AI-powered ECG Analysis for Deadly Arrhythmias and ICI Myocarditis

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeNot listed
SponsorGroupe Hospitalier Pitie-Salpetriere

About this trial

ELDORA is a non-interventional observational data-science study aiming to develop and validate clinical-grade artificial intelligence tools applied to electrocardiogram (ECG) data. The project will standardize heterogeneous ECGs, create the ECGInsight harmonized database, and train interpretable models for life-threatening arrhythmia risk prediction, especially Torsades-de-Pointes/long QT syndrome and immune checkpoint inhibitor (ICI)-induced myocarditis. The project uses existing and ongoing national and international ECG cohorts with de-identified clinical metadata; AI outputs are intended for research/model development and are not used to drive patient care during the study.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

subjects included in participating existing or ongoing ECG cohorts made available to ECGInsight

availability of ECG data (digital waveform or scanned/paper ECG suitable for digitization) and relevant clinical/demographic metadata

data use permitted by applicable ethical, regulatory, contractual and GDPR requirements.

Disqualifiers

datasets or individual records for which required approvals, data-sharing agreements, de-identification/anonymization, or minimum ECG/metadata quality requirements are not met. No interventional study treatment is assigned.

Trial population

Subjects from existing and ongoing ECG cohorts contributing to ECGInsight, including healthy volunteers and patients with cardiovascular diseases, cancer/ICI exposure, LQT/TdP and ICI-myocarditis-relevant phenotypes.

Trial design

Design model

Cohort

Time perspective

Other

Treatments tested in this trial

Not listed

Trial groups

127,000 Participants
are grouped into 1 trial group
Group A: A unified dataset (ECGinsight) comprising at least 10 millions ECG

Trial outcomes

Primary outcomes

1

Performance of AI models for ECG-based prediction/diagnosis of life-threatening arrhythmia conditions: AUC

Model discrimination performance assessed using the Area Under the Receiver Operating Characteristic Curve (AUC) for prediction of torsade de pointes (TdP)/long QT risk and immune checkpoint inhibitor (ICI)-myocarditis diagnosis, prognosis, and risk.

Time frame
Up to study completion (anticipated 48 months)

Secondary outcomes

1

Creation and harmonization of the ECG Insight database across participating ECG cohorts

Consolidation, anonymization/de-identification, standardization and secure integration of ECG waveforms, annotations and clinical metadata from participating cohorts into ECGInsight.

Time frame
Up to study completion (anticipated 48 months)
2

Performance of ECG digitization/standardization toolkit for heterogeneous ECG data : Accuracy

Accuracy of ECG digitization and standardization tools for conversion of analog/paper-derived and digital ECG data into analysis-ready formats, assessed by comparison with reference ECG signals.

Time frame
Up to study completion (anticipated 48 months)
3

Performance of AI models for ECG-based prediction/diagnosis of life-threatening arrhythmia conditions: Sensitivity

Sensitivity of the prediction models for TdP/long QT risk and ICI-myocarditis diagnosis, prognosis, and risk prediction.

Time frame
Up to study completion (anticipated 48 months)
4

Performance of AI models for ECG-based prediction/diagnosis of life-threatening arrhythmia conditions: Specificity

Specificity of the prediction models for TdP/long QT risk and ICI-myocarditis diagnosis, prognosis, and risk prediction.

Time frame
Up to study completion (anticipated 48 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Groupe Hospitalier Pitie-Salpetriere

Lead sponsor

Institut de Recherche pour le Developpement

Collaborator

Institut National de la Santé Et de la Recherche Médicale, France

Collaborator

Vanderbilt University Medical Center

Collaborator

University of California, San Francisco

Collaborator

University Hospital, Bordeaux

Collaborator

Assistance Publique - Hôpitaux de Paris

Collaborator

Banook Group

Collaborator