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Enrolling by invitationNCT07812831CLIN-TIMEUpdated Sep 10, 2026

Clinical Time and Temporal Dynamics Study (CLIN-TIME)

An observational study in Longitudinal Studies, Prospective Studies and Biomarkers, sponsored by Truway Health, Inc.. Enrolling by invitation at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-10.

Sponsored by Truway Health, Inc. · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,000
Ages
18 Years and older
Sex
All
01

Study summary

TH-CLINICAL-TIME is a prospective, longitudinal observational study evaluating how changes in clinical measurements over time may help researchers better understand patient health trajectories and clinically meaningful outcomes. The study will examine patterns such as changes from an individual's baseline, rate of change, persistence of abnormalities, variability, recurrence, and recovery following clinical events. Data may include routinely collected clinical measurements, physiologic observations, laboratory results, cardiac measurements, imaging-derived measurements, patient-reported information, and remote or digital health data when available and permitted by the study protocol. The study will investigate whether these temporal patterns provide additional information beyond individual measurements taken at a single point in time. The planned study horizon extends from 2026 through 2076, while individual participant follow-up will occur according to the approved study schedule, consent, and applicable requirements.

Read the detailed description

TH-CLINICAL-TIME is a prospective longitudinal observational research study designed to investigate the role of temporal dynamics in clinical medicine. The fundamental premise is that a clinical measurement may have different significance depending on its relationship to a patient's prior measurements, the direction and rate of change, the duration of an observed abnormality, the sequence of preceding or subsequent observations, and the patient's subsequent recovery or deterioration.

The study will establish longitudinal research datasets that permit evaluation of individual and population-level clinical trajectories. Depending on the participating cohort and available clinical data, observations may include vital signs, physiologic measurements, electrocardiographic information, cardiovascular measurements, point-of-care ultrasound or other imaging-derived measurements, laboratory results, symptoms, medications, procedures, healthcare encounters, patient-reported outcomes, and appropriately governed remote or digital health measurements.

A principal research objective is to determine whether time-dependent clinical features provide incremental information beyond conventional point-in-time measurements. Investigational temporal features may include baseline deviation, velocity of change, acceleration or deceleration, persistence, variability, recurrence, temporal sequence, time between clinically relevant observations, and recovery kinetics.

The study will investigate the concept of an individualized Clinical Temporal Phenotype, representing the longitudinal behavior of selected clinical variables rather than a single measurement. Individualized analyses may compare a participant's current observations with their own longitudinal baseline as well as with appropriate population reference distributions.

The research program may evaluate whether temporal patterns are associated with predefined clinical outcomes, including clinically meaningful deterioration, hospitalization, emergency evaluation, cardiovascular events, procedure-related outcomes, recovery characteristics, readmission, or other protocol-defined outcomes. Specific endpoints, populations, data sources, analytic methods, and follow-up schedules will be prespecified in the applicable study protocol and statistical analysis plan.

Where appropriate, longitudinal statistical and computational methods may be used to evaluate trajectories and dynamic prediction. These may include longitudinal regression, survival analysis, time-dependent modeling, recurrent-event analysis, joint longitudinal-survival models, dynamic risk prediction, and machine-learning methods. Any predictive models will be evaluated using appropriate temporal validation methods designed to prevent incorporation of future information into predictions of earlier events.

An additional research objective is to evaluate clinical lead time, defined as the interval between identification of a prespecified research signal and a subsequently documented clinical event or clinical recognition point. Research analyses may also evaluate whether recovery kinetics, recurrent deviations, or accelerating changes contain prognostic information.

Remote and digital data may be incorporated when specifically permitted by the study protocol, participant authorization, applicable privacy requirements, and institutional policies. Research-generated alerts or analytical signals will not independently constitute clinical diagnoses or treatment recommendations unless a separately authorized clinical-care process exists.

The study has a planned 50-year study-level horizon from 2026 through 2076 to permit investigation of long-term longitudinal patterns. The study horizon does not imply that every participant will be followed continuously for 50 years. Individual participation and follow-up duration will be governed by the approved protocol, informed consent or other applicable authorization, participant withdrawal, availability of follow-up data, and applicable institutional and regulatory requirements.

