ClinicalTrials.gg
RecruitingNCT07903675APS001Updated Oct 29, 2026

Effectiveness of the Autism Pupil Screen (APS) Detect Pupillometer for Identifying Autism Spectrum Disorder (ASD) in Routine Healthcare

An observational study in Autism Spectrum Disorder, sponsored by Schweitzer Engineering Laboratories. Recruiting at 4 sites in United States. Open to participants aged 24 Months to 60 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-29.

Sponsored by Schweitzer Engineering Laboratories · Observational

Updated Oct 29, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
330
Ages
24 Months to 60 Months
Sex
All
01

Where this study stands

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

Among 772 studies in Autism Spectrum Disorder with a site in United States — 165 open to participants now, 204 under way, 9 of them phase 3. Autism Spectrum Disorder · United States.

Planned enrollment
33rd of 113
330 · median 131
Started
2026
with 45 others
Observational
113 of 772
22 open now
Primary completion
2027-04
later than 87 of 202 live
Registered
772nd of 772
by date

Among the 772 studies in Autism Spectrum Disorder with a site in United States, this one is the 33rd largest by planned enrollment of the 113 observational ones that give a count, is one of 46 that started in 2026, is one of 113 observational ones, reaches primary completion later than 87 of the 202 other live ones, and was the 772nd registered.

Autism Spectrum Disorder

1,724 studies on the registry are indexed under Autism Spectrum Disorder; 500 are open to participants now.

Browse Autism Spectrum Disorder studies →

Open to participants now

165 of the 772 studies in Autism Spectrum Disorder with a site in United States are open now. Recruiting first, the newest first:

159 more — sign in →

All 165 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 349 Autism Spectrum Disorder studies recruiting now, 48 (14%) set no upper age limit and 294 (84%) stop at 75 or younger; 297 take children under 18; 92 take healthy volunteers.

This study: 24 Months to 60 Months · all sexes · healthy volunteers too.

The full table on the hub →

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02

Study summary

Autism spectrum disorder (ASD) is a developmental condition that can affect communication, social interaction, and behavior. Identifying ASD early helps children and families access support services sooner. Pupillometry is a way of measuring the nervous system and brain function by recording the pupil response to light. It is a non-invasive technology that may support screening practices by providing health care providers with an objective physical measure to bolster behavioral screening tools used to identify children with ASD .

This study is evaluating how well the APS Detect™ handheld pupillometer works to help screen for ASD in children 2 to 4 years of age during routine pediatric healthcare visits. This investigational device measures the child's pupil response to light and uses these measurements to estimate the likelihood of ASD.

Researchers will compare screening results using the APS Detect with the results of reference standard clinical assessments used to determine whether a child has autism. The study will assess how accurately the device identifies children with autism compared to children with typical development based on the Autism Pupil Screen (APS) score.

The study will also evaluate whether the device provides the same results when used by different healthcare professionals. Information collected during this study will be used to evaluate device performance, safety, and suitability for use in pediatric healthcare settings and may support future review by the U.S. Food and Drug Administration (FDA).

Read the detailed description

This prospective, multicenter clinical study will test the safety and effectiveness of the APS Detect™ hand-held pupillometer for screening autism spectrum disorder (ASD) in children 2 to 4 years of age during routine pediatric healthcare visits. Participants will undergo APS Detect pupillary light reflect (PLR) testing and standardized clinical evaluations used to determine ASD diagnostic outcomes. Device performance will be evaluated by comparing scores for each participant obtained from the device to the diagnostic outcomes determined through reference standard clinical assessments used to diagnose ASD.

The primary objective of the study is to evaluate the diagnostic performance of the APS Detect for identifying children with ASD compared with children with typical development. Performance measures include sensitivity, specificity, positive predictive value, and negative predictive value, relative to the reference standard diagnosis.

An embedded precision sub-study will evaluate the reliability and reproducibility of APS scores obtained using the APS Detect. In this sub-study, a subset of participants will undergo multiple APS assessments performed by different clinicians to assess inter-operator consistency and measurement reproducibility.

Data collected during the study will be used to evaluate the performance of the APS Detect in its intended use environment and population and may support future regulatory submissions to the U.S. Food and Drug Administration (FDA).

