Cranial Waveform in Normal Patients as a Result of Cardiac CycleREFRESHNCT05203393
500 "Normal" Adult Subjects Who Have Experienced no Known Brain Injury Will Participate in Collecting Data That Will Assist With the Optimization of the Diagnostic Capabilities of the Harmony in Detecting Neurologic Abnormalities.
An observational study of Cranial Waveform in Normal Patients as a Result of Cardiac Cycle and Healthy, run by MindRhythm, Inc. at 1 site in United States.
Trial summary
The REFRESH study is designed to collect data related to a signal in the brain that MindRhythm has named the Headpulse. The Headpulse occurs as a natural movement of the brain in conjunction with the beating of the heart. Read more about this study
- Who is it for?
- Ages 18 to 100 yearsHealthy volunteers can take part
- Conditions the study is for
- Cranial Waveform in Normal Patients as a Result of Cardiac Cycle, Healthy
- What is being tested?
- Harmony Headset
- Type of treatment
- Medical device
- How many people
- 500 participants
- Where
- 1 siteUnited States
- Study dates
- 15 Jan 2023to 15 Jan 2023
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 100 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Study population: Community sample from the United States of 500 men and women volunteers who are considered "healthy" in so much as there is no indication that participants do not have a neurological disease or condition, or related conditions or symptoms.
Inclusion Criteria: Male and female adults from the age of 18 who have the ability to consent with no surrogates.
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Exclusion Criteria: Open wound to the head, pregnant women, not suitable for participation per the opinion of the PI.
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Trial locations and contacts
1 site in 1 country.
United States1 site
MindRhythm Incorporated
Cupertino, California, 95014
Paul Lovoi, PhD, 408-230-6396
Beth Johnson, 8608368630, Beth.Johnson@mindrhythm.com
About this study
Official title: Non-Blinded Control Study of Healthy Adults to Investigate the Morphology of the Headpulse Waveform Under Normal Conditions
The REFRESH study is designed to collect data related to a signal in the brain that MindRhythm has named the Headpulse. The Headpulse occurs as a natural movement of the brain in conjunction with the beating of the heart. 500 "normal" subjects who are considered healthy as they do not have any current known neurological injury will collect the brain signal data from the non-invasive headband style headset for a duration of 3 minutes either once or multiple times. Upon consenting to participate to the study by way of the accompanying MindRhythm app, participants will be sent a Harmony headset kit which will include ECG leads to collect cardiac data in conjunction with the brain signal. The participant will receive training materials and instructions on how to collect and transmit data to investigators by way of the MindRhythm app. The data collected by these "normal" patients will be used as a comparator to individuals who are suspected of neurological injury. This data will assist in training the data analysis algorithm to optimize its diagnostic abilities in detecting neurological injury or abnormalities including but not limited to stroke, stroke type, and concussion. The data set will also be analyzed to determine how the signal varies within an individual and amongst other "normals." An additional benefit of collecting this data will be to gain knowledge related to the ergonomic factors of the app and the headset and its "user friendliness."
Read the detailed description
This study will involve recordings using MindRhythm's Harmony 4000, a novel, non-invasive investigative medical device. The Harmony 4000 collects accelerometry data on the motion of the skull resulting from the movement of the brain during each cardiac cycle. The motion of the skull due to brain movement is named the HeadPulse by MindRhythm. The HeadPulse, cranial accelerometry, has been shown to provide clinically relevant data for concussion, vasospasm and Large Vessel Occlusion (LVO) stroke (Wade Smith, 2015). The Harmony 4000 is a headband and is self-contained. Control of the device is provided by pushbuttons (on and off) on the headband and via an MindRhythm iPhone app. The objective of this non-significant risk (NSR) study is to collect HeadPulse waveform recordings from 500 normal subjects to be used as controls when developing algorithms for trials in stroke, concussion and other neurological conditions. The data set of normal subjects will allow evaluation of repeatability and variability of HeadPulse recordings within a subject and between subjects. Collecting un-blinded HeadPulse waveform with the Harmony 4000 from normal adult subjects including and above the ages of 18 during normal circumstances will create a comparative cohort. These normal data sets will assist in improving the diagnostic capabilities of the Harmony 4000 device in detecting neurological abnormalities including but not limitied to stroke, stroke type, and concussion. These subjects will be recorded once or multiple times as a time series covering recordings up to two years in duration. A secondary endpoint will be to determine the quality of recordings obtained when subjects are permitted to make their own recordings without supervision after iPhone app based training.
