Dynamic Quantification of Social-Visual Engagement in Autism Spectrum Disorder (ASD) (MEASURE-ASD2)

A Prospective, Multi-Center Study of Dynamic Quantification of Social-Visual Engagement (DQSVE) in Autism Spectrum Disorder (ASD): Diagnosis and Assessment For Children

The goal of this clinical study is to learn about the utility and performance of the EarliPoint System (™): Evaluation for Autism Spectrum Disorder to diagnose and assess autism spectrum disorder (ASD) in children ages 31-96 months (2.5 - 7 years chronological age).

The main questions it aims to answer are:

1. To determine the sensitivity and specificity of the EarliPoint device (test) compared to Expert Clinician Diagnosis (ECD) using gold-standard clinical reference assessments in the target age-expanded population.
2. To determine the association between the EarliPoint Verbal Ability Index score and the clinical measures of verbal ability as measured by the Differential Ability Scales (DAS-II).
3. To determine the association between the EarliPoint Nonverbal Ability Index score and the clinical measures of non-verbal abilities as measured by the Differential Ability Scales (DAS-II).
4. To determine the association between the EarliPoint Social Disability Index score and the Autism Diagnostic Observation Schedule, second edition (ADOS-II) Overall Total Score.
5. To determine the association between the EarliPoint Expressive Language Ability Index score and the clinical measures of verbal ability as measured by the Differential Ability Scales (DAS-II).
6. To determine the association between the EarliPoint Receptive Language Ability Index score and the clinical measures of verbal ability as measured by the Differential Ability Scales (DAS-II).
7. To estimate the incidence of adverse device effects associated with the use of the EarliPoint device.

Study Overview

• Status: Completed
• Conditions: Autism Spectrum Disorder; Autism
• Intervention / Treatment: Device: EarliPoint Diagnosis; Behavioral: Clinically Certain Expert Clinician Diagnosis (CC-ECD)

Detailed Description

This is a prospective, multi-center, double-blind, within-subject comparison study of Dynamic Quantification of Social-Visual Engagement (DQSVE) for diagnosis of ASD and/or related developmental delays (DD) in children ages 31 - 96 months (2.5 - 7 years chronological age). The study will enroll children suspected to have ASD (ASD-positive) and those who do not have ASD (ASD-negative). Eligible participants who sign the Informed Consent Form will be consecutively screened at each study site and enrolled in the appropriate subject group (either suspected ASD/DD or non-ASD).

The main questions it aims to answer are:

1. To determine the sensitivity and specificity of the EarliPoint device (test) compared to Expert Clinician Diagnosis (ECD) using gold-standard clinical reference assessments in the target age-expanded population.
2. To determine the association between the EarliPoint Verbal Ability Index score and the clinical measures of verbal ability as measured by the Differential Ability Scales (DAS-II).
3. To determine the association between the EarliPoint Nonverbal Ability Index score and the clinical measures of non-verbal abilities as measured by the Differential Ability Scales (DAS-II).
4. To determine the association between the EarliPoint Social Disability Index score and the Autism Diagnostic Observation Schedule, second edition (ADOS-II) Overall Total Score.
5. To determine the association between the EarliPoint Expressive Language Ability Index score and the clinical measures of verbal ability as measured by the Differential Ability Scales (DAS-II).
6. To determine the association between the EarliPoint Receptive Language Ability Index score and the clinical measures of verbal ability as measured by the Differential Ability Scales (DAS-II).
7. To estimate the incidence of adverse device effects associated with the use of the EarliPoint device.

• Study Type: Observational
• Enrollment (Actual): 929

Contacts and Locations

Study Locations

• United States
  • Arizona
    • Phoenix, Arizona, United States, 85006
      • Southwest Autism Research and Resource Center
  • Georgia
    • Altanta, Georgia, United States, 30329
      • Emory University - Marcus Autism Center
  • Iowa
    • Iowa City, Iowa, United States, 52242
      • University of Iowa
  • Massachusetts
    • Worcester, Massachusetts, United States, 01655
      • University of Massachusetts Chan Medical School
  • Missouri
    • Columbia, Missouri, United States, 65211
      • ThompsonCenter for Autism & Neurodevelopment; University of Missouri
  • Nebraska
    • Omaha, Nebraska, United States, 68198
      • Monroe-Meyer Institute for Genetics and Rehabilitation / University of Nebraska Medical Center
  • Ohio
    • Cincinnati, Ohio, United States, 45229
      • Cincinnati Childrens Hospital Medical Center
  • Tennessee
    • Nashville, Tennessee, United States, 37232
      • Vanderbilt University Medical Center
  • Washington
    • Seattle, Washington, United States, 98115
      • Seattle Children's Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 2 years to 7 years (Child)
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

children ages 31-84 months who are suspected of having autism spectrum disorder or related developmental delays and those who are typically developing.

