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Not yet recruitingNCT07886450Updated Oct 21, 2026

Oculomotor-Pupillary AI Biomarkers in Parkinson's

An observational study in PARKINSON DISEASE (Disorder), sponsored by The Hong Kong Polytechnic University. Not yet recruiting at 2 sites in 2 countries. Open to participants aged 45 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-21.

Sponsored by The Hong Kong Polytechnic University · Observational

Updated Oct 21, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
128
Ages
45 Years and older
Sex
All
01

Study summary

The goal of this prospective observational study is to investigate whether oculomotor-pupillary abnormalities detected using a novel edge-AI eye-tracking device can serve as objective and quantitative biomarkers for the early screening and clinical evaluation of Parkinson's disease (PD). The study will include individuals with early-to-moderate PD and healthy controls. The main question it aims to answer is:

Can oculomotor-pupillary abnormalities detected by a novel edge-AI eye-tracking device serve as objective and quantitative biomarkers for the early screening of Parkinson's disease?

Researchers will compare oculomotor-pupillary parameters between participants with PD and healthy controls and evaluate the ability of these parameters to distinguish PD from healthy controls. Participants with PD will also be followed for 12 months to assess longitudinal changes in eye-tracking measures and their associations with clinical changes.

Participants will:

  1. Complete standardized eye-tracking tasks to assess oculomotor and pupillary function using the study eye-tracking device.
  2. Undergo clinical assessments of motor function, cognitive function, and non-motor symptoms.
  3. For participants with PD, attend follow-up assessments over 12 months to evaluate changes in eye-tracking and clinical measures.

The study will also evaluate the feasibility and clinical application of the independently developed edge-AI eye-tracking system and develop and validate lightweight real-time models for PD classification and prediction of disease progression.

02

Conditions studied

  • PARKINSON DISEASE (Disorder)

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03

In context

Parkinson Disease

4,583 studies on the registry are indexed under Parkinson Disease; 1,097 are open to participants now.

This study's planned enrollment of 128 is above the median of 97 across 1,081 observational studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

The Hong Kong Polytechnic University is the lead sponsor of 676 studies on the registry; 254 are open to participants now.

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

04

Who can participate

Ages eligible
45 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 45 years or older, including participants with early-to-moderate Parkinson's disease and age-comparable healthy controls. Participants with Parkinson's disease will be recruited from clinical populations and will undergo baseline eye-tracking and clinical assessments followed by longitudinal assessments over 12 months. Healthy controls without Parkinson's disease or other major neurological disorders will undergo baseline assessments for comparison with the Parkinson's disease group. All participants must be able to complete the required eye-tracking tasks and clinical assessments.

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

PD Group:

  • Age ≥ 45 years old.
  • Diagnosed with Parkinson's disease (PD) by a neurologist.
  • Hoehn-Yahr (H\&Y) is staged as stage 1-3 (early-to-moderate PD).
  • Newly diagnosed or drug-naive patients will be given priority, or patients who are already on medication but can stop taking it for at least 12 hours before testing ("Off" status).
  • Participants who need to take medication must be accompanied by a caregiver, bring their own medication, and take it immediately after the assessment.
  • Informed consent and voluntary participation in this study.

HC Group:

  • Age ≥ 45 years old.
  • No history of neurological or mental illness or prodromal symptoms.
  • No family history of PD or prodromal symptoms of PD.
  • Not taking any medications that may affect eye movement or nervous system function.
  • Informed consent and voluntary participation in this study.

Exclusion criteria

Exclusion Criteria:

  • Habitual visual acuity less than 20/63 (LogMAR 0.5) in either eye.
  • Combined with eye diseases that affect eye movement or vision, such as severe cataracts, glaucoma, macular degeneration, oculomotor paralysis, etc.
  • Other neurological disorders, such as progressive supranuclear palsy, multiple system atrophy, Huntington's disease, cerebellar disorders, etc.
  • Illiteracy or severe cognitive dysfunction.
  • Severe mental diseases, such as major depressive disorder or schizophrenia.
  • Unable to cooperate in completing the eye-tracking test.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
128 participants (estimated)
Target follow-up
12 Months
Patient registry
Yes

Groups and cohorts

  • Parkinson's Disease Group

    Device: Edge-AI Eye-Tracking Assessment

  • Healthy Control Group

    Device: Edge-AI Eye-Tracking Assessment

Interventions

  • DeviceEdge-AI Eye-Tracking Assessment

    Participants will undergo standardized oculomotor and pupillary assessments using the study-developed edge-AI eye-tracking device. The assessment includes standardized visual tasks designed to evaluate fixation, saccadic eye movements, smooth pursuit, and pupillary responses. Eye movement and pupil data will be recorded and analyzed to identify oculomotor-pupillary biomarkers associated with Parkinson's disease. The device is used for research assessment only and does not alter participants' routine clinical treatment.

