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Not yet recruitingNCT07931144NEO-AWAREUpdated Nov 12, 2026

Neonatal AI-Based Early Warning System for Late-Onset Sepsis and Necrotizing Enterocolitis in the NICU: Assessment of Response and Effectiveness

An interventional study of Intellicens Neo software in Late Onset Neonatal Sepsis and Necrotizing Enterocolitis of Newborn, sponsored by University Hospital, Antwerp. Not yet recruiting at 3 sites in 2 countries. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by University Hospital, Antwerp · Not applicable, Interventional, and Other

Updated Nov 12, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
500
Allocation
Not applicable
Sex
All
01

Where this study stands

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

Among 10 studies in Neonatal Sepsis with a site in Netherlands — 7 open to participants now, 8 under way, none of them phase 3. Neonatal Sepsis · Netherlands.

Started
2026
the only one that year
No phase
3 of 10
3 open now
Registered
10th of 10
by date
Lead sponsor
1 of 10
University Hospital, Antwerp

Among the 10 studies in Neonatal Sepsis with a site in Netherlands, this one is the only one that started in 2026, is one of 3 with no phase, and was the 10th registered.

Neonatal Sepsis

193 studies on the registry are indexed under Neonatal Sepsis; 42 are open to participants now.

Browse Neonatal Sepsis studies →

Open to participants now

7 of the 10 studies in Neonatal Sepsis with a site in Netherlands are open now. Recruiting first, the newest first:

1 more — sign in →

All 7 open studies →

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

Who these studies take

Of the 23 Neonatal Sepsis studies recruiting now, 8 (35%) set no upper age limit and 15 (65%) stop at 75 or younger; 20 take children under 18; 2 take healthy volunteers.

This study: all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 10 studies in Neonatal Sepsis with a site in Netherlands, or all of them as a file.
02

Study summary

This study aims to evaluate the Intellicens software, an artificial intelligence (AI)-based early warning system designed to help doctors and nurses detect serious complications in premature babies at an early stage. These complications include bloodstream infections (sepsis) and necrotizing enterocolitis (NEC), a serious condition affecting the intestines.

The study will involve babies born before 32 weeks of pregnancy who are admitted to the Neonatal Intensive Care Unit (NICU). The Intellicens Neo model analyses routinely collected medical data, such as heart rate, to identify patterns that may indicate an increased risk of sepsis or NEC and generate an early warning for healthcare professionals. The treating doctor remains responsible for deciding whether further examinations or treatment are needed.

The software has previously been tested using data from babies who had already been discharged from hospital, with promising results. This study will evaluate how well the software performs in real-life clinical practice during the hospital stay.

03

Conditions studied

  • Late Onset Neonatal Sepsis
  • Necrotizing Enterocolitis of Newborn

Keywords

  • NICU
  • Neonatal Intensive Care Unit
  • Early Warning System
  • Machine Learning
  • Clinical Decision Support System
  • Medical Device Software
  • Intellicens Neo
  • Intellicens Data Platform
  • Artificial Intelligence
  • AI
  • Necrotizing Enterocolitis
  • Preterm
  • Premature
  • Sepsis
  • Neonatal Sepsis
  • Late Onset Sepsis
04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Neonates born below a gestational age of 32 weeks
  • Admitted to the NICU
  • Written

Exclusion criteria

Exclusion Criteria:

  • Severe congenital malformations
  • Admission for palliative care
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

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
500 participants (estimated)

Study arms

  • Experimental
    Intellicens Neo implementation group

    Preterm infants born at less than 32 weeks of gestational age admitted to participating neonatal intensive care units (NICUs) after implementation of Intellicens Neo. The software generates visual alerts for potential late-onset sepsis (LOS) and necrotizing enterocolitis (NEC). Alerts are visible to the clinical care team, while clinical assessment and treatment decisions remain at the discretion of the treating clinicians. Study outcomes will be compared with a historical pre-implementation dataset.

    Device: Intellicens Neo software

Interventions

  • DeviceIntellicens Neo software

    Intellicens Neo is investigational medical device software designed to support early warning of late-onset sepsis (LOS) and necrotizing enterocolitis (NEC) in preterm infants admitted to the neonatal intensive care unit (NICU). The software calculates a NeoSep Index every 30 minutes and generates visual alerts when predefined alert criteria are met. The alerts are made visible to the clinical care team to support awareness of potential LOS or NEC. Clinical assessment and treatment decisions remain at the discretion of the treating clinicians. The intervention is evaluated in a prospective, multicenter, post-implementation clinical investigation, with outcomes compared with a pre-implementation historical dataset.