The study will employ coded research identifiers and appropriate data-governance procedures. Direct participant identifiers will be maintained separately from research datasets to the extent required by the applicable protocol and institutional policies. Research data will be subject to appropriate access controls, auditability, security safeguards, quality-control procedures, and retention and disposition requirements.

The study is observational and does not, by itself, assign participants to an experimental drug, biologic, or device intervention. Any clinical care received by participants remains under the direction of their treating healthcare professionals and is not altered solely by participation in the observational research unless separately specified in an approved protocol.

The overarching scientific objective is to determine whether clinical time itself can be characterized as a measurable dimension of patient state, and whether longitudinal trajectories, rather than isolated observations, can yield reproducible research biomarkers of clinical change, deterioration, and recovery.

02

Conditions studied

  • Longitudinal Studies
  • Prospective Studies
  • Biomarkers
  • Predictive Value of Tests
  • Telemedicine
  • Time of Death
  • Time Perception
  • Time Reaction
  • Time Efficiency
  • Time Management
  • Population
  • Population Groups
  • Epidemic Disease
  • Pandemic
  • Sex Behavior
  • Sex Characteristics
  • Sex Hormone
  • Cardio-pulmonary
  • Surgical
  • Drugs of Abuse
  • Health Risks
  • Clinical Outcomes

Keywords

  • Clinical Temporal Dynamics
  • Clinical Time
  • Temporal Biomarkers
  • Longitudinal Clinical Data
  • Physiologic Trajectories
  • Temporal Phenotyping
  • Dynamic Risk Prediction
  • Clinical Trajectory
  • Individualized Baseline
  • Physiologic Velocity
  • Physiologic Acceleration
  • Recovery Kinetics
  • Temporal Digital Biomarkers
  • Longitudinal Monitoring
  • Remote Monitoring
  • Digital Health
  • Clinical Surveillance
  • Predictive Analytics
  • Time-Dependent Outcomes
  • Long-Term Clinical Outcomes
03

In context

Sexual Behavior

224 studies on the registry are indexed under Sexual Behavior; 30 are open to participants now.

This study's planned enrollment of 1,000 is above the median of 324 across 41 observational studies indexed under Sexual Behavior.

Browse Sexual Behavior studies →

Lead sponsor

Truway Health, Inc. is the lead sponsor of 16 studies on the registry; 16 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

The study population will consist of adults aged 18 years and older, including individuals with and without established medical conditions. Participants will be followed longitudinally to characterize individualized clinical trajectories and temporal dynamics using available clinical, physiologic, laboratory, imaging-derived, patient-reported, and remote or digital health information as permitted by the protocol. The population is intended to support evaluation of temporal biomarkers, longitudinal patterns, clinical trajectory features, and time-dependent associations with clinically meaningful outcomes.

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 aged 18 years or older.
  • Able and willing to provide , when informed consent is required by the approved study protocol and applicable regulations.
  • Willing and able to participate in longitudinal collection or evaluation of clinical, physiologic, laboratory, imaging-derived, patient-reported, or remote/digital health information as applicable to the study protocol.
  • Ability to complete the protocol-defined follow-up schedule or provide sufficient longitudinal observations for analysis.
  • Individuals with or without established medical conditions may be eligible, provided their participation is consistent with the study protocol.
  • Availability of sufficient baseline information or measurements to establish an individualized reference state when required for the applicable analysis.