Participant's will be recruited to volunteer to provide intracranial waveform data with the understanding that they are considered "healthy" subjects. Upon downloading the iPhone MindRhythm study app, subjects will be asked a series of questions related to inclusion and exclusion criteria, and presented with a consent form that describes the study, and what will be asked of them. Upon subject's direct consent (no LARS) to participate in the study, participant will be enrolled and sent a Harmony headset kit that will include brief training instructions for both the use of the headset and the iPhone app, ECG leads and the Harmony headset. Participant will follow the instructions and provide recordings by way of the app at the same time of day and based on a specified physical position that will suggested and recorded in the app. The subject will be instructed as to how to connect the ECG leads and place the pads on the chest and abdomen. As the "Headpulse" which is the intracranial waveform detected by the Harmony headset and is as a result of the natural movement of the brain immedliately following the cardiac cycle, the ECG data must also be recorded in conjunction with the cranial readings. The subject will connect the headset to their app by way of bluetooth once a position has been chosen and leads are connected. Upon connection, the subject will maintain a still and quiet position for a period of 3 minutes while the app collects the waveform data. Upon completion of the 3 minutes, an audible chime will occur and data will stop being transmitted and recorded. The subject will then transmit that data under their patient ID number to study investigators by way of a HIPAA compliant cloud based transmission and storage system. The subject has the option to withdraw from the study at any time by way of the iPhone app and/or the PI has the option to withdraw the subject from the study.
- Being tested
- Harmony Headset
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Harmony HeadsetDevice
The Harmony headset is a non-invasive nonsignificant risk observational device to collect intracranial waveform data. The headset will be placed on "normal" study participants to collect data for a period of 3 minutes and transferred to investigators for analysis.
What is being measured
The primary outcome is the main question the study is designed to answer.
Development of comparative cohort of baseline intracranial waveform data in adults with no known neurological injury.
To collect un-blinded HeadPulse waveform with the Harmony 4000 from normal adult subjects including and above the ages of 18 during normal circumstances in order to create a comparative cohort. These normal data sets will assist in improving the diagnostic capabilities of the Harmony 4000 device in detecting neurological abnormalities.
Measured: These subjects will be recorded once or multiple times as a time series covering recordings up to two years in duration.
Secondary outcomes (1)
To collect intracranial waveform data to analyze the quality of the signal when varied individuals collect it under varied circumstances.
A secondary endpoint will be to determine the quality of recordings obtained when subjects are permitted to make their own recordings without supervision after iPhone app based training.
Measured: The analysis of the quality of the data will be evaluated as the data is transmitted to the investigators over a period of 2 years during the duration of the study.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Jan 2022
- Study start15 Jan 2023 (estimated)
- Primary completion15 Jan 2023 (estimated)
- Study completion15 Jan 2023 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Cranial Waveform in Normal Patients as a Result of Cardiac CycleStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Cross-sectional
- Enrolment
- 500 participants (estimated)
Sponsor and investigators
- Lead sponsor
- MindRhythm, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Paul Lovoi, PhD, Principal investigator, Chief Technical Officer, MindRhythm Incorporated
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05203393
- Sponsor's protocol ID
- NORMAL-001MR
- Acronym
- REFRESH
- Status last verified
- Nov 2022
- First submitted
- 10 Jan 2022
- Last updated
- 16 Nov 2022
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Publications
Smith WS, Browne JL, Ko NU. Cranial Accelerometry Can Detect Cerebral Vasospasm Caused by Subarachnoid Hemorrhage. Neurocrit Care. 2015 Dec;23(3):364-9. doi: 10.1007/s12028-015-0118-9.