03

Conditions studied

  • Autism Spectrum Disorder

Keywords

  • Autism Screening
  • Pupil Screening Autism
  • Early Identification
  • Medical Device
  • APS Detect
04

Who can participate

Ages eligible
24 Months to 60 Months
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Children and their parents/legal guardians in Washington and Idaho

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

Children between 24 months and 60 months of age

Exclusion criteria

Exclusion Criteria:

Children with a prior diagnosis of ASD Children experiencing a seizure within the past 6 months prior to the first day of testing Children that have experienced head trauma Children that have hearing loss or vision loss corrected or uncorrected that impacts their daily life Children that had any known exposure to alcohol, drugs, prescription medications, or environmental toxins before or after birth

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
330 participants (estimated)
Patient registry
No

Groups and cohorts

  • Arm A - Autism Spectrum Disorder (ASD)

    Participants with Autism Spectrum Disorder (ASD) within Arm A

    Device: Autism Pupil Screen (APS) Detect PLR Assessment #1 · Other: Modified Checklist for Autism in Toddlers, Revised with Follow-up (M-CHAT/R-F) · Other: Social Responsiveness Scale, Second Edition (SRS-2) · Diagnostic Test: Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) · Other: Mullen Scales of Early Learning (MSEL) · Other: Adaptive Behavior Assessment System, Third Edition (ABAS-3) · Procedure: Well-child check

  • Arm A - Typical Development (TD) - Not ASD

    Participants without Autism Spectrum Disorder (ASD) within Arm A

    Device: Autism Pupil Screen (APS) Detect PLR Assessment #1 · Other: Modified Checklist for Autism in Toddlers, Revised with Follow-up (M-CHAT/R-F) · Other: Social Responsiveness Scale, Second Edition (SRS-2) · Diagnostic Test: Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) · Other: Mullen Scales of Early Learning (MSEL) · Other: Adaptive Behavior Assessment System, Third Edition (ABAS-3) · Procedure: Well-child check

  • Arm B - Autism Spectrum Disorder (ASD)

    Participants with Autism Spectrum Disorder (ASD) within Arm B Precision Sub-study

    Device: Autism Pupil Screen (APS) Detect PLR Assessment #1 · Other: Modified Checklist for Autism in Toddlers, Revised with Follow-up (M-CHAT/R-F) · Other: Social Responsiveness Scale, Second Edition (SRS-2) · Diagnostic Test: Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) · Other: Mullen Scales of Early Learning (MSEL) · Other: Adaptive Behavior Assessment System, Third Edition (ABAS-3) · Device: Autism Pupil Screen (APS) Detect PLR Assessment #2 · Device: Autism Pupil Screen (APS) Detect Assessment #3 · Procedure: Well-child check

  • Arm B - Typical Development (TD) - Not ASD

    Participants without Autism Spectrum Disorder (ASD) within Arm B Precision Sub-study

    Device: Autism Pupil Screen (APS) Detect PLR Assessment #1 · Other: Modified Checklist for Autism in Toddlers, Revised with Follow-up (M-CHAT/R-F) · Other: Social Responsiveness Scale, Second Edition (SRS-2) · Diagnostic Test: Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) · Other: Mullen Scales of Early Learning (MSEL) · Other: Adaptive Behavior Assessment System, Third Edition (ABAS-3) · Device: Autism Pupil Screen (APS) Detect PLR Assessment #2 · Device: Autism Pupil Screen (APS) Detect Assessment #3 · Procedure: Well-child check

Interventions

  • DeviceAutism Pupil Screen (APS) Detect PLR Assessment #1

    The APS Detect™ is an investigational handheld pupillometer that measures pupillary light reflex (PLR) responses using a brief, noninvasive assessment. Measurements obtained by the device are used to generate an Autism Pupil Screening (APS) score that is intended to help identify children who may be at risk for autism spectrum disorder (ASD) during routine pediatric healthcare visits. The APS Detect is investigational and has not been cleared by the U.S. Food and Drug Administration (FDA) for clinical use.

  • OtherModified Checklist for Autism in Toddlers, Revised with Follow-up (M-CHAT/R-F)

    A validated parent- or caregiver-completed screening tool used to identify children who may be at risk for autism spectrum disorder (ASD). The questionnaire is designed for children between 16 and 30 months of age and consists of an initial screening questionnaire followed by a structured follow-up interview for children with positive screening results. The M-CHAT-R/F is intended to identify children who may benefit from further developmental and diagnostic evaluation for ASD.