Exclusion criteria

Exclusion Criteria:

  • Inability to provide when consent is required and no legally authorized representative process is applicable.
  • Inability to comply with protocol-defined data collection or follow-up requirements.
  • Circumstances that, in the judgment of the investigator, would prevent reliable longitudinal data collection or interpretation.
  • Enrollment in another research protocol that would materially interfere with participation or interpretation of the outcomes, when applicable.
  • Any other exclusion criterion specifically identified in the IRB/ethics-approved protocol.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,000 participants (estimated)
Patient registry
No

Groups and cohorts

  • Clinical Time Longitudinal Cohort

    Participants enrolled in this prospective observational cohort will be followed longitudinally according to the approved study schedule. The cohort will be evaluated for temporal clinical dynamics, including changes from individualized baseline, rate and acceleration of change, persistence, variability, recurrence, temporal sequence, and recovery following clinically meaningful events. Analyses will integrate available longitudinal clinical, physiologic, laboratory, imaging-derived, patient-reported, and remote or digital health measurements when permitted by the study protocol. No experimental intervention is assigned by the study.

    Other: No Study-Assigned Intervention

Interventions

  • OtherNo Study-Assigned Intervention

    This is a prospective observational study with no protocol-assigned drug, biologic, device, behavioral intervention, or other therapeutic intervention. Participants receive clinical care according to usual practice and applicable clinical decisions. The study observes and analyzes longitudinal clinical and physiologic data to characterize temporal dynamics and their association with clinically meaningful outcomes. Data collection may include routinely available clinical measurements, laboratory results, imaging-derived measurements, patient-reported information, and remote or digital health measurements when permitted by the protocol.

06

What researchers measure

Primary outcomes

  1. Time-Dependent Predictive Discrimination of Clinically Meaningful Patient Outcomes

    Change in predictive discrimination of longitudinal temporal clinical features compared with point-in-time clinical measurements for prespecified clinically meaningful patient outcomes. Predictive discrimination will be quantified using the prespecified time-dependent area under the receiver operating characteristic curve (AUC) or concordance index (C-index), as applicable to the outcome and statistical analysis plan. Temporal features will include individualized baseline values and longitudinal rates of change.

    Time frame: At baseline and at 30 days, 90 days, 6 months, and 12 months after enrollment.

Secondary outcomes

  1. Within-Participant Temporal Trajectory Variability

    Quantification of within-participant longitudinal variability in prespecified physiologic and clinical measurements using the coefficient of variation calculated from repeated assessments. The analysis will characterize individualized temporal trajectories while preserving participant-level longitudinal structure.

    Time frame: At 30 days, 90 days, 6 months, and 12 months after enrollment.

  2. Clinical Lead-Time to Prespecified Outcome

    Time in days between the first prespecified temporal signal meeting the protocol-defined detection threshold and the subsequent occurrence or clinical recognition of the corresponding prespecified clinically meaningful outcome. Lead-time will be calculated only for participants experiencing the applicable outcome during observation.

    Time frame: From baseline through 12 months after enrollment.

  3. Calibration of Time-Dependent Clinical Prediction Models

    Calibration of prespecified longitudinal clinical prediction models for clinically meaningful patient outcomes, assessed by the calibration slope and calibration-in-the-large at each scheduled assessment point. Model calibration will be evaluated according to the prespecified statistical analysis plan.

    Time frame: At 30 days, 90 days, 6 months, and 12 months after enrollment.

  4. Temporal Phenotype Stability

    Proportion of participants whose prespecified individualized temporal phenotype classification remains concordant across consecutive scheduled longitudinal assessments. Stability will be determined using the protocol-defined phenotype classification algorithm.

    Time frame: At 90 days, 6 months, and 12 months after enrollment.

