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Embrace: Seizure Characterization

Primary Purpose

Epilepsy

Status
Enrolling by invitation
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Embrace + Alert App
Sponsored by
Empatica, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Epilepsy

Eligibility Criteria

1 Year - 99 Years (Child, Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Participants must be between the ages of 1-99
  • Anyone (healthy or not) can participate
  • Adult participant must either be able to give consent or must have an acceptable surrogate capable of giving consent on their behalf.
  • Participants under age 18 must have an adult guardian give informed consent, and if capable, the patient must give informed assent.
  • Participants with GTCS must have a functioning smartphone (iOS or Android) that can be paired with the Embrace over a Bluetooth Low Energy connection and agree that it can be kept on or near their person.
  • Participants with GTCS (or their surrogate) must be able to identify one or more "designated frequent caregivers," who has a functioning phone, agrees to keep it regularly charged, agrees to receive alerts, and agrees to respond to alerts promptly to the best of their ability.
  • Participants must be fluent in the language of the consent forms (Currently limited to English but Spanish and other languages are planned).
  • Participants must reside in the United States.

Exclusion Criteria:

  • Participants must not have broken or injured skin at the wrist or leg location where Embrace is worn, and they must be able to tolerate wearing Embrace snugly for long periods of time. Thus, they should not have allergies to the material composition of the Embrace watch, or discomfort wearing a wristwatch or leg-band device.
  • Participants should not be homeless.
  • Participants should not have active dependence on substances that are not currently prescribed by their doctor (e.g. alcohol, pain medications, illegal drugs) or be taking substances that they are not willing to disclose as a study participant.
  • Participants must not be pregnant or planning to become pregnant within six months at the time of screening.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Embrace+Alert App

    Arm Description

    Participants are allowed to enter the trial (to use Embrace+Alert app) whether or not they have epilepsy. People without epilepsy may use Alert in this trial even though they are not expected to have seizures, as long as they are willing to mark false positives. Since many people with epilepsy live active lives and appear perfectly healthy outwardly, it is important that their active lifestyle data not trigger false alarms. Allowing healthy participants without epilepsy to contribute active lifestyle data helps us make the detection algorithm even stronger and better.

    Outcomes

    Primary Outcome Measures

    Sensitivity of the GTCS detection of the Embrace + Alert app
    The number of GTCS automatically detected by Embrace will be compared to the total recorded by the wearer+caregiver in a seizure diary. This fraction is the sensitivity.

    Secondary Outcome Measures

    False alarm rate of the GTCS detection of the Embrace + Alert app
    The number of alerts elicited by Embrace+Alert app that do NOT correspond to convulsive seizures marked in the seizure diary are "false alarms". False alarms can also be explicitly marked by patients.

    Full Information

    First Posted
    November 21, 2016
    Last Updated
    August 20, 2020
    Sponsor
    Empatica, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03206502
    Brief Title
    Embrace: Seizure Characterization
    Official Title
    Characterizing Sleep, Stress, and Seizures in Daily Life: An Internet-based Study With the Empatica Embrace Watch and Smartphone-based Diary-alert System
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2020
    Overall Recruitment Status
    Enrolling by invitation
    Study Start Date
    May 2016 (undefined)
    Primary Completion Date
    May 2026 (Anticipated)
    Study Completion Date
    May 2026 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Empatica, Inc.

    4. Oversight

    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
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The study is intended to characterize sleep, stress, and seizures in daily life with the Empatica Embrace watch and smartphone-based diary-alert system. The primary study objective is to collect and validate biometric signals from epilepsy patients using the Empatica Embrace watch and compare them to ictal events captured from human (patient and caregiver) reports.
    Detailed Description
    Patients use the Embrace sensor with a smartphone app, "Alert". The sensor attempts to capture convulsive seizure events such as generalized tonic-clonic seizures (GTCS's), and to initiate an alert when such an event is captured. Patients can also enter seizures (captured or not, GTCS or not) into the "Mate" diary, and they can cancel or mark false alarms if Embrace triggered a false alarm.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Epilepsy

    7. Study Design

    Primary Purpose
    Diagnostic
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    100000 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Embrace+Alert App
    Arm Type
    Experimental
    Arm Description
    Participants are allowed to enter the trial (to use Embrace+Alert app) whether or not they have epilepsy. People without epilepsy may use Alert in this trial even though they are not expected to have seizures, as long as they are willing to mark false positives. Since many people with epilepsy live active lives and appear perfectly healthy outwardly, it is important that their active lifestyle data not trigger false alarms. Allowing healthy participants without epilepsy to contribute active lifestyle data helps us make the detection algorithm even stronger and better.
    Intervention Type
    Device
    Intervention Name(s)
    Embrace + Alert App
    Intervention Description
    Participants will wear an Embrace smartwatch to collect data, and will provide survey/diary information on the occurrence of seizures. The device sends data to the Alert app, which issues either true detections or false alarms when it detects a possible convulsive seizure. Participants are asked to either cancel (in real time) or mark (at a later time) all false alarms using the Alert app.
    Primary Outcome Measure Information:
    Title
    Sensitivity of the GTCS detection of the Embrace + Alert app
    Description
    The number of GTCS automatically detected by Embrace will be compared to the total recorded by the wearer+caregiver in a seizure diary. This fraction is the sensitivity.
    Time Frame
    The primary outcome is assessed continuously over the trial period (each new seizure is counted and summed for each person; the average time period is 6 months)
    Secondary Outcome Measure Information:
    Title
    False alarm rate of the GTCS detection of the Embrace + Alert app
    Description
    The number of alerts elicited by Embrace+Alert app that do NOT correspond to convulsive seizures marked in the seizure diary are "false alarms". False alarms can also be explicitly marked by patients.
    Time Frame
    The secondary outcome is assessed continuously over the trial period (each false alarm is counted and summed for a running total within each person; the average time period is 6 months)
    Other Pre-specified Outcome Measures:
    Title
    System Usability
    Description
    The System Usability Scale will be given to assess system usability
    Time Frame
    After one month of use.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    1 Year
    Maximum Age & Unit of Time
    99 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Participants must be between the ages of 1-99 Anyone (healthy or not) can participate Adult participant must either be able to give consent or must have an acceptable surrogate capable of giving consent on their behalf. Participants under age 18 must have an adult guardian give informed consent, and if capable, the patient must give informed assent. Participants with GTCS must have a functioning smartphone (iOS or Android) that can be paired with the Embrace over a Bluetooth Low Energy connection and agree that it can be kept on or near their person. Participants with GTCS (or their surrogate) must be able to identify one or more "designated frequent caregivers," who has a functioning phone, agrees to keep it regularly charged, agrees to receive alerts, and agrees to respond to alerts promptly to the best of their ability. Participants must be fluent in the language of the consent forms (Currently limited to English but Spanish and other languages are planned). Participants must reside in the United States. Exclusion Criteria: Participants must not have broken or injured skin at the wrist or leg location where Embrace is worn, and they must be able to tolerate wearing Embrace snugly for long periods of time. Thus, they should not have allergies to the material composition of the Embrace watch, or discomfort wearing a wristwatch or leg-band device. Participants should not be homeless. Participants should not have active dependence on substances that are not currently prescribed by their doctor (e.g. alcohol, pain medications, illegal drugs) or be taking substances that they are not willing to disclose as a study participant. Participants must not be pregnant or planning to become pregnant within six months at the time of screening.

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Embrace: Seizure Characterization

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