Description

Subjects must meet all the following inclusion criteria to participate in this study.

1. Male or female individuals between the ages of 31 - 84 months (2.5 - 7 years chronological age) at the time of consent.
2. Generally healthy with no acute illnesses.
3. Normal or corrected-to-normal vision with visual acuity and oculomotor function sufficient to watch short videos.
4. Hearing adequate to hear information presented in age-appropriate videos of social interactions.
5. Subject and parent (or legally authorized representative) are able and agree to attend the required study visit and complete the full battery of psychometric assessments and questionnaires (electronically or in-person where required).
6. Subject's parent (or legally authorized representative) can understand information, instructions, and videos presented in the English language.
7. Subject's parent (or legally authorized representative) can read and understand the Informed Consent Form (ICF).
8. Subject's parent (or legally authorized representative) provides written informed consent allowing the child subject to participate in the study. NOTE: where able, the child subject should also provide assent.

Subjects who meet any of the following exclusion criteria are not eligible to participate in this study:

1. Known genetic disorders (e.g., Fragile X, Williams Syndrome, Tuberous Sclerosis, Muscular Dystrophy, Neurofibromatosis, Down Syndrome).
2. Severe hearing or visual impairment (e.g., congenital nystagmus, congenital cataracts, previous diagnosis of severe hearing deficits by otoacoustic emissions or auditory brainstem response), which in the opinion of the investigator, would limit the child from completing the EarliPoint eye-tracking procedure or clinical reference assessments. (Note: Corrective lenses are allowable up to a prescription of +/- 5.0.)
3. Acute illnesses likely to prevent successful or valid data collection, i.e., conjunctivitis, fever, uncontrolled allergy symptoms, etc.
4. Subject has an uncontrolled seizure disorder.
5. History or presence of a clinically significant medical disease or a mental state that might confound the study or be detrimental to the subject in the opinion of the investigator.
6. Acute exacerbations of chronic illnesses likely to prevent successful or valid data collection.
7. Receiving therapies that may affect the subject's vision, (i.e., currently receiving or have received the following therapies within 2 weeks of screening: topiramate, chlorpromazine, thioridazine, prednisone, prednisolone (including ophthalmic solutions and ointments), diphenhydramine, or hydroxyzine; or have received ophthalmic antibiotics within 3 days of screening: tobramycin, ciprofloxacin, gatifloxacin, levofloxacin, moxifloxacin and ofloxacin solutions and/or bacitracin ointment).
8. Receiving therapies that may affect the subject's ability to focus attention on the videos, (i.e., if on central nervous system stimulants, Central Nervous System (CNS) depressants, or anticonvulsants, dose must have been stable for at least 2 weeks).
9. Subject is unable or unwilling to undergo EarliPoint testing for up to 20 minutes per assessment (e.g., child has frequent tantrums and tantrums do not subside within 5 minutes).
10. In the opinion of the investigator, the subject and/or parent (or legally authorized representative) are unable, unwilling, or unlikely to comply with all study required procedures and follow-up assessments or to complete the full battery of psychometric assessments (electronically or in-person where required).
11. Subject is receiving or plans to receive any investigational drug or device for the duration of their participation in this study.
12. In the opinion of the Investigator, subject is not a suitable candidate for participation in a research study (NOTE: reason must be specified).

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
2a - Model Development; Enrollment for the purposes of training the EarliPoint system data models in children ages 31-84 months suspected of autism spectrum disorder or related developmental delays or those who are typically developing.	Device: EarliPoint Diagnosis; Diagnosis by the EarliPoint System: Evaluation for Autism Spectrum Disorder; Other Names: EarliPoint; Behavioral: Clinically Certain Expert Clinician Diagnosis (CC-ECD); Diagnosis by an expert clinician using gold standard developmental assessment tools.; Other Names: CC-ECD
2b - Model Testing; Enrollment for the purposes of testing/validating the EarliPoint system data models in children ages 31-84 months suspected of autism spectrum disorder or related developmental delays or those who are typically developing.	Device: EarliPoint Diagnosis; Diagnosis by the EarliPoint System: Evaluation for Autism Spectrum Disorder; Other Names: EarliPoint; Behavioral: Clinically Certain Expert Clinician Diagnosis (CC-ECD); Diagnosis by an expert clinician using gold standard developmental assessment tools.; Other Names: CC-ECD