06

What researchers measure

Primary outcomes

  1. The time between the last Intellicens Neo visual alert preceding LOS/NEC diagnosis and the timepoint of administration of IV antibiotics.

    The time interval between the last Intellicens Neo visual alert preceding the diagnosis of late-onset sepsis (LOS) or necrotizing enterocolitis (NEC) and the administration of intravenous antibiotics for that episode. This outcome evaluates whether the availability of Intellicens Neo alerts is associated with earlier initiation of antibiotic treatment in preterm infants with LOS or NEC.

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

  2. Substudy: Proportion of Intellicens Neo visual alerts acknowledged by the clinical care team within 3 hours.

    Primary outcome in the substudy, analysis done only in the first 150 patients enrolled. The proportion of Intellicens Neo visual alerts that are acknowledged by the clinical care team within 3 hours after the visual alert is generated.

    Time frame: Within 3 hours after each visual alert during the NICU stay. From postnatal day 3, with an estimated maximum of 25 weeks.

Secondary outcomes

  1. The time between the last Intellicens Neo visual alert preceding LOS/NEC diagnosis and the timepoint of LOS/NEC diagnosis.

    The time interval between the start of the last Intellicens Neo visual alert preceding a LOS/NEC episode and the time of LOS/NEC diagnosis. The time of diagnosis is defined as the time of the blood culture order in the patient's electronic health record.

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

  2. Incidence of severe LOS/NEC.

    Occurrence of severe late-onset sepsis (LOS) or necrotizing enterocolitis (NEC) episodes in the study population. The number of severe LOS/NEC episodes will be compared between the prospective cohort and the pre-implementation historical cohort.

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

  3. Length of NICU stay

    Total duration of the patient's stay in the neonatal intensive care unit (NICU), measured from NICU admission to NICU discharge.

    Time frame: From birth until NICU discharge, with an estimated maximum of 25 weeks.

  4. Total duration of intravenous antibiotic therapy

    Total number of days of intravenous antibiotic treatment during the patient's NICU stay.

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

  5. Number of suspected LOS episodes

    Total number of suspected late-onset sepsis (LOS) episodes recorded during the patient's NICU stay.

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

  6. LOS/NEC-related mortality

    Occurrence of mortality related to late-onset sepsis (LOS) or necrotizing enterocolitis (NEC), defined as mortality occurring within 7 days after LOS/NEC diagnosis.

    Time frame: Within 7 days after LOS/NEC diagnosis.

  7. Performance of the Intellicens Neo software device ML model on the prospective dataset: sensitivity

    Performance of the Intellicens Neo software device ML model on the prospective dataset, defined as the sensitivity/recall of the ML model: the percentage of detected LOS/NEC episodes by the Intellicens Neo software device

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

  8. Performance of the Intellicens Neo software device ML model on the prospective dataset: specificity

    Performance of the Intellicens Neo software device ML model on the prospective dataset, defined as the specificity of the ML model

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

  9. Performance of the Intellicens Neo software device ML model on the prospective dataset: precision

    Performance of the Intellicens Neo software device ML model on the prospective dataset, defined as the precision of the ML model: the amount of (false positive) visual alerts generated by the Intellicens Neo software device represented by the total number of 24-hour time-windows in which a false positive visual alert occurred

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

  10. Performance of the Intellicens Neo software device ML model on the prospective dataset: visual alert rate

    Performance of the Intellicens Neo software device ML model on the prospective dataset, defined as the visual alert rate of the ML model: total number of alert days per patient per week.

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

  11. Number needed to predict

    Number of patients who need to be examined to detect one patient with the relevant disease (LOS or NEC).

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

  12. Time from LOS/NEC diagnosis to intravenous antibiotic treatment

    The time interval between the time of LOS/NEC diagnosis, defined as the time of the blood culture order in the patient's electronic health record, and the time of intravenous antibiotic treatment, defined as the time of the order of the first dose of intravenous antibiotics in the patient's electronic health record.

