Advancing Digital Endpoints

Agendas

All times listed are in Eastern Time (ET).

10:30 AMNIH Welcome – Amir Tamiz, PhD, Director, Division of Translational Research, NINDS
10:40 AMWorkshop Day 1 Objectives – Carol Taylor-Burds, PhD
10:45 AMThe current landscape of digital endpoints: State of the science and adoption. – Jennifer Goldsack, MS, MBA
11:15 AM

Session 1: Existing Digital Endpoint Validation Efforts for Measuring Motor Functions

Moderators: Indu Navar, MS and Emily Carifi, PhD

Opening comments: Indu Navar (5 min)

Speakers (15-20 min talks):

  • Paul Strijbos, PhD – Stride Velocity at the 95th Centile (SV95C): the first regulatory-qualified real-world digital outcome measure for use as primary endpoint in pivotal studies of Duchenne Muscular Dystrophy
  • Jamie Adams, MD – Digital Measures in Early Parkinson’s Disease: the WATCH-PD Study
  • Gul Erdemli, PhD – MOBILISE-D Towards Qualification of Digital Mobility Outcomes

Panel discussion and Q&A with speakers (30-40 min): lessons and best practices from digital endpoint validation efforts.

12:45 PMLunch Break
1:15 PM

Session 2: Established and Emerging Technologies for Measuring Motor Functions

Moderators: Mindy Leffler, MEd and Glen Nuckolls, PhD

Opening comments: Mindy Leffler (5 min)

Speakers (15 min talks):

  • William Marras, PhD – The Spine Phenome Project: Enabling Technology for Personalized Medicine
  • Fay Horak, PhD, PT – Development of Wearable Technology for Neurological Clinical Trials
  • Ashkan Vaziri, PhD – Wearable Sensors and Digital Health Technologies for Tracking Disease Progression in Neurological and Neuromuscular Disorders

Panel discussion & Q&A with speakers (30 min): lessons and best practices in advancing digital wearable technologies.

Emerging and established technologies use cases: lightning talks (5-7 min) from junior investigators/trainees and small businesses.

Moderator: Glen Nuckolls, PhD

  • Melissa McIntyre, PT, DPT – Beyond the Clinic: Multiday Analysis of Leg Movement Quantity and Kinematic Characteristics in Infants with SMA
  • Tina Duong, PT, PhD – Video Kinematic Analysis of Movement: Complimentary Clinical Measures
  • Margaux Poleur, MD – Digital Outcome Measure for Longitudinal Follow-up of Patients with Amyotrophic Lateral Sclerosis
  • Damiano Zanotto, PhD + Jacqueline Montes, PT, EdD, NCS – AI-Enabled Insoles: A New Tool for Assessing NMD Walking Function in Controlled & Natural Environments
  • Henry Kaminski, MD – Quantitative, Objective Neuromuscular Examination Obtained by Telemedicine
  • Dustin Heldman, PhD – Clinical Applications of Wearable Sensors in Movement Disorders
3:00 PMBreak
3:15 PM

Session 3: Panel discussion:  Gaps and opportunities for assessing motor function in neurological and neuromuscular disorders.

Moderators: Toyin Ajisafe, PhD and Fay Horak, PhD, PT

Panelists:

  • Linda Pax Lowes, PT, PhD
  • Steven Cramer, MD
  • R. James Cotton, MD, PhD
  • Adeline Vanderver, MD
4:15 PM

Session 4: Regulatory overviews and reflection panel

Moderators: Ted Zheng, MD, PhD and Carol Taylor-Burds, PhD

Speakers (15 min talks):

  • Matthew Diamond, MD, PhD – Overview of digital health technologies: understanding requirements and guidelines for marketing authorization of a device vs. use in a clinical trial.
  • Michelle Campbell, PhD – Engaging with CDER for drug development approvals.

4:45 – Panel discussion and Q&A (40 min)

  • Susan Miller, MD, Centers for Medicare & Medicaid Services
  • Matthew Diamond, MD, PhD, FDA/DHCE
  • Michelle Campbell, PhD, FDA/CDER
  • Michael McKnight, PhD, FDA/CDRH
5:25-5:30 PMClosing remarks and preview of Day 2 – NIH Planning Committee Representatives
10:30 AMNIH Welcome – Theresa Cruz, PhD, Director, National Center for Medical Rehabilitation Research, NICHD
10:40 AMWorkshop Day 2 Objectives – Carol Taylor-Burds, PhD
10:45 AMWearable autonomic measures of interest for studies on sleep, pain, and neurological disorders – Rosalind Picard, ScD
11:15 AM

Session 1:  Existing Digital Endpoint Validation Efforts for Measuring Sleep and Pain  

Moderator:  Brooks Gross, PhD

Speaker:

  • Walter Maetzler, MD – IDEA-FAST: Lessons learned from a large EU project on the validation of digital endpoints for fatigue and quality of sleep

Q&A (30 min):  lessons and best practices in advancing digital endpoints.