  • OtherSocial Responsiveness Scale, Second Edition (SRS-2)

    A standardized questionnaire used to measure the presence and severity of social communication difficulties and restricted or repetitive behaviors associated with autism spectrum disorder (ASD). The SRS-2 is completed by a parent, caregiver, teacher, or other knowledgeable respondent and provides quantitative scores that help assess social functioning and identify characteristics associated with ASD across a range of ages. It is intended to support the screening and evaluation of individuals who may have ASD and to monitor changes in social responsiveness over time.

  • Diagnostic testAutism Diagnostic Observation Schedule, Second Edition (ADOS-2)

    A standardized, play-based assessment administered by a trained clinician to evaluate social communication, social interaction, play, and restricted or repetitive behaviors associated with autism spectrum disorder (ASD). The ADOS-2 consists of age- and language-specific assessment modules and is widely used as part of a comprehensive diagnostic evaluation to support the identification and classification of ASD.

    Also known as: ADOS-2 - Toddler Module, ADOS-2 - Module 1, ADOS-2 - Module 2, ADOS-2 - Module 3

  • OtherMullen Scales of Early Learning (MSEL)

    A standardized developmental assessment administered by a trained examiner to evaluate cognitive and developmental functioning in young children from birth through 68 months of age. The assessment measures visual reception, fine motor skills, receptive language, and expressive language and provides information about a child's developmental abilities relative to age-based expectations.

  • OtherAdaptive Behavior Assessment System, Third Edition (ABAS-3)

    A standardized assessment completed by a parent, caregiver, teacher, or other knowledgeable respondent to evaluate adaptive functioning in everyday life. The ABAS-3 measures skills across conceptual, social, and practical domains, including communication, self-care, social interaction, community use, and functional academics. Results provide an assessment of an individual's ability to perform age-appropriate daily activities and support the evaluation of developmental, intellectual, and behavioral functioning.

  • DeviceAutism Pupil Screen (APS) Detect PLR Assessment #2

    The APS Detect™ is an investigational handheld pupillometer that measures pupillary light reflex (PLR) responses using a brief, noninvasive assessment. Measurements obtained by the device are used to generate an Autism Pupil Screening (APS) score that is intended to help identify children who may be at risk for autism spectrum disorder (ASD) during routine pediatric healthcare visits. The APS Detect is investigational and has not been cleared or approved by the U.S. Food and Drug Administration (FDA) for clinical use. This intervention will be used for the second assessment with the APS Detect™ in Arm B, the precision sub-study to evaluate the reliability and reproducibility of the Autism Pupil Screening (APS) Detect™ investigational device.

  • DeviceAutism Pupil Screen (APS) Detect Assessment #3

    The APS Detect™ is an investigational handheld pupillometer that measures pupillary light reflex (PLR) responses using a brief, noninvasive assessment. Measurements obtained by the device are used to generate an Autism Pupil Screening (APS) score that is intended to help identify children who may be at risk for autism spectrum disorder (ASD) during routine pediatric healthcare visits. The APS Detect is investigational and has not been cleared or approved by the U.S. Food and Drug Administration (FDA) for clinical use. This intervention will be used for the third assessment with the APS Detect™ in Arm B, the precision sub-study to evaluate the reliability and reproducibility of the Autism Pupil Screening (APS) Detect™ investigational device.

  • ProcedureWell-child check

    A routine pediatric healthcare visit that includes assessment of growth, development, general health, and age-appropriate preventive care. The visit may include a physical examination, developmental surveillance, review of medical history, and discussion of health concerns with the child's parent or caregiver following the American Academy of Pediatrics (AAP) Bright Futures guidelines.

06

What researchers measure

Primary outcomes

  1. Sensitivity and Specificity of the APS Score to classify ASD diagnostic outcome

    This study will test the effectiveness of the APS Detect device results to accurately identify an atypical PLR score for children meeting the criteria for ASD. The study will also test the effectiveness of the APS Detect device results to accurately identify a typical PLR score for children who do not have ASD and have been identified as typically developing.

    Time frame: From enrollment to the end of all testing visits will be 14-30 days

Secondary outcomes

  1. Positive Predictive Values and Negative Predictive Values

    These measures will assess the ability of the APS Detect score to predict the diagnostic outcome taking into consideration the prevalence of ASD, using prevalence rates reported by the Autism and Developmental Disabilities Monitoring Network. This measure will be taken at the end of the study for all child study participants enrolled. This helps determine how likely the device is to detect ASD in routine screening when compared to the general population.