07

Study locations

1 site
08

References and documents

Publications

  • Badawy R, Hameed F, Bataille L, Little MA, Claes K, Saria S, Cedarbaum JM, Stephenson D, Neville J, Maetzler W, Espay AJ, Bloem BR, Simuni T, Karlin DR. Metadata Concepts for Advancing the Use of Digital Health Technologies in Clinical Research. Digit Biomark. 2019 Oct 7;3(3):116-132. doi: 10.1159/000502951. eCollection 2019 Sep-Dec. PubMed 32175520 ↗
  • Chodankar D, Raval TK, Jeyaraj J. The role of remote data capture, wearables, and digital biomarkers in decentralized clinical trials. Perspect Clin Res. 2024 Jan-Mar;15(1):38-41. doi: 10.4103/picr.picr_219_22. Epub 2023 Oct 13. PubMed 38282631 ↗
  • Holler E, Chekani F, Ai J, Meng W, Khandker RK, Ben Miled Z, Owora A, Dexter P, Campbell N, Solid C, Boustani M. Development and Temporal Validation of an Electronic Medical Record-Based Insomnia Prediction Model Using Data from a Statewide Health Information Exchange. J Clin Med. 2023 May 5;12(9):3286. doi: 10.3390/jcm12093286. PubMed 37176726 ↗
  • Carrasco-Ribelles LA, Llanes-Jurado J, Gallego-Moll C, Cabrera-Bean M, Monteagudo-Zaragoza M, Violan C, Zabaleta-Del-Olmo E. Prediction models using artificial intelligence and longitudinal data from electronic health records: a systematic methodological review. J Am Med Inform Assoc. 2023 Nov 17;30(12):2072-2082. doi: 10.1093/jamia/ocad168. PubMed 37659105 ↗
  • Pungitore S, Subbian V. Assessment of Prediction Tasks and Time Window Selection in Temporal Modeling of Electronic Health Record Data: a Systematic Review. J Healthc Inform Res. 2023 Aug 14;7(3):313-331. doi: 10.1007/s41666-023-00143-4. eCollection 2023 Sep. PubMed 37637723 ↗
  • Bull LM, Lunt M, Martin GP, Hyrich K, Sergeant JC. Harnessing repeated measurements of predictor variables for clinical risk prediction: a review of existing methods. Diagn Progn Res. 2020 Jul 9;4:9. doi: 10.1186/s41512-020-00078-z. eCollection 2020. PubMed 32671229 ↗

Individual participant data

Plan to share: Yes — Individual participant-level data (IPD) will be considered for sharing with qualified researchers following publication of the primary study results, subject to applicable informed consent, institutional policies, privacy requirements, data-use agreements, and regulatory requirements. Shared datasets will be de-identified or appropriately anonymized and will exclude direct participant identifiers. Requests will be evaluated based on scientific merit, data availability, participant privacy, and compatibility with the study consent and governance framework. Data may be provided through a controlled-access process rather than unrestricted public release.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report, Analytic code

Time frame: Individual participant-level data (IPD) and supporting information will become available after publication of the primary study results and completion of data-quality, privacy, and governance review. Data will be available beginning at that time for qualified research purposes through a controlled-access process. The study protocol, statistical analysis plan, clinical study report, and analytic code will be made available when finalized and permitted by applicable policies and agreements. Access will continue for as long as the data and supporting materials remain available and appropriate for controlled research use, subject to applicable privacy, consent, regulatory, and institutional requirements.

Access criteria: De-identified individual participant-level data and applicable supporting information may be requested by qualified researchers for scientifically valid research purposes. Requests will be reviewed by the designated study research governance authority for scientific merit, feasibility, data availability, participant privacy, consistency with informed consent, and applicable regulatory and institutional requirements. Approved researchers will be required to execute an appropriate data-use agreement and comply with confidentiality, security, and permitted-use restrictions. Data will be provided through a controlled-access mechanism; direct participant identifiers will not be provided. Supporting materials may include the study protocol, statistical analysis plan, clinical study report, and analytic code, as available and permitted.

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

Started Sep 2026 (actual). Primary completion is estimated for Sep 2076, 600 months after the start.

Of 18 observational studies under Sexual Behavior, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 33. This study's planned 600 months is above that.

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

Registered
Sep 1, 2026
First posted
Sep 10, 2026
StartActual
Sep 1, 2026
Primary completionEst.
Sep 1, 2076
CompletionEst.
Sep 1, 2076
Last update
Sep 10, 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.
No changes since tracking began. The registry record was last updated on Sep 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07812831
Responsible party
Sponsor
First posted
Sep 10, 2026
Start date
Sep 1, 2026
Primary completion
Sep 1, 2076 (estimated)
Completion
Sep 1, 2076 (estimated)
Last update
Sep 10, 2026

Study contacts

Gavin C Solomon, MD
principal investigator · Truway Health, Inc.

Oversight

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

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