12:15 PMLunch Break
1:15 PM

Session 2: Established and Emerging Technologies for Measuring Sleep, Pain, and Autonomic Function

Moderators: Ted Zheng, MD, PhD and Adissa Silue, PhD

Speakers (20 min talks):

  • Anton Bowden, PhD – Segmental spine biomechanics-based phenotypes of chronic low back pain based on inexpensive wearable strain sensors
  • Justin Brooks, MD, PhD – Leg Movements and Cortical Arousals in Sleep: Biomarkers for Diagnosis, Treatment, and Research
  • Jeffrey Durmer, MD, PhD – Quantifying Autonomic Health During Sleep

Panel discussion & Q&A with speakers (30 min): lessons and best practices in advancing digital wearable technologies.

2:45 PMBreak
3:00 PM

Session 3: Panel Discussion: Gaps and opportunities for assessing autonomic function, sleep and pain in neurological and neuromuscular disorders.

Moderators: Carol Taylor-Burds, PhD and Janet He, PhD

Panelists:

  • Ammar Al-Chalabi, MB, ChB, PhD
  • Christina L. Master, MD, FAAP, CAQSM, FACSM, FAMSSM
  • Azizi Seixas, PhD
  • Yo-El Ju, MD, MSCI
4:00 PM

Session 4:  Breakout Session:  Open Discussion with Audience

Breakouts (1 hour)

  • Breakout 1: Measuring and Monitoring Pain
    • Moderators:  Ram Arudchandran, PhD and Adissa Silue, PhD
  • Breakout 2: Measuring and Monitoring Sleep
    • Moderators:  Marishka Brown, PhD and Brooks Gross, PhD
5:15 PMClosing remarks and preview of Day 3 – NIH Planning Committee Representatives
10:30 AMNIH Welcome – Richard Hodes, MD, Director, NIA
10:40 AMWorkshop Day 3 Objectives – Carol Taylor-Burds, PhD
10:45 AMMeasuring cognitive function as a dynamic process in health and disease – Laura Germine, PhD
11:15 AM

Session 1: Existing Digital Endpoint Validation Efforts for Measuring Cognitive Function

Moderators: Chris Weber, PhD and Yuan Luo, PhD

Speakers:

  • Jason Hassenstab, PhD – What can be learned from high-frequency cognitive assessments?
  • Ioannis Tarnanas, PhD and Anna-Katharine Brem, PD, PhD, MASNP – Digitally-enhanced precision medicine: accurate selection of Preclinical and Prodromal AD individuals and measuring progression of MCI.
  • Supriya Bhavnani, PhD – Harnessing digital technology to assess cognition in early childhood in India – evaluating the DEEP tool.

Panel discussion & Q&A with speakers (30 min): lessons and best practices in advancing digital endpoints.

12:45 PMLunch Break
1:15 PM

Session 2:  Established and emerging technologies for assessing cognitive function.

Moderators: Andrew Potter, PhD, Rebecca Hommer, MD

Speakers (15 min talks):

  • Olu Ajilore, MD, PhD – Passive assessment of cognitive constructs via smartphone interactions
  • Adam Vogel, PhD – Speech and language biometrics for measuring communication, cognition and motor performance
  • Francesca Cormack, PhD

Panel discussion & Q&A with speakers (30 min): lessons and best practices in advancing digital wearable technologies.

2:30 PM

Emerging and established technologies use cases: lightning talks (5-7 min) from junior investigators/trainees and small businesses.

Moderator: Becky Berman, PhD

  • Alena Stasenko, PhD – Multidimensional Assessment of Cognition via Smartphones & Wearables
  • Kelly Donegan – Cannon Blast: a Smartphone Measure of Model-Based Planning
  • Andrew Byun – Understanding Human Behavior Through The Lens of Motor Learning, Digital Phenotyping, and More
  • Sunghye Cho, PhD – Natural Speech as a Screening and Monitoring Tool for Alzheimer’s Disease and Related Dementias (ADRD)
  • Emily Paolillo, PhD – Smartphone Digital Endpoints in Frontotemporal Lobar Degeneration (FTLD)
3:00 PMBreak
3:15 PM

Session 3: Panel Discussion: Gaps and opportunities for assessing cognitive function in neurological and neuromuscular disorders.

