ClinicalTrials.gg
Active, not recruitingNCT04639830Updated Nov 9, 2026

Electrophysiologic Sleep Phenotyping and Sleep-Dependent Neuro-maturation in Clinical and Healthy Pediatric Populations

An observational study in Healthy Children, Children With Neurodevelopmental Disorders and Children With Neuropsychiatric Disorders, sponsored by National Institute of Mental Health (NIMH). Active, not recruiting at 1 site in United States. Open to participants aged 6 Months to 8 Years. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by National Institute of Mental Health (NIMH) · Observational

Updated Oct 8, 2026Now Active, not recruitingEnrollment updated+2 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
58
Ages
6 Months to 8 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 98 studies in Neurodevelopmental Disorders with a site in United States — 35 open to participants now, 51 under way, 9 of them phase 3. Neurodevelopmental Disorders · United States.

Enrollment
27th of 38
58 · median 158
Started
2021
with 9 others
Observational
38 of 98
17 open now
Primary completion
2027-04
later than 19 of 50 live
Registered
45th of 98
by date
Lead sponsor
6 of 98
National Institute of Mental Health (NIMH)

Among the 98 studies in Neurodevelopmental Disorders with a site in United States, this one is the 27th largest by enrollment of the 38 observational ones, is one of 10 that started in 2021, is one of 38 observational ones, reaches primary completion later than 19 of the 50 other live ones, and was the 45th registered.

By phase

98 studies; the count open now beside each. This study's row is marked.

No phase38 · 14 open
Observationalthis study38 · 17 open
Phase 311 · 3 open
Phase 24 · 0 open
Phase 12 · 1 open
Phase 1/22 · 0 open
Phase 2/32 · 0 open
Phase 41 · 0 open

By the year they started

First in 1996; this study’s year is marked. 10 started in 2021.

Size and results

Median enrollment 100 across the 60 interventional studies, 158 across the 38 observational. Of the 43 that completed or were terminated, 11 (26%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 98 studies in Neurodevelopmental Disorders with a site in United States, or all of them as a file.
02

Study summary

Background:

During the first few decades of life, the brain changes dramatically in shape and function. Sleep lets researchers measure these changes. Researchers want to create a database of sleep and neurodevelopmental data in a group of infants and children to learn more.

Objective:

To address a knowledge and data gap in the field of sleep and neurodevelopment in infants and children.

Eligibility:

Children ages 6 months to 76 months who may or may not be at risk for neurodevelopmental and neuropsychiatric disorders. Also, children ages 6 months to 8 years who have a referral for a sleep study.

Design:

Participants will have neurodevelopmental testing. They will have a medical, psychiatric, and family history. They will have a physical and neurological exam. They will be interviewed and complete surveys. They will give a cheek swab and/or blood sample.

Some participants will have 1 study visit that lasts 2 days.

Other participants will have up to 4 study visits. Each visit will last 2 days. Visits occur every 8 months to 1 year, for a total participation time of 2 years.

Participants will have a 20-minute daytime electroencephalogram (EEG), if possible. This EEG session will be used to calibrate the machine for the overnight study.

Participants will take part in an inpatient overnight sleep study. Electrodes will be placed on the participants. For young children, parents will help place the EEG leads. Other sensors may also be placed. A gauze cap will be placed on participants head to protect the leads and keep the participants from moving them. 'Lights out' will occur as close to participants bedtime as possible.

...

Read the detailed description

This is a multisite longitudinal study with NIH as the lead site. The other sites: Texas Children s Hospital, Boston Children s Hospital, Geisinger Medical Center, NYU and the NHLBI- supported, area specific repository, National Sleep Research Repository (NSRR). This study will address the data gap established by two NIMH sponsored intramural/extramural workshops (2017 and 2018) in the field of sleep and neurodevelopment by establishing a standardized, reliable protocol for real time acquisition of research data on the normal and abnormal neuro-maturational changes that are sleep-dependent. It will facilitate data-sharing in this area and speed the pace of discovery. Sleep EEG is a highly advantageous modality to provide non-invasive, reliable, robust and reproducible imaging of the brain in young and neurodevelopmentally disordered populations. Sleep EEG affords data acquisition of functional network microstructure with a decreased signal to noise ratio compared to acquisition in the awake state. In addition, potential deviations from the natural ultradian and other sleep oscillatory patterns of the sleep process have the potential to inform on underlying developing neuropathology of various microstructures and neurotransmitter systems prior to the emergence of putatively associated behavioral phenomenon. Ideally, these oscillatory trajectories will not only map to developmental behavioral phenotypes but also to clinical disorders of the sleep state itself, such as the malignant insomnias that are prevalent in neuropsychiatric and neurodevelopmental syndromes. The protocol will initiate the establishment of a normative database for electrophysiologic sleep data in the developing brain. Disorders of particular interest include autism, disorders of social cognition and other neurodevelopmental disorders, childhood psychiatric disorders, and unique clinical presentations of neurogenetic syndromes, such as those associated with genetic disorders or those with a unique family history. The study plans to use a quantitative, dimensional approach to outcome measurement with respect to adaptive functioning in children and to symptoms of behavioral and/or neurodevelopmental problems, irrespective of diagnosis.