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

  13. Substudy: Proportion of Intellicens Neo visual alerts acknowledged by the clinical care team within 1 hour

    The proportion of Intellicens Neo visual alerts that are acknowledged by the clinical care team within 1 hour after the visual alert is generated.

    Time frame: Within 1 hour after each visual alert during the NICU stay. From postnatal day 3, with an estimated maximum of 25 weeks.

  14. Substudy: Proportion of Intellicens Neo visual alerts acknowledged by the clinical care team within 6 hours

    The proportion of Intellicens Neo visual alerts that are acknowledged by the clinical care team within 6 hours after the visual alert is generated.

    Time frame: Within 6 hours after each visual alert during the NICU stay. From postnatal day 3, with an estimated maximum of 25 weeks.

  15. Substudy: Proportion of Intellicens Neo visual alerts acknowledged by the clinical care team

    The proportion of all Intellicens Neo visual alerts that are acknowledged by the clinical care team, irrespective of the time taken to acknowledge them.

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

  16. Substudy: Proportion of Intellicens Neo visual alerts leading to clinical action

    The proportion of Intellicens Neo visual alerts that are followed by a clinical action related to suspected LOS or NEC.

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

  17. Substudy: Proportion of Intellicens Neo visual alerts leading to laboratory evaluation for LOS/NEC suspicion

    The proportion of Intellicens Neo visual alerts that are followed by laboratory evaluation for suspected late-onset sepsis (LOS) or necrotizing enterocolitis (NEC).

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

  18. Substudy: Proportion of Intellicens Neo visual alerts leading to initiation of intravenous antibiotic treatment

    The proportion of Intellicens Neo visual alerts that are followed by initiation of intravenous antibiotic treatment for suspected LOS or NEC.

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

  19. Substudy: Proportion of Intellicens Neo visual alerts dismissed by the clinical care team

    The proportion of Intellicens Neo visual alerts that are dismissed by the clinical care team.

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

  20. Substudy: Time from Intellicens Neo visual alert to the first related clinical action

    The time interval between an Intellicens Neo visual alert and the first clinical action related to that alert.

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

  21. Substudy: Association between time of day and time to visual alert acknowledgement

    Evaluation of the effect of time of day on the time to acknowledgement of Intellicens Neo visual alerts. Time periods are defined as day shift (08:30-17:00), evening shift (17:00-23:00), and night shift (23:00-08:30).

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

  22. Substudy: Association between Intellicens Neo alert burden and time to visual alert acknowledgement

    Evaluation of the effect of alert burden on the time to acknowledgement of Intellicens Neo visual alerts. Alert burden is defined as the presence of at least 2 visual alerts in the same patient during the preceding week.

    Time frame: From postnatal day 3 until NICU discharge, with an estimated maximum of 25 weeks.

07

Study locations

3 sites
08

References and documents

Publications

  • Meeus M, Beirnaert C, Mahieu L, Laukens K, Meysman P, Mulder A, Van Laere D. Clinical Decision Support for Improved Neonatal Care: The Development of a Machine Learning Model for the Prediction of Late-onset Sepsis and Necrotizing Enterocolitis. J Pediatr. 2024 Mar;266:113869. doi: 10.1016/j.jpeds.2023.113869. Epub 2023 Dec 6. PubMed 38065281 ↗

Related links

Individual participant data

Plan to share: No

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

Start is estimated for Nov 2026; primary completion for Mar 2028, 16 months later.

Of 30 interventional studies with no phase under Neonatal Sepsis, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 35. This study's planned 16 months is below that.

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

Registered
Oct 31, 2026
First posted
Nov 12, 2026
StartEst.
Nov 9, 2026
Primary completionEst.
Mar 31, 2028
CompletionEst.
Mar 31, 2028
Last update
Nov 12, 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
Nov 12, 2026
Show all 1 update
  1. Nov 12, 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
NCT07931144
Responsible party
Karlijn Van Damme (Dr., University Hospital, Antwerp) — Principal investigator
First posted
Nov 12, 2026
Start date
Nov 9, 2026 (estimated)
Primary completion
Mar 31, 2028 (estimated)
Completion
Mar 31, 2028 (estimated)
Last update
Nov 12, 2026

Study contacts

Karlijn Van Damme, MD
Contact
karlijn.vandamme@uza.be
+3238213710

Oversight

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

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