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101112006-Stage1 CardioMate ESR
101112006-Stage1 CardioMate ESR
Ares(2022)8240353 - 29/11/2022
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Cardiomate project aims to drive personalized care platform combined with digital-twin concepts (digitization and interrogation) for CVD patients based on
multi-modal data sets representing lifestyle factors, remote patient monitoring, genomics, tissue-banks
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with results. Cardiomate will enable multiple
Ref. Ares(2022)8240353 - 29/11/2022
timepoint assessments to ascertain the directionality and dimensionality of care pathways based up on learning from continuous electrocardiogram (ECG),
activity data from wearable devices, digital health applications and intake from clinical practices. Cardiomate will also leverage data from ‘open access’ systems
(with GDPR) such as biomarkers and electronic health records provided by several project participants (hospitals), adding to the knowledge base for prevention
and care. Cardiomate will enable risk stratification and demonstrate markers from wearables, imaging and intake-based screening of CVD conditions.
Caridomate will identify patient cohorts that respond differently to prevention and treatment of atherosclerotic cardiovascular disease (ASCVD) and HF in
clinical settings. The project will also identification of ASCVD and HF patients, for instance people with insulin resistance, diabetes, and obesity, into clinically
meaningful subgroups. Cardiomate will enable a wholistic overview of specific patient groups to personalize treatment.
Criterion 1 - Excellence
The following aspects will be taken into account, to the extent that the proposed work corresponds to
the topic description in the work programme:
- Clarity and pertinence of the project’s objectives, and the extent to which the proposed work is
ambitious, and goes beyond the state of the art.
- Soundness of the proposed overall methodology.
The proposal addresses well all the key objectives and fits well with most of the call topic aims, especially for
secondary prevention. However, although a number of observational studies will be carried out, the extent by
which they may relate to improvement in the conduction of RCTs is not fully specified. Also, different
subpopulation/subgroups mentioned in the call topic, such as youth populations, are underrepresented in the
proposal. These are shortcomings.
CardioMate is a very ambitious proposal that goes well beyond the state-of-the-art. It is based on a holistic
approach which is well justified. It brings together principles of timely screening, early diagnoses, and digital
twin concepts to enable a comprehensive cloud-enabled multi-modal AI platform with real-world evidence to
prevent CVD. In addition, the proposal explicitly addresses socio-economic determinants and factors, which
are often neglected by current “one size fits all” risk prevention strategies. These are strengths.
The proposed methodology is robust and credible for creating a partnership with the pre-identified industry
consortium, as well as presenting evidence of the ability to develop and deploy trustworthy AI paradigms for
CVD prevention and self-management. This is a strength.
Although the issue of multimodal imaging is addressed, some of its aspects are not convincingly presented. For
example, there is limited information presented on the multimodality imaging in terms of methods used, or how
those will be applied for AI methods or studies. This is a shortcoming.
The methodology does not provide sufficient detail on how multimodal data can be integrated and interpreted
for individuals at risk. For example, it is not clear how clinical data (from hospital records) will be integrated
with other data sources (wearables, social/behaviour, genetics…) at a single individual level, given that the
different data pipelines might come from separate data sources. This is a shortcoming.
The work proposed is inherently multi- and interdisciplinary, meaningfully integrating the medical,
behavioural, sociological, and technical domains of the research. The consortium will engage with existing EU-
related working groups on the role of wearables in cardiovascular screening and diagnosis. This is a strength.
Engagement with regulatory authorities is considered, however specific information on their relations to
different implementation strategies is not clearly articulated. This is a minor shortcoming.
Data management, including data access and sharing, is appropriately described. The gender dimension is
equally well projected. The proposal formulates very well how open sciences practices are incorporated into the
proposed methodology.
Criterion 2 - Impact
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The following aspects will be taken into account:
- Credibility of the pathways to achieve the expected outcomes andwith
Associated impacts
documentspecified in the work
Ref. Ares(2022)8240353 - 29/11/2022
programme, and the likely scale and significance of the contributions due to the project.
The proposed pathways to achieve the expected outcomes and impacts are generally solid, credible and well
described. This is a strength.
The target groups for each outcome are well identified. There is a strength. However they are not broken down
into particular interest groups or segments of society. This is a minor shortcoming.
The likely scale and significance of each expected project outcome and contribution are properly addressed.
However, the definition and measurement metrics for the expected impact measures are not clearly established,
and some target values are quite over-ambitious (e.g. “5-20% improvement of personalised early risk
prediction” is not justified). This is a shortcoming.
Although a multidisciplinary team will be put together for the task of addressing potential barriers and their
mitigation actions, these have not been clearly identified. This is a shortcoming.
Status: Yes
Exceptional funding
A third country participant/international organisation not listed in the General Annex to the Main Work
Programme may exceptionally receive funding if their participation is essential for carrying out the
project (for instance due to outstanding expertise, access to unique know-how, access to research
infrastructure, access to particular geographical environments, possibility to involve key partners in
emerging markets, access to data, etc.). (For more information, see the HE programme guide )
Please list the concerned applicants and requested grant amount and explain the reasons why.
Based on the information provided, the following participants should receive exceptional funding:
Not provided
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Based on the information provided, the following participants should NOT receive exceptional
funding: Associated with document Ref. Ares(2022)8240353 - 29/11/2022
Not provided
Status: No
If YES, please state whether the use of hESC is, or is not, in your opinion, necessary to achieve the
scientific objectives of the proposal and the reasons why. Alternatively, please state if it cannot be
assessed whether the use of hESC is necessary or not, because of a lack of information.
Not provided
Status: No
Status: Yes
Artificial Intelligence
Status: No
If YES, the technical robustness of the proposed system must be evaluated under the appropriate
criterion.
Overall comments
Not provided
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Digitally sealed by the European Commission
Date: 2022.11.29 10:33:23 CET
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