While specific differences in the architecture of sleep (e.g., stages, movement abnormalities, cyclicity, spindles and other bio-signatures that reflect anatomical microstructure) may be used to differentiate neurodevelopmental cohorts, the enormous potential of this proposed database lies in the ability to track functional connectivity (coherence) during sleep in the developing brain in a longitudinal, prospective manner, thereby establishing both normal and aberrant trajectories. Predictive relationships can be determined once these trajectories are established. Coherence studies would allow for the potential recreation of neural circuits that sub-serve various brain functions, such as language and attention. Tracking the trajectory of neural development prior to and during the developmental window when these circuits are maturing will allow for an understanding of best potential windows of intervention.

Objectives: The long term, primary objective of this protocol is to evaluate the degree to which the development and maturation of sleep patterns, with an emphasis on the relationship of those patterns to electrophysiologic signals, can predict cognitive and behavioral outcomes. Assessing participants over time will allow researchers to gain additional knowledge about the role of abnormal sleep, measured both clinically and by polysomnogram, in various childhood neuropsychiatric/ neurodevelopmental disorders and behavioral syndromes.

Study Population: The total number of participants to be enrolled will be set at N = 244 (6 months to 8 years old) and will include the following:

  1. Study 1: N = 90 with no known risk for neurodevelopmental disorders. These include children without identified neurodevelopmental problems who score within age-expected ranges on cognitive and behavioral screeners.
  2. Study 2: N = 154 children at risk for or known to have selected neurodevelopmental/neuropsychiatric disorders, based on any one or more of the following criteria:

    1. Enrolled in early intervention
    2. Getting any targeted therapies
    3. Neurodevelopmental or neuropsychiatric disorder
    4. Failed Infant Toddler Checklist (ITC) (ages 6 months 24 months)
    5. Failed the Early Intervention (EI) screener (>24 months)

Design: Study 1 (N = 90) and Study 2 (N = 154) use the same accelerated longitudinal design.

Outcome Measures: The primary outcome measure in Study 1 is sleep spindle activity. Study 2 has an additional primary outcome, the Vineland Adaptive Behavior (VABS) Socialization growth scale. In both studies, secondary outcome measures will include:other characteristics of sleep spindles, sleep rhythms (ultradian, circadian), macroarchitecture (stages and latencies), microarchitecture (measures of connectivity and network analyses).

Predictors include other neurodevelopmental variables, including other domain scores from the Vineland, IQ, and quantitative measurement of behavioral problems and social communicative development.

03

Conditions studied

  • Healthy Children
  • Children With Neurodevelopmental Disorders
  • Children With Neuropsychiatric Disorders
  • Children With Behavioral Syndromes

Keywords

  • SLEEP STUDY
  • Healthy Children
  • Neurogenetic Syndrome
  • Abnormal Neurodevelopment
  • EEG
  • Natural History
04

Who can participate

Ages eligible
6 Months to 8 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Study Population: The total number of participants to be enrolled will be set at N = 244 (6 months to 8 years old) and will include the following: 1) Study 1: N = 90 with no known risk for neurodevelopmental disorders. These include children without identified neurodevelopmental problems who score within age-expected ranges on cognitive and behavioral screeners. 2) Study 2: N = 154 children at risk for or known to have selected neurodevelopmental/neuropsychiatric disorders, based on any one or more of the following criteria: a) Enrolled in early intervention b) Getting any targeted therapies c) Neurodevelopmental or neuropsychiatric disorder d) Failed Infant Toddler Checklist (ITC) (ages 6 months 24 months) e) Failed the Early Intervention (EI) screener (>24 months)

Eligibility criteria

  • INCLUSION CRITERIA :

Inclusion criteria for Group A (No known risk)

-Consent: Parent/caregiver (legal guardian) can give consent. NIH employees children are eligible to participate with the exception of NIMH employees children.