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
EarliPoint sensitivity	The sensitivity of the EarliPoint device relative to the Clinically Certain-Expert Clinician Diagnosis (CC-ECD), defined as the proportion of clinically positive subjects for whom both the EarliPoint and CC-ECD diagnoses are positive.	at baseline
EarliPoint specificity	The specificity of the EarliPoint device relative to the CC-ECD, defined as the proportion of clinically negative subjects for whom the EarliPoint and CC-ECD procedure are negative.	at baseline

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
EarliPoint Social Disability Index Score	The Correlation between the EarliPoint Social Disability Index score and the Autism Diagnostic Observation Schedule, second edition (ADOS-2) Overall Total Score.	at baseline
EarliPoint Verbal Ability Index score	The correlation between the EarliPoint Verbal Ability Index score and the clinical measures of verbal ability as measured by the Differential Ability Scales (Verbal Ability Cluster).	at baseline
EarliPoint Receptive Language Ability Index Score	The correlation between the EarliPoint Receptive Language Ability Index Score and the Differential Ability Scales (Verbal Comprehension Sub-scale).	at baseline
EarliPoint Expressive Language Ability Index score	The correlation between the EarliPoint Expressive Language Ability Index score and the clinical measures of expressive language ability as measured by the Differential Ability Scales (Naming Vocabulary Subscale).	at baseline
EarliPoint Nonverbal Ability Index score	The correlation between the EarliPoint Nonverbal Ability Index score and the clinical measures of nonverbal abilities as measured by the Differential Abilities Scales (nonverbal ability cluster).	at baseline
Adverse Device Effects	The occurrence of adverse device effects associated with the use of the EarliPoint device.	at baseline

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Negative Predictive Value (NPV)	The proportion of EarliPoint negative subjects who also received a negative clinically certain expert clinician diagnosis.	at baseline
Positive Predictive Value (PPV)	The proportion of the EarliPoint positive subjects who also received a positive clinically certain expert clinician diagnosis	at baseline
False Negative Rate (FNR)	False negative rate defined as 1-sensitivity.	at baseline
False Positive Rate (FPR)	False positive rate defined as 1-specificity.	at baseline
Diagnostic Accuracy	Diagnostic accuracy defined as the total number of subjects with matching CC-ECD and EarliPoint results divided by the number of subjects.	at baseline

Collaborators and Investigators

• Sponsor: EarliTec Diagnostics, Inc
• Collaborators: Marcus Autism Center
• Investigators: Study Director: John Reviere, EarliTec Diagnostics, Inc

Publications and helpful links

General Publications

• Jones W, Klaiman C, Richardson S, Lambha M, Reid M, Hamner T, Beacham C, Lewis P, Paredes J, Edwards L, Marrus N, Constantino JN, Shultz S, Klin A. Development and Replication of Objective Measurements of Social Visual Engagement to Aid in Early Diagnosis and Assessment of Autism. JAMA Netw Open. 2023 Sep 5;6(9):e2330145. doi: 10.1001/jamanetworkopen.2023.30145.
• Jones W, Klaiman C, Richardson S, Aoki C, Smith C, Minjarez M, Bernier R, Pedapati E, Bishop S, Ence W, Wainer A, Moriuchi J, Tay SW, Klin A. Eye-Tracking-Based Measurement of Social Visual Engagement Compared With Expert Clinical Diagnosis of Autism. JAMA. 2023 Sep 5;330(9):854-865. doi: 10.1001/jama.2023.13295.

Helpful Links

• EarliPoint Evaluation for Autism Spectrum Disorder

Study record dates

Study Major Dates

• Study Start (Actual): August 23, 2023
• Primary Completion (Actual): March 27, 2025
• Study Completion (Actual): August 31, 2025

Study Registration Dates

• First Submitted: March 16, 2023
• First Submitted That Met QC Criteria: March 28, 2023
• First Posted (Actual): April 10, 2023

Study Record Updates

• Last Update Posted (Estimated): September 15, 2025
• Last Update Submitted That Met QC Criteria: September 8, 2025
• Last Verified: September 1, 2025

More Information

Terms related to this study

• Keywords: autism; autism spectrum disorder; ASD; developmental delay; EarliPoint; autism in children; autism spectrum disorder in children; EarliPoint System: Evaluation for Autism Spectrum Disorder; DQSVE; Dynamic Quantification of Social Visual Engagement
• Additional Relevant MeSH Terms: Neurologic Manifestations; Nervous System Diseases; Mental Disorders; Neurobehavioral Manifestations; Neurodevelopmental Disorders; Child Development Disorders, Pervasive; Communication Disorders; Pathological Conditions, Signs and Symptoms; Signs and Symptoms; Autism Spectrum Disorder; Autistic Disorder; Learning Disabilities
• Other Study ID Numbers: CLN-1005-02

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: Yes
• product manufactured in and exported from the U.S.: No