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Wearable Biosensor in
Movement Disorders Trials
Emily Kunka
Soft, flexible, conforming
biosensor
● Vital signs
● Activity level/actigraphy
● Posture classification
● Electromyography (EMG)
● Muscle activation
● Sleep metrics
Multiple sensors can be worn simultaneously to
provide a synchronized stream of data points to
contextualize natural behavior.
MC 10’s BioStamp
https://www.mc10inc.com/
● QUALITY/COMPLIANCE - FDA 510K cleared, medical grade, clinical quality
● VALIDATED - Robust clinical trials, publications, usability testing, case studies
● CONFIGURABLE - Ability to manipulate sampling type and rate
● WELL- DESIGNED - Simple/straightforward, intuitive interface and application
● USER EXPERIENCE - Comfortable, unobtrusive, and discreet to wear/adhere
● DATA ACQUISITION - Ideally passive data collection (i.e. bluetooth)
● COMPATIBILITY - API to integrate with third party systems or other devices
● DATA INTEGRITY/SECURITY - Data is transmitted and stored securely in the cloud
● ACCESSIBLE ANALYTICS - Dashboard for remote monitoring and reporting
Best-Fit Selection Criteria
Value-Added
Real World Data
Evidence-based repeated
measures represent a more
accurate picture of the
subject’s functional abilities,
disease status, and response
to therapy. Inter-rater
variability and bias are
reduced, ensuring measure
reliability and objectivity.
Data is collected in real-time
and may uncover novel
endpoints.
Time and Cost Savings Burden Reduction
● Patients spend less time
performing assessments,
affecting enrollment and
retention.
● Simplified workflows for
study teams (less data
entry, reduced capacity
for transcription error,
single unit replacing
disparate systems or
devices).
● Potential for fewer visits.
● Can reduce or replace
requirements for copious
outcome assessments.
● Eliminate need to
identify, qualify, and
utilize additional
facilities (i.e. nerve
conduction or sleep lab)
● Device is small, reusable,
easy to ship and make
available at scale.
Time
Savings
Cost
Savings
Comments
Assessment
● Assessment will still occur at Baseline
and EOT
● Occurrence removed at visits 3, 5, and 9
3 hours
per pt
$150
1
Timed 25 Foot Walk Test
*Estimated at 1 hour with
set-up and instruction
● Assessment was at visits 3, 5, and 7
● Assessment removed completely from
schedule of assessments
1.5 hours
per pt
$75
2
Barnes Akathisia Rating
Scale (BARS)
*Estimated at 0.5 hour
● Only occurring in person at a lab at Screening
and Baseline visits
● All other assessments taken via the sensor at
visits 2, 4, 6, 8 and 10
5 hours
per pt
(investigator
time)
$1,000
3
Electromyography
Study Application Phase IIb study; N = 50 participants;
10 visits per participant
Total
9.5 hours
per pt
$1,225
per pt
$61,250 for 50 participants
*Estimated to take 1 hour in a lab

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Wearable biosensors in movement disorders

  • 1. Wearable Biosensor in Movement Disorders Trials Emily Kunka
  • 2. Soft, flexible, conforming biosensor ● Vital signs ● Activity level/actigraphy ● Posture classification ● Electromyography (EMG) ● Muscle activation ● Sleep metrics Multiple sensors can be worn simultaneously to provide a synchronized stream of data points to contextualize natural behavior. MC 10’s BioStamp https://www.mc10inc.com/
  • 3. ● QUALITY/COMPLIANCE - FDA 510K cleared, medical grade, clinical quality ● VALIDATED - Robust clinical trials, publications, usability testing, case studies ● CONFIGURABLE - Ability to manipulate sampling type and rate ● WELL- DESIGNED - Simple/straightforward, intuitive interface and application ● USER EXPERIENCE - Comfortable, unobtrusive, and discreet to wear/adhere ● DATA ACQUISITION - Ideally passive data collection (i.e. bluetooth) ● COMPATIBILITY - API to integrate with third party systems or other devices ● DATA INTEGRITY/SECURITY - Data is transmitted and stored securely in the cloud ● ACCESSIBLE ANALYTICS - Dashboard for remote monitoring and reporting Best-Fit Selection Criteria
  • 4. Value-Added Real World Data Evidence-based repeated measures represent a more accurate picture of the subject’s functional abilities, disease status, and response to therapy. Inter-rater variability and bias are reduced, ensuring measure reliability and objectivity. Data is collected in real-time and may uncover novel endpoints. Time and Cost Savings Burden Reduction ● Patients spend less time performing assessments, affecting enrollment and retention. ● Simplified workflows for study teams (less data entry, reduced capacity for transcription error, single unit replacing disparate systems or devices). ● Potential for fewer visits. ● Can reduce or replace requirements for copious outcome assessments. ● Eliminate need to identify, qualify, and utilize additional facilities (i.e. nerve conduction or sleep lab) ● Device is small, reusable, easy to ship and make available at scale.
  • 5. Time Savings Cost Savings Comments Assessment ● Assessment will still occur at Baseline and EOT ● Occurrence removed at visits 3, 5, and 9 3 hours per pt $150 1 Timed 25 Foot Walk Test *Estimated at 1 hour with set-up and instruction ● Assessment was at visits 3, 5, and 7 ● Assessment removed completely from schedule of assessments 1.5 hours per pt $75 2 Barnes Akathisia Rating Scale (BARS) *Estimated at 0.5 hour ● Only occurring in person at a lab at Screening and Baseline visits ● All other assessments taken via the sensor at visits 2, 4, 6, 8 and 10 5 hours per pt (investigator time) $1,000 3 Electromyography Study Application Phase IIb study; N = 50 participants; 10 visits per participant Total 9.5 hours per pt $1,225 per pt $61,250 for 50 participants *Estimated to take 1 hour in a lab