Comments: Parents will provide consent for all minors. Verbal assent will be obtained from minors 7 years and older when applicable.

  • The child is between 6 months \& 76 months at the time of enrollment for the main study.

Comments: Prescreening assessment

-Apnea hypopnea index (AHI) \< 2/hour and no other evidence of sleep disordered breathing (SDB)

Inclusion criteria for Group B (Known risk)

-Consent: Parent/caregiver (legal guardian) can give consent. NIH employees children are eligible to participate with the exception of NIMH employees children.

Comments: Parents will provide consent for all minors. Verbal assent will be obtained from minors 7 years and older when applicable.

-The child is between 6 months \& 76 months at the time of enrollment for the main study.

Comments: Screening assessment

-The child meets any one or more of the following:

  1. Enrolled in early intervention
  2. Getting any targeted therapies
  3. Neurodevelopmental or neuropsychiatric disorder
  4. Failed ITC (ages 6 months - 24 months)
  5. Failed the EI screener (>24 months)
  6. Child s first degree relative has been diagnosed with a neurodevelopmental disorder, such as autism or schizophrenia, or severe mental illness, such as major depressive disorder or bipolar disorder

    Comments: Screening assessment

    • Apnea hypopnea index (AHI) \<= 2/hour and no other evidence of sleep disordered breathing (SDB)

    EXCLUSION CRITERIA:

    Exclusion criteria for Group A (No known risk)

    -Meets inclusion criteria for Group B (known risk)

    Comments: Screening assessment

    -Any chronic or acute medical condition severe enough to interfere with overnight sleep study acquisition, such as a tracheotomy, uncontrolled seizure disorder, or ventilator dependency, or history of stroke or major neurologic insult. Taking any medications that is known to change sleep parameters within 2 weeks of screening polysomnogram.

    Comments: Screening assessment: Medical history

    -Any history of early intervention or diagnosis of a condition that put the child at risk for neurodevelopmental problems (e.g., genetic disorder, prenatal exposures, extreme prematurity)

    Screening assessment: Medical history

    Primary language other than English in the home

    Comments: Screening assessment

    -Apnea hypopnea index (AHI) >2/hr or any other evidence of sleep disordered breathing (SDB)

    • The children of NIMH employees and staff may not take part.

    Comments: Screening assessment

    Exclusion criteria for Group B (Known risk)

    -Any chronic or acute medical condition severe enough to interfere with completion overnight sleep study acquisition, such as a tracheotomy, uncontrolled seizure disorder, or ventilator dependency.

    Comments: Screening assessment: Medical history

    -Primary language other than English in the home

    Comments: Screening assessment

    -Diagnosed with any of the following common genetic disorders associated with intellectual impairment: Fragile X, Down Syndrome, PraderWilli, Rett, Angelman, Phelan -McDermid, Smith-Lemli-Opitz, identified with a disorders of autonomic dysfunction that might compromise breathing function (examples include congenital central hypoventilation syndrome, familial dysautonmia), disorders of skeletal deformities (Marfan, achondroplasia), a neurogenic condition (spinal muscular atrophy, Duchenne muscular dystrophy, myotonic dystrophy), congenital myopathies or storage diseases (mucopolysaccharidosis, NCL, Wilsons, etc.)

    -The children of NIMH employees and staff may not take part.

    Comments: Screening assessment

    -Apnea hypopnea index > 2/hr or any other evidence of sleep disordered breathing (SDB)

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
58 participants (actual)

Groups and cohorts

  • Children with a known risk

    Children between 6 months and 76 months who are at risk for developing a neurodevelopmental disorder.

  • Children with no known risk

    Children between 6 months and 76 months who don't have a risk for neurodevelopmental disorders.

06

What researchers measure

Primary outcomes

  1. Sleep Spindle Activity

    The primary outcome measure in Study 1 is sleep spindle activity. Study 2 has an additional primary outcome, the Vineland Adaptive Behavior (VABS) Socialization growth scale.

    Time frame: ongoing

  2. Vineland Adaptive Behavior (VABS) Socialization growth scale.

    The primary outcome measure in Study 1 is sleep spindle activity. Study 2 has an additional primary outcome, the Vineland Adaptive Behavior (VABS) Socialization growth scale.

    Time frame: ongoing

Secondary outcomes

  1. Sleep Spindle Characteristics

    Secondary outcome measures will include: other characteristics of sleep spindles, sleep rhythms (ultradian, circadian), macroarchitecture (stages and latencies), microarchitecture (measures of connectivity and network analyses).

