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 volunteersQualifiers
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
Cohort
Other
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
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.
Secondary outcomes
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.
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.
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.
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.
Sponsors and contacts
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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