- ICH GCP
- Registro de ensaios clínicos dos EUA
- Ensaio Clínico NCT07628829
Neonatal Neurological Observation With Video AI (NeoNOVA)
Visão geral do estudo
Status
Descrição detalhada
To fill this critical gap in neonatal care, the investigators developed and validated NeoPose, a low-cost, non-invasive, computer vision digital health tool to continuously monitor infants using real time video streams. NeoPose uses Pose Artificial Intelligence (AI) for an explainable approach to measure, quantify, and analyze infant movement. From the vectorized movement, investigators can accurately confirm the presence of encephalopathy and quantify the degree of sedation. The explainable AI platform enables continuous neuromonitoring with AI-driven alerts, suspicious event replay, movement comparisons, and training on a vast dataset of normal and abnormal infant movements far beyond what any provider could witness.
The Neonatal Neurological Observation with Video AI (NeoNOVA) study is a multi-site, prospective, single-arm, pragmatic, silent observational study to evaluate the performance of NeoPose and AI-derived insights in real world settings. NeoNOVA will deploy a bedside video monitoring system (ArtemisAI Platform) that continuously, passively video records the subject from enrollment to discharge. The study will prospectively validate the AI system's tracking accuracy against ground-truth human-labeled video frames (primary objective; outcome median position error in pixels), will evaluate the association between a video-derived movement index and standardized bedside assessments of encephalopathy, pain, and sedation (secondary objective; outcomes N-PASS and modified Sarnat scales), and will support hypothesis-generating research on novel video prediction algorithms for outcomes like sepsis and need for respiratory support (tertiary objective). The study operates in "silent mode," where AI outputs are not shown to the patient's clinical team. Findings are intended to support a structured clinical evidence generation plan for a Software as a Medical Device (SaMD) designed for continuous, non-contact neurological monitoring in the NICU.
Tipo de estudo
Inscrição (Estimado)
Contactos e Locais
Contato de estudo
- Nome: Saum Naderi, MA
- Número de telefone: 714-913-3641
- E-mail: saum@artemisailabs.com
Estude backup de contato
- Nome: Florian Richter, PhD
- Número de telefone: 773-312-3301
- E-mail: florian@artemisailabs.com
Locais de estudo
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New York
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New York, New York, Estados Unidos, 10029
- Recrutamento
- Mount Sinai Hospital
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Contato:
- Rachelle Weisman, MPH
- E-mail: rachelle.weisman@mssm.edu
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Contato:
- Klaren Ng
- Número de telefone: 347-525-8336
- E-mail: klaren.ng@mssm.edu
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Investigador principal:
- Benjamin Glicksberg, PhD
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New York, New York, Estados Unidos, 10065
- Ainda não está recrutando
- Weill Cornell Medicine / NewYork-Presbyterian Hospital
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Contato:
- Martha Liu
- Número de telefone: 646-697-6428
- E-mail: mal4038@med.cornell.edu
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Investigador principal:
- Sushma Krishna, MD
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Filho
- Adulto
- Adulto mais velho
Aceita Voluntários Saudáveis
Método de amostragem
População do estudo
Descrição
Inclusion Criteria:
- Signed and dated informed consent from at least one parent or legally authorized representative (LAR) who is at least 18 years old.
- Parent/LAR expresses willingness to comply with study procedures for the duration of the infant's hospital stay.
- Infant of any sex (including intersex/undetermined) admitted to newborn services (including the NICU) at a participating hospital.
Exclusion Criteria:
- Parents or LAR unable to provide informed consent or are under the age of 18.
- Non-viable neonates
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
Coortes e Intervenções
Grupo / Coorte |
Intervenção / Tratamento |
|---|---|
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NICU-Admitted Infants Undergoing Continuous Video Monitoring
Infants admitted to newborn services, including the neonatal intensive care unit (NICU), who meet eligibility criteria and undergo continuous, non-contact bedside video monitoring from enrollment until hospital discharge.
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A non-contact, passive bedside video recording system is mounted adjacent to the infant's crib or incubator.
The device continuously captures video data from enrollment to hospital discharge or withdrawal.
The device runs AI models to track infant anatomic landmarks and calculate a continuous movement index.
The trial runs in "silent mode," where AI outputs are not shown to the patient's clinical team and do not influence care.
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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AI Anatomic Landmark Tracking Accuracy
Prazo: At study completion, an average of 1 week.
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The primary endpoint is analytical performance of the AI pose estimation system, quantified as median position error (in pixels) between AI-predicted and human-labeled anatomic landmark positions extracted from continuous bedside video.
Success is defined as median position error less than typical human inter-rater variability.
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At study completion, an average of 1 week.
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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Movement Index - Encephalopathy measured by modified Sarnat exam
Prazo: Through study completion, an average of 1 week.
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Association between a video-derived movement index and encephalopathy classification of severity from the modified Sarnat exam score, a bedside neurological exam assessed by trained clinical staff.
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Through study completion, an average of 1 week.