    Time frame: From enrollment to the end of all testing visits will be 14-30 days

Other outcomes

  1. Precision Study: Reliability and Reproducibility of the results of the APS Detect

    Study participants selected for Arm B of this trial will be tested to evaluate how consistent the results are for the APS Detect. This part of the study will assess the percent of agreement between outcome measures obtained with the APS Detect over more than one administration of the pupil screening test administered by a different clinician for each test administration. A test of each individual pupil measurement that contributes to the APS Score will analyze the influence of those measurements on the final result obtained across study participants.

    Time frame: From enrollment to the end of all testing visits will be 14-30 days

07

Study locations

4 of 4 sites recruiting
08

References and documents

Publications

  • Nystrom P, Gredeback G, Bolte S, Falck-Ytter T; EASE team. Hypersensitive pupillary light reflex in infants at risk for autism. Mol Autism. 2015 Mar 3;6:10. doi: 10.1186/s13229-015-0011-6. eCollection 2015. PubMed 25750705 ↗
  • Guthrie W, Wallis K, Bennett A, Brooks E, Dudley J, Gerdes M, Pandey J, Levy SE, Schultz RT, Miller JS. Accuracy of Autism Screening in a Large Pediatric Network. Pediatrics. 2019 Oct;144(4):e20183963. doi: 10.1542/peds.2018-3963. PubMed 31562252 ↗
  • Lynch GTF, James SM, VanDam M. Pupillary Response and Phenotype in ASD: Latency to Constriction Discriminates ASD from Typically Developing Adolescents. Autism Res. 2018 Feb;11(2):364-375. doi: 10.1002/aur.1888. Epub 2017 Oct 31. PubMed 29087041 ↗
  • Daluwatte C, Miles JH, Sun J, Yao G. Association between pupillary light reflex and sensory behaviors in children with autism spectrum disorders. Res Dev Disabil. 2015 Feb;37:209-15. doi: 10.1016/j.ridd.2014.11.019. Epub 2014 Dec 17. PubMed 25528080 ↗
  • Dinalankara DMR, Miles JH, Nicole Takahashi T, Yao G. Atypical pupillary light reflex in 2-6-year-old children with autism spectrum disorders. Autism Res. 2017 May;10(5):829-838. doi: 10.1002/aur.1745. Epub 2017 Feb 11. PubMed 28188684 ↗
  • Nystrom P, Gliga T, Nilsson Jobs E, Gredeback G, Charman T, Johnson MH, Bolte S, Falck-Ytter T. Enhanced pupillary light reflex in infancy is associated with autism diagnosis in toddlerhood. Nat Commun. 2018 May 7;9(1):1678. doi: 10.1038/s41467-018-03985-4. PubMed 29735992 ↗
  • Lynch G. Using Pupillometry to Assess the Atypical Pupillary Light Reflex and LC-NE System in ASD. Behav Sci (Basel). 2018 Nov 21;8(11):108. doi: 10.3390/bs8110108. PubMed 30469373 ↗

Individual participant data

Plan to share: Yes — De-identified participant data that underlie results in a publication.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Six months after publication for a duration of three years.

Access criteria: Researchers affiliated with universities or research institutions may contact the study PI directly to request access. De-identified PLR data, study protocol, statistical/data analytic plan will be shared.

09

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

Started Oct 2026 (actual). Primary completion is estimated for Apr 2027, 5 months after the start.

Of 112 observational studies under Autism Spectrum Disorder, half reached primary completion within 40 months of starting (the median), counting those still running; a quarter within 26 and three quarters within 120. This study's planned 5 months is below that.

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

Registered
Oct 22, 2026
First posted
Oct 29, 2026
StartActual
Oct 23, 2026
Primary completionEst.
Apr 16, 2027
CompletionEst.
Apr 30, 2027
Last update
Oct 29, 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 29, 2026
Show all 1 update
  1. Oct 29, 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 ↗

10

Registry details

Key details

Study ID
NCT07903675
Lead sponsor
Schweitzer Engineering Laboratories
Collaborators
Palouse Pediatrics, Pullman Regional Hospital, Washington State University, SEL Health Clinic
Responsible party
Sponsor
First posted
Oct 29, 2026
Start date
Oct 23, 2026
Primary completion
Apr 16, 2027 (estimated)
Completion
Apr 30, 2027 (estimated)
Last update
Oct 29, 2026

Study contacts

Georgina Lynch, PhD
Contact
clinicaltrials@selinc.com
509-334-8800
Alyssa Knight
Contact
clinicaltrials@selinc.com
509-334-8800
Georgina Lynch, PhD
principal investigator · Schweitzer Engineering Laboratories, Inc. Washington State 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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