Moderator: Kristi Hardy, PhD and Carol Taylor-Burds, PhD

Panelists:

  • Rhoda Au, PhD
  • Richard Gershon, PhD
  • Rosie Curiel Cid, PsyD
4:15 PM

Session 4: Perspectives on Advancing Digital Endpoint Development Through Public Private Partnerships

Moderator: Amir Tamiz, PhD – Director, Division of Translational Research, NINDS

  • Diane Stephenson, PhD – Critical Path Institute
  • Abhishek Pratap, MS, PhD – Boehringer Ingelheim
  • Penny Dacks, PhD – The Association for Frontotemporal Degeneration
  • Steve Hoffmann, MS – Foundation for the National Institutes of Health (FNIH)
5:15 PMNIH Closing Remarks:  NIH Planning Committee Representatives

Day 1: September 18, 2023 – Advancing Endpoints and Digital Health Technologies for Measuring Motor Function

10:30 AMNIH Welcome – Walter Koroshetz, MD, Director, NINDS
10:40 AMWorkshop Day 1 Objectives – Carol Taylor-Burds, PhD
10:45 AMThe current landscape of digital endpoints: State of the science and adoption.” – Jennifer Goldsack, MS, MBA
11:15 AM

Session 1: Existing Digital Endpoint Validation Efforts for Measuring Motor Functions

Moderators: Indu Navar, MS and Emily Carifi, PhD

Opening comments: Indu Navar (~5 min)

Speakers (15-20 min talks):

  • Paul Strijbos, PhD – Stride Velocity at the 95th Centile (SV95C): the first regulatory-qualified real-world digital outcome measure for use as primary endpoint in pivotal studies of Duchenne Muscular Dystrophy
  • Jamie Adams, MD – Digital Measures in Early Parkinson’s Disease: the WATCH-PD Study
  • Gul Erdemli, PhD – MOBILISE-D Towards Qualification of Digital Mobility Outcomes

Panel discussion and Q&A with speakers (30-40 min): lessons and best practices from digital endpoint validation efforts.

12:45 PMLunch Break
1:15 PM

Session 2: Established and Emerging Technologies for Measuring Motor Functions

Moderators: Mindy Leffler, MEd and Glen Nuckolls, PhD

Opening comments: Mindy Leffler (5 min)

Speakers (15 min talks):

  • William Marras, PhD – The Spine Phenome Project: Enabling Technology for Personalized Medicine
  • Fay Horak, PhD, PT – Development of Wearable Technology for Neurological Clinical Trials
  • Ashkan Vaziri, PhD – Wearable Sensors and Digital Health Technologies for Tracking Disease Progression in Neurological and Neuromuscular Disorders

Panel discussion & Q&A with speakers (30 min): lessons and best practices in advancing digital wearable technologies.

Emerging technologies lightening talks (30 min): Brief presentations from small businesses and academics selected through the abstract submission process.

3:00 PMBreak
3:15 PM

Session 3: Panel discussion, gaps and opportunities for assessing motor function in neurological and neuromuscular disorders.

Moderators: Toyin Ajisafe, PhD and Fay Horak, PhD, PT

Panelists:

4:15 PM

Session 4: Regulatory overview and reflection panel

Moderators: Ted Zheng, MD, PhD

Introduction to the FDA’s Digital Health Center of Excellence (15 min) – Matthew Diamond, MD, PhD, Chief Medical Officer.

Panelist Discussion and Q&A (55 min)

  • Matthew Diamond, MD, PhD, FDA/DHCE
  • Michelle Campbell, PhD, FDA/CDER
  • Michael McKnight, PhD – FDA/CDRH
  • Susan Miller, MD, Centers for Medicare & Medicaid Services
5:25-5:30 PMClosing remarks and preview of Day 2 – Carol Taylor-Burds

Day 2: September 29, 2023 – Advancing Endpoints and Digital Health Technologies for Measuring Autonomic Function, Sleep and Pain

10:30 AMNIH Welcome
10:40 AMWorkshop Day 2 Objectives – Carol Taylor-Burds, PhD
10:45 AMWearable autonomic measures of interest for studies on sleep, pain, and neurological disorders – Rosalind Picard, ScD
11:15 AM