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Movement Index - N-PASS
Prazo: Through study completion, an average of 1 week.
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Association between a video-derived movement index and Neonatal Pain, Agitation, and Sedation Scale (N-PASS) score (ordinal outcome), a bedside neurological exam measuring pain/sedation and assessed by trained clinical staff.
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Through study completion, an average of 1 week.
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Movement Index - Sedative Exposure
Prazo: Through study completion, an average of 1 week.
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Association between movement index and sedative exposure, a routinely collected clinical variable that influences neonatal arousal.
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Through study completion, an average of 1 week.
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Movement Index - Chronological Age at Video
Prazo: Through study completion, an average of 1 week.
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Association between movement index and chronological age at video, a routinely collected clinical variable that influences neonatal arousal.
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Through study completion, an average of 1 week.
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Movement Index - Gestational age at birth
Prazo: Through study completion, an average of 1 week.
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Association between the movement index and gestational age at birth, a routinely collected clinical variable that influences neonatal arousal.
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Through study completion, an average of 1 week.
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Movement Index - Sleep state
Prazo: Through study completion, an average of 1 week.
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Association between the movement index and sleep state, a routinely collected clinical variable that influences neonatal arousal.
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Through study completion, an average of 1 week.
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Movement Index - EEG evidence of cerebral dysfunction
Prazo: Through study completion, an average of 1 week.
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Association between the movement index and, if obtained as part of routine clinical care, EEG evidence of cerebral dysfunction (a biomarker of encephalopathy).
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Through study completion, an average of 1 week.
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Outras medidas de resultado
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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AI Anatomic Landmark Tracking - Post-Menstrual Age at Video
Prazo: At study completion, an average of 1 week.
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Assess performance of AI anatomic landmark tracking (median position error) across post-menstrual ages at the time of video recording.
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At study completion, an average of 1 week.
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AI Anatomic Landmark Tracking - Encephalopathy Status
Prazo: At study completion, an average of 1 week.
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Assess performance of AI anatomic landmark tracking (median position error) across encephalopathy statuses.
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At study completion, an average of 1 week.
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AI Anatomic Landmark Tracking - Caregiver-reported Race/Ethnicity
Prazo: At study completion, an average of 1 week.
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Assess performance of AI anatomic landmark tracking (median position error) across caregiver-reported race/ethnicity.
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At study completion, an average of 1 week.
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AI Anatomic Landmark Tracking - Sex
Prazo: At study completion, an average of 1 week.
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Assess performance of AI anatomic landmark tracking (median position error) and sex.
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At study completion, an average of 1 week.
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AI Anatomic Landmark Tracking - Lighting Conditions
Prazo: At study completion, an average of 1 week.
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Assess performance of AI anatomic landmark tracking (median position error) and lighting conditions (phototherapy, lights on/off, time of day).
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At study completion, an average of 1 week.
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Parent and Provider Feedback
Prazo: At baseline and study completion (Day 1 - Day 7, on average).
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Brief structured surveys administered to parents and clinical providers to assess acceptability, usability, and perceived burden of the bedside video monitoring system.
Findings will inform system design refinements and support future bedside adoption and regulatory human factors documentation.
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At baseline and study completion (Day 1 - Day 7, on average).
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Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Benjamin Glicksberg, PhD, Icahn School of Medicine at Mount Sinai
Publicações e links úteis
Publicações Gerais
- Feng R, Richter F, Mari E, Gleason A, Le C, Kellner CP, Shrivastava RK, Fields M, Rapoport BI, Bederson JB, Schadt EE, Glicksberg BS, Richter F, Dangayach NS. Artificial Intelligence Monitoring of Neurological Status From Patient Videos in the Neuroscience Intensive Care Unit. Neurosurgery. 2026 Jan 14. doi: 10.1227/neu.0000000000003899. Online ahead of print.
- Gleason A, Richter F, Beller N, Arivazhagan N, Feng R, Holmes E, Glicksberg BS, Morton SU, La Vega-Talbott M, Fields M, Guttmann K, Nadkarni GN, Richter F. Detection of neurologic changes in critically ill infants using deep learning on video data: a retrospective single center cohort study. EClinicalMedicine. 2024 Nov 11;78:102919. doi: 10.1016/j.eclinm.2024.102919. eCollection 2024 Dec.
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Estimado)
Conclusão do estudo (Estimado)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
- Distúrbios Cerebrovasculares
- Doenças do Sistema Nervoso Central
- Doenças do Sistema Nervoso
- Doenças Vasculares
- Doenças cardiovasculares
- Isquemia Cerebral
- Sinais e Sintomas Respiratórios
- Hipóxia, Cérebro
- Hipóxia
- Condições Patológicas, Sinais e Sintomas
- Sinais e sintomas
- Doenças Cerebrais
- Hipóxia-Isquemia, Cérebro
Outros números de identificação do estudo
- STUDY-25-01036
Plano para dados de participantes individuais (IPD)
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