) per study day.

  8. Data arrival on the dashboard for core temperature (Everion®)

    Time frame: 14 days

    Cumulative length of time with data arrival on the dashboard ≤30 minutes after recording (continuous outcome, measured daily) for core temperature for the Everion®

  9. Data arrival on the dashboard for core temperature (CORE®)

    Time frame: 14 days

    Cumulative length of time with data arrival on the dashboard ≤30 minutes after recording (continuous outcome, measured daily) for core temperature for the CORE®

  10. Effort for investigators assessed by number of contacts

    Time frame: 14 days

    Cumulative number of contacts with the participants for the Investigators.

  11. Effort for investigators assessed by duration of contacts

    Time frame: 14 days

    Cumulative duration of contacts with the participants for the Investigators.

  12. Acceptability of Everion®

    Time frame: 14 days

    Proportion of participants indicating that continuous monitoring with the Everion® is acceptable (binary outcome, measured once).

  13. Acceptability of CORE®

    Time frame: 14 days

    Proportion of participants indicating that continuous monitoring with the CORE® is acceptable (binary outcome, measured once).

  14. Side Effects

    Time frame: 14 days

    Number and description of side effects reported by participants, if applicable (categorical outcome) and comparison of the side-effects of the two different WDs.

  15. User-friendliness

    Time frame: 14 days

    Comparison of the user-friendliness and preference of the different WDs as judged by the participants (categorical outcome, assessed with questionnaires)

  16. Comparison of core temperature with discrete measurements

    Time frame: 14 days

    Difference between discrete measurements of core temperature, performed by the participants, if applicable, twice daily or more if clinically indicated and the measured signal from both WDs at the corresponding time.

  17. Exploration

    Time frame: 14 days

    Exploration of potential changes in or specific patterns of all measured signals within 48 hours before clinical diagnosis of fever, with or without neutropenia, if applicable.

Sponsors and collaborators

Lead sponsor

Insel Gruppe AG, University Hospital Bern

Other

Registry information

Official study title

Continuous Monitoring of Vital Signs With Different Wearable Devices in Pediatric Patients Undergoing Chemotherapy for Cancer - a Comparison and Feasibility Pilot Study

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Jun 7, 2021
Registry last updated
Jul 11, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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