PubMed 25761424Smith WS, Keenan KJ, Lovoi PA. A Unique Signature of Cardiac-Induced Cranial Forces During Acute Large Vessel Stroke and Development of a Predictive Model. Neurocrit Care. 2020 Aug;33(1):58-63. doi: 10.1007/s12028-019-00845-x.
PubMed 31591693
Study at a glance
From the registry record, last updated by the sponsor on 16 Nov 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Non-Blinded Control Study of Healthy Adults to Investigate the Morphology of the Headpulse Waveform Under Normal Conditions
- ClinicalTrials.gov ID
- NCT05203393
- Acronym / sponsor ID
- REFRESH / NORMAL-001MR
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 500 participants (estimated)
- Lead sponsor
- MindRhythm, Inc.Industry (pharma, biotech, devices)
- Study start
- 15 Jan 2023 (estimated)
- Primary completion
- 15 Jan 2023 (estimated)
- Study completion
- 15 Jan 2023 (estimated)
- First posted
- 24 Jan 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The REFRESH study is designed to collect data related to a signal in the brain that MindRhythm has named the Headpulse. The Headpulse occurs as a natural movement of the brain in conjunction with the beating of the heart. 500 "normal" subjects who are considered healthy as they do not have any current known neurological injury will collect the brain signal data from the non-invasive headband style headset for a duration of 3 minutes either once or multiple times. Upon consenting to participate to the study by way of the accompanying MindRhythm app, participants will be sent a Harmony headset kit which will include ECG leads to collect cardiac data in conjunction with the brain signal. The participant will receive training materials and instructions on how to collect and transmit data to investigators by way of the MindRhythm app. The data collected by these "normal" patients will be used as a comparator to individuals who are suspected of neurological injury. This data will assist in training the data analysis algorithm to optimize its diagnostic abilities in detecting neurological injury or abnormalities including but not limited to stroke, stroke type, and concussion. The data set will also be analyzed to determine how the signal varies within an individual and amongst other "normals." An additional benefit of collecting this data will be to gain knowledge related to the ergonomic factors of the app and the headset and its "user friendliness."
Detailed description
This study will involve recordings using MindRhythm's Harmony 4000, a novel, non-invasive investigative medical device. The Harmony 4000 collects accelerometry data on the motion of the skull resulting from the movement of the brain during each cardiac cycle. The motion of the skull due to brain movement is named the HeadPulse by MindRhythm. The HeadPulse, cranial accelerometry, has been shown to provide clinically relevant data for concussion, vasospasm and Large Vessel Occlusion (LVO) stroke (Wade Smith, 2015). The Harmony 4000 is a headband and is self-contained. Control of the device is provided by pushbuttons (on and off) on the headband and via an MindRhythm iPhone app. The objective of this non-significant risk (NSR) study is to collect HeadPulse waveform recordings from 500 normal subjects to be used as controls when developing algorithms for trials in stroke, concussion and other neurological conditions. The data set of normal subjects will allow evaluation of repeatability and variability of HeadPulse recordings within a subject and between subjects. Collecting un-blinded HeadPulse waveform with the Harmony 4000 from normal adult subjects including and above the ages of 18 during normal circumstances will create a comparative cohort. These normal data sets will assist in improving the diagnostic capabilities of the Harmony 4000 device in detecting neurological abnormalities including but not limitied to stroke, stroke type, and concussion. These subjects will be recorded once or multiple times as a time series covering recordings up to two years in duration. A secondary endpoint will be to determine the quality of recordings obtained when subjects are permitted to make their own recordings without supervision after iPhone app based training.
