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CompletedNCT05066009Updated Feb 11, 2025

Sleep/Wake State Assessment with Non-invasive Earbuds

An interventional study of NextSense EEG-enabled earbuds and Ellcie Healthy eyeglasses in Hypersomnolence, sponsored by Emory University. Completed at 1 site in United States. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2025-02-11.

Sponsored by Emory University · Not applicable, Interventional, and Device feasibility

From the registry’s dates

  • Primary completion was Oct 2023, 3 years ago, and no results have been posted to the registry.
Phase
Not applicable
Study type
Interventional
Enrollment
8
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

This study is a within subject's assessment of whether a novel wearable technology, NextSense electroencephalography earbuds (EEGBuds), is able to detect differences in onset to sleep from wake versus in-laboratory, gold-standard electroencephalography (EEG) utilized as part of a standard four trial Maintenance of Wakefulness Test (MWT) at medicated baseline versus free of prescribed medications for promoting wake (random order).

Read the detailed description

Detection of "sleepiness" has for more than four decades relied upon methods that acquire the electroencephalogram (EEG) from multiple surface electrodes applied to the scalp and hardware that amplifies and stores information on a central processing unit (CPU). There are substantial limitations to this methodology beyond the fact that it is time, labor, and cost intensive. Such procedures restrict a subject's freedom of movement and necessitate that patients are monitored by trained staff in an accredited laboratory which levies substantial time and financial burdens upon patients and families. Finally, the test-re-test reliability and utility of testing paradigms reliant solely on an EEG 'signature' to detect statistically meaningful - let alone clinically meaningful - changes is dubious, and has come under increased scrutiny.

This study will assess whether novel wearable technology (NextSense EEGBuds and/or Ellcie Healthy Glasses) are able to detect differences in onset to sleep in patients diagnosed as having one of the central disorders of hypersomnolence (e.g., narcolepsy type 1 or type 2, or idiopathic hypersomnia) while using their prescribed wake promoting medication(s) versus while they are not medicated, and how it's sensitivity compares to differences as detected by the standard MWT. The two study visits will occur within 16 days of one another.

02

Conditions studied

  • Hypersomnolence

Keywords

  • Narcolepsy type 1
  • Narcolepsy type 2
  • Idiopathic hypersomnia
03

In context

Disorders of Excessive Somnolence

181 studies on the registry are indexed under Disorders of Excessive Somnolence; 34 are open to participants now.

This study's enrollment of 8 is below the median of 90 across 139 interventional studies indexed under Disorders of Excessive Somnolence.

Browse Disorders of Excessive Somnolence studies →

Lead sponsor

Emory University is the lead sponsor of 1,405 studies on the registry; 233 are open to participants now.

Of its 233 completed or terminated interventional studies of FDA-regulated products, 176 (76%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adults ages 18-60 years of age previously diagnosed with narcolepsy type I (NT1), narcolepsy type 2 (NT2), or idiopathic hypersomnia (IH).
  • Requiring daily wake promoting medication(s) continuously for 3 months for diagnosed NT1, NT2 or IH with symptomatic improvement on treatment documented by standard subjective or objective tools.

Exclusion criteria

Exclusion Criteria:

  • Presence of a diagnosed or suspected co-morbid sleep-related breathing disorder, parasomnia, or other sleep-related movement disorder.
  • Unstable psychiatric disorder (e.g., acute psychosis, acute suicidal ideation or major depressive episode, active substance abuse/dependence).
  • History of malignancy (active or in remission for \< 2 years) or active infectious disease at time of screening.
  • Inability to safely tolerate wearing earbuds due to recent injury, skin breakdown, or infection.
  • Uncorrected near visual acuity no worse than 20/50.
  • Any other condition which may affect the outcome of this study or safety of the participant as determined by the principal investigator.
05

Study design

Phase
Not applicable
Primary purpose
Device feasibility
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Investigator)
Enrollment
8 participants (actual)

Study arms

  • Experimental
    Prescribed medication followed by drug holiday

    Participants will complete the study assessments on a day when they take their prescribed medication(s) to promote wakefulness and then will repeat the study assessments on a day when they do not take the medication.

    Device: NextSense EEG-enabled earbuds · Device: Ellcie Healthy eyeglasses · Other: Drug Holiday

  • Experimental
    Drug holiday followed by prescribed medication

    Participants will complete the study assessments on a day when they do not take their prescribed medication(s) to promote wakefulness and then will repeat the study assessments on a day when they take their medication as prescribed.

    Device: NextSense EEG-enabled earbuds · Device: Ellcie Healthy eyeglasses · Other: Drug Holiday

Interventions

  • DeviceNextSense EEG-enabled earbuds

    Each NextSense EEGBud device comes with a universal-fit and/or custom-fit earmold with biometric sensors to detect the EEG, motion (via tri-axial accelerometers), and heart rate. A unique custom mold is created employing a 3D printer to capture the geometry of a patients' ear and external auditory canal with a ring laser scanner to an accuracy of within 0.1 mm. This design process allows for a custom fit, and therefore both comfort and complete, consistent contact with the inner surface of the ear canal, providing high quality signal capture of brain activity, and head and eye movements. In addition to the custom fit earmold, universal fit earmolds are available as well. The universal fit earmolds were designed also to allow for comfort and consistent contact with the inner surface of the ear canal to provide high quality signal capture of brain activity, and head and eye movements.

    Also known as: EEGBud

  • DeviceEllcie Healthy eyeglasses

    Ellcie Healthy glasses frames are embedded with multi-modal sensors for measuring eye movements, head movement, and ECG.

  • OtherDrug Holiday

    Participants will not take their prescribed wakefulness promoting medication(s) for one day to complete the study assessments. Medications typically used to promote wakefulness include amphetamine salts (Adderall), armodafinil (Nuvigil), clarithromycin (Biaxin), flumazenil, methylphenidate (Ritalin), and modafinil (Provigil).

06

What researchers measure

Primary outcomes

  1. Change in sleep onset latency

    Sleep onset latency is the time in minutes it takes to transition from wakefulness to sleep. Within-individual change in the mean onset to sleep will be assessed from the two MWT sessions performed as detected by NextSense EEGBuds.

    Time frame: Study visits 1 and 2 (up to 16 days)

Secondary outcomes

  1. Intraclass correlation between measurement methods

    The coefficient of intraclass correlation (ICC) between the individual sleep onset latencies as derived by NextSense EEGBuds vs. those revealed by gold standard EEG and conventional scoring. Higher correlation values (typically 0.75 to 1.00) indicate greater agreement between the measurements.

    Time frame: Up to 16 days

07

Study locations

1 site
  • Emory Sleep Center
    Atlanta, Georgia 30329, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking 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

Ran from Oct 2021 to primary completion in Oct 2023, 24 months.

Of 31 interventional studies with no phase under Disorders of Excessive Somnolence, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 28. This study's 24 months is above that.

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

Registered
Sep 23, 2021
First posted
Oct 4, 2021
StartActual
Oct 13, 2021
Primary completionActual
Oct 27, 2023
CompletionActual
Oct 27, 2023
Last update
Feb 11, 2025
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.
No changes since tracking began. The registry record was last updated on Feb 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05066009
Lead sponsor
Emory University
Collaborators
NextSense, Inc.
Responsible party
David Rye (Professor, Emory University) — Principal investigator
First posted
Oct 4, 2021
Start date
Oct 13, 2021
Primary completion
Oct 27, 2023
Completion
Oct 27, 2023
Last update
Feb 11, 2025

Study contacts

David Rye, MD, PhD
principal investigator · Emory University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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