Session 1: Existing Digital Endpoint Validation Efforts for Measuring Sleep and Pain  

Moderators: Ram Arudchandran, PhD

Speakers:

  • Walter Maetzler, PhD – IDEA-FAST: Lessons learned from a large EU project on the validation of digital endpoints for fatigue and quality of sleep
  • Additional Speakers Pending

Panel discussion & Q&A with speakers (30 min): lessons and best practices in advancing digital endpoints

12:45 PMLunch Break
1:15 PM

Session 2: Established and Emerging Technologies for Measuring Sleep, Pain, and Autonomic Function

Moderators: Ted Zheng, MD, PhD

Speakers (15 min talks):

  • Anton Bowden, PhD – Segmental spine biomechanics-based phenotypes of chronic low back pain based on inexpensive wearable strain sensors
  • Justin Brooks, MD, PhD – Leg Movements and Cortical Arousals in Sleep: Biomarkers for Diagnosis, Treatment, and Research
  • Jeffrey Durmer, MD, PhD – Quantifying Autonomic Health During Sleep

Panel discussion & Q&A with speakers (30 min): lessons and best practices in advancing digital wearable technologies.

3:00 PMBreak
3:15 PM

Session 3: Panel Discussion, Gaps and opportunities for assessing autonomic function, sleep and pain in neurological and neuromuscular disorders.

Moderators: Carol Taylor-Burds, PhD

Opening comments:

Panelists:

  • Al-Chalabi, MB, ChB, PhD
  • Christina L. Master, MD, FAAP, CAQSM, FACSM, FAMSSM
  • Azizi Seixas, PhD
4:15 PM

Session 4: Breakout sessions – Breakout Sessions with Audience

Breakouts (45 min)

  • Breakout 1: Pain
  • Breakout 2: Sleep
  • Breakout 3: (Tentative) Data privacy and safety

Breakout reports (15 min): Session Moderators will have 5 minutes to summarize a few key take aways or themes from the discussion.

5:20 PMClosing remarks and preview of Day 3 – Carol Taylor-Burds

Day 3: October 10, 2023 – Advancing Digital Endpoints and Digital Health Technologies for Measuring Cognitive Function

10:30 AMNIH Welcome
10:40 AMWorkshop Day 3 Objectives – Carol Taylor-Burds, PhD
10:45 AMMeasuring cognitive function as a dynamic process in health and disease – Laura Germine, PhD
11:15 AM

Session 1: Existing Digital Endpoint Validation Efforts.

Moderators: Chris Weber, PhD and Yuan Luo, PhD

Speakers:

  • Jason Hassenstab, PhD
  • Ioannis Tarnanas, PhD – Digitally-enhanced precision medicine: accurate selection of Preclinical and Prodromal AD individuals and measuring progression of MCI. Results Report of ADDF-awarded grant GDADB-201906-2018897 and RADAR-AD IMI grant agreement No 806999
  • Supriya Bhavnani, PhD – Harnessing digital technology to assess cognition in early childhood in India – evaluating the DEEP tool.

Panel discussion & Q&A with speakers (30 min): lessons and best practices in advancing digital endpoints.

12:45 PMLunch Break
1:15 PM

Session 2: Established and emerging technologies. This session will have brief presentations to highlight established and emerging technologies, followed by a discussion panel/Q&A.

Moderators: Andrew Potter, PhD, Rebecca Hommer, MD and Becky Berman, PhD

Speakers (15 min talks):

  • Olu Ajilore, MD, PhD
  • Adam Vogel, PhD
  • Additional speakers pending

Panel discussion & Q&A with speakers (30 min): lessons and best practices in advancing digital wearable technologies.

3:00 PMBreak
3:15 PM

Session 3: Panel Discussion, Gaps and opportunities for assessing cognitive function in neurological and neuromuscular disorders.

Moderators: Kristi Hardy, PhD

Panelists:

  • Rhoda Au, PhD
  • Richard Gershon, PhD
  • Rosie Curiel Cid, PsyD
4:15 PM

Session 4: Perspectives on Advancing Digital Endpoint Development Through Public Private Partnerships

Moderator: Amir Tamiz, PhD – Director, Division of Translational Research, NINDS

  • Diane Stephenson, PhD –Critical Path Institute
  • Additional Speakers Pending
5:00 PMNIH Closing Remarks