Participant's will be recruited to volunteer to provide intracranial waveform data with the understanding that they are considered "healthy" subjects. Upon downloading the iPhone MindRhythm study app, subjects will be asked a series of questions related to inclusion and exclusion criteria, and presented with a consent form that describes the study, and what will be asked of them. Upon subject's direct consent (no LARS) to participate in the study, participant will be enrolled and sent a Harmony headset kit that will include brief training instructions for both the use of the headset and the iPhone app, ECG leads and the Harmony headset. Participant will follow the instructions and provide recordings by way of the app at the same time of day and based on a specified physical position that will suggested and recorded in the app. The subject will be instructed as to how to connect the ECG leads and place the pads on the chest and abdomen. As the "Headpulse" which is the intracranial waveform detected by the Harmony headset and is as a result of the natural movement of the brain immedliately following the cardiac cycle, the ECG data must also be recorded in conjunction with the cranial readings. The subject will connect the headset to their app by way of bluetooth once a position has been chosen and leads are connected. Upon connection, the subject will maintain a still and quiet position for a period of 3 minutes while the app collects the waveform data. Upon completion of the 3 minutes, an audible chime will occur and data will stop being transmitted and recorded. The subject will then transmit that data under their patient ID number to study investigators by way of a HIPAA compliant cloud based transmission and storage system. The subject has the option to withdraw from the study at any time by way of the iPhone app and/or the PI has the option to withdraw the subject from the study.
Study design
- Observational model
- Cohort
- Time perspective
- Cross-sectional
Who may qualify
- Ages
- 18 to 100 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- Community sample from the United States of 500 men and women volunteers who are considered "healthy" in so much as there is no indication that participants do not have a neurological disease or condition, or related conditions or symptoms.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Harmony HeadsetThe Harmony headset is a non-invasive nonsignificant risk observational device to collect intracranial waveform data. The headset will be placed on "normal" study participants to collect data for a period of 3 minutes and transferred to investigators for analysis. | Device | – |
Primary outcome
Development of comparative cohort of baseline intracranial waveform data in adults with no known neurological injury.
Time frame: These subjects will be recorded once or multiple times as a time series covering recordings up to two years in duration.
To collect un-blinded HeadPulse waveform with the Harmony 4000 from normal adult subjects including and above the ages of 18 during normal circumstances in order to create a comparative cohort. These normal data sets will assist in improving the diagnostic capabilities of the Harmony 4000 device in detecting neurological abnormalities.
1 secondary outcome
To collect intracranial waveform data to analyze the quality of the signal when varied individuals collect it under varied circumstances.
Time frame: The analysis of the quality of the data will be evaluated as the data is transmitted to the investigators over a period of 2 years during the duration of the study.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Nov 2022.
- Results publication: PubMed 25761424Smith WS, Browne JL, Ko NU. Cranial Accelerometry Can Detect Cerebral Vasospasm Caused by Subarachnoid Hemorrhage. Neurocrit Care. 2015 Dec;23(3):364-9. doi: 10.1007/s12028-015-0118-9.
- Results publication: PubMed 31591693Smith WS, Keenan KJ, Lovoi PA. A Unique Signature of Cardiac-Induced Cranial Forces During Acute Large Vessel Stroke and Development of a Predictive Model. Neurocrit Care. 2020 Aug;33(1):58-63. doi: 10.1007/s12028-019-00845-x.
- Individual participant dataSharing planned: No
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Paul Lovoi, PhD principal investigator
Chief Technical Officer, MindRhythm Incorporated
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Cranial Waveform in Normal Patients as a Result of Cardiac Cycle and Healthy, run by MindRhythm, Inc. at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 16 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Paul Lovoi, PhD (8608368630, Paul.Lovoi@mindrhythm.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Development of comparative cohort of baseline intracranial waveform data in adults with no known neurological injury. (time frame: These subjects will be recorded once or multiple times as a time series covering recordings up to two years in duration.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05203393, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Nov 2022.