06

What researchers measure

Primary outcomes

  1. Differences in mean prosaccade gain between early-to-moderate PD patients and healthy controls.

    Prosaccade gain is defined as the ratio of the primary saccade amplitude to the target displacement amplitude, measured using a head-mounted infrared eye-tracking device. The mean gain across valid trials will be calculated for each participant. Mean prosaccade gain will be compared between patients with early-to-moderate PD and healthy controls.

    Time frame: Baseline

  2. Differences in antisaccade directional error rate between early-to-moderate PD patients and healthy controls.

    Antisaccade directional error rate is defined as the percentage of valid antisaccade trials in which the initial saccade is incorrectly directed toward the visual target rather than in the opposite direction, measured using a head-mounted infrared eye-tracking device. The error rate will be calculated for each participant as the number of directional error trials divided by the total number of valid antisaccade trials, multiplied by 100. Antisaccade directional error rate will be compared between patients with early-to-moderate PD and healthy controls.

    Time frame: Baseline

  3. Differences in mean prosaccade peak velocity between early-to-moderate PD patients and healthy controls.

    Prosaccade peak velocity is defined as the maximum angular eye velocity during the primary prosaccade, measured in degrees per second (°/s) using a head-mounted infrared eye-tracking device. The mean peak velocity across valid trials will be calculated for each participant. Mean prosaccade peak velocity will be compared between patients with early-to-moderate PD and healthy controls.

    Time frame: Baseline

Secondary outcomes

  1. Correlation Between Changes in Prosaccade Gain and MDS-UPDRS Part III Scores Over 12 Months

    The correlation between changes in mean prosaccade gain and changes in motor symptom severity will be assessed in patients with PD over 12 months. Mean prosaccade gain will be measured using a head-mounted infrared eye-tracking device, while motor symptom severity will be assessed using the Movement Disorder Society-Unified Parkinson's Disease Rating Scale Part III (MDS-UPDRS III). Changes in both measures will be calculated from baseline to 12 months, and their association will be quantified using a correlation coefficient (r).

    Time frame: Baseline to 12 months

  2. Correlation Between Changes in Antisaccade Directional Error Rate and MoCA Scores Over 12 Months

    The correlation between changes in antisaccade directional error rate and changes in cognitive function will be assessed in patients with PD over 12 months. Antisaccade directional error rate is defined as the percentage of valid antisaccade trials in which the initial saccade is incorrectly directed toward the visual target, measured using a head-mounted infrared eye-tracking device. Cognitive function will be assessed using the Montreal Cognitive Assessment (MoCA). Changes in both measures from baseline to 12 months will be calculated, and their association will be quantified using a correlation coefficient (r).

    Time frame: Baseline to 12 months

  3. Area Under the Receiver Operating Characteristic Curve (AUC) for PD Classification

    The diagnostic performance of an edge-AI model based on oculomotor-pupillary features measured using a head-mounted infrared eye-tracking device will be evaluated for distinguishing patients with PD from healthy controls. Model performance will be assessed using AUC, with values ranging from 0 to 1, where higher values indicate better discriminative performance.

    Time frame: Baseline

07

Study locations

2 sites
  • First affiliated hospital of Henan University of Chinese Medicine
    Zhengzhou, Henan 450000, China
  • Hong Kong Polytechnic University
    Hong Kong, Hong Kong, Hong Kong
08

Timeline

1 registry update 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

Start is estimated for Nov 2026; primary completion for Dec 2027, 13 months later.

Of 381 non-industry observational studies under Parkinson Disease, half reached primary completion within 48 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 133. This study's planned 13 months is below that.

Counting every sponsor, half of 440 studies reached it within 48 months; a quarter within 21 and three quarters within 112.

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

Registered
Oct 1, 2026
First posted
Oct 21, 2026
StartEst.
Nov 1, 2026
Primary completionEst.
Dec 31, 2027
CompletionEst.
Dec 31, 2027
Last update
Oct 21, 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.
Registered
First appeared on the registry. No changes since
Oct 21, 2026
Show all 1 update
  1. Oct 21, 2026
    First appeared on the registry

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 ↗

09

Registry details

Key details

Study ID
NCT07886450
Responsible party
Sponsor
First posted
Oct 21, 2026
Start date
Nov 1, 2026 (estimated)
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Oct 21, 2026

Oversight

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

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