    Time frame: ongoing

07

Study locations

1 site
  • National Institutes of Health Clinical Center
    Bethesda, Maryland 20892, United States
08

References and documents

Individual participant data

Plan to share: Yes — We will use the National Sleep Research Resource (NSRR), based at Brigham and Women s Hospital, as a comprehensive data repository for the visualization, query, and analysis of sleep EEG and related physiologic parameters, neurodevelopmental and demographic data. Most medical and sleep data will be stored using NSRR. All data shared with NSRR will be coded. Samples and data for genomic analyses will be shared with Baylor College of Medicine and they will also be shared with the NIMH Repository \& Genomics Resource (NRGR). Coded data from this study for all child participants will also be submitted to the NIH sponsored National Database for Autism Research (NDAR). Data and samples may also be shared with collaborating laboratories at NIH or outside of NIH and/or submitted to NIH-designated repositories and databases if consent for sharing was obtained. Repositories receiving data and/or samples from this protocol may be open-access or restricted access.

Supporting information: Statistical analysis plan, Clinical study report

Time frame: IPD and additional supporting information will become available in accordance with the NSRR s and NDAR's policies on public release of data. For other measures, it'll be up to 12 months after the project end date or at the time of acceptance of initial publication, whichever occurs first.

Access criteria: All data shared with NSRR will be coded; the key to the code will not be provided to collaborators but will remain at NIH. A subset of data shared with NSRR will be stripped of identity and be publicly available. NSRR will initially limit access to only ESP investigators; as the research progresses and with approval from the Steering Committee, de-identified data may be made available to individuals completing appropriate DAUAs.@@@@@@@@@@@@This study will comply with the NIH Genomic Data Sharing Policy, and samples and data for genomic analyses will be shared with Baylor College of Medicine and the NIMH Repository \& Genomics Resource (NRGR).@@@@@@@@@@@@Coded data from this study for all child participants will also be submitted to the NIH sponsored National Database for Autism Research, according to NDAR's data sharing policy (which may be found at http://ndar.nih.gov/ndarpublicweb/Documents/NDAR_Policy.pdf).

09

Timeline

5 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2021 (actual). Primary completion is estimated for Apr 2027, 65 months after the start.

Of 67 non-industry observational studies under Neurodevelopmental Disorders, half reached primary completion within 59 months of starting (the median), counting those still running; a quarter within 32 and three quarters within 101. This study's planned 65 months is above that.

Counting every sponsor, half of 70 studies reached it within 59 months; a quarter within 32 and three quarters within 101.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 20, 2020
First posted
Nov 23, 2020
StartActual
Nov 9, 2021
Primary completionEst.
Apr 15, 2027
CompletionEst.
Apr 15, 2027
Last update
Nov 9, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Recruiting→Active, not recruiting
changed Oct 8, 2026
Sites
4 sites removed
Show 4 removed
  • Boston Children's Hospital · Boston, United States
  • New York University - Langone Medical Center · New York, United States
  • Geisinger Medical Center · Danville, United States
  • Texas Children's Hospital · Houston, United States
Oct 8, 2026
Enrollment
244 (estimated)→58 (actual)
Oct 8, 2026
Eligibility
Revised
Oct 8, 2026
Show all 5 updates
  1. Nov 9, 2026
    Minor edits only
    + 1 other change: description
  2. Nov 5, 2026
    Minor edits only
    + 1 other change: description
  3. Nov 3, 2026
    Minor edits only
    + 1 other change: description
  4. Oct 16, 2026
    Minor edits only
    + 1 other change: description
  5. Oct 8, 2026
    Recruiting→Active, not recruiting
    4 sites removed
    Show 4 removed
    • Boston Children's Hospital · Boston, United States
    • New York University - Langone Medical Center · New York, United States
    • Geisinger Medical Center · Danville, United States
    • Texas Children's Hospital · Houston, United States
    Enrollment 244 (estimated)→58 (actual)
    Eligibility Revised
    + 4 other changes: verification date, description, contact details and references

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT04639830
Responsible party
Sponsor
First posted
Nov 23, 2020
Start date
Nov 9, 2021
Primary completion
Apr 15, 2027 (estimated)
Completion
Apr 15, 2027 (estimated)
Last update
Nov 9, 2026

Study contacts

Ashura W Buckley, M.D.
principal investigator · National Institute of Mental Health (NIMH)

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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