Clinical trial Recruiting at 2 sites Observational Ages 25 Weeks to 33 Weeks

Improving pain assessment in preterm infants using machine learning

Official title: Rebooting Infant Pain Care: Using Machine Learning and Skin-to-Skin Contact to Exponentially Improve Neonatal Intensive Care Unit Practice

Run by York University · NCT05579496 · Data updated 2026-11-12

This study is testing a new way to use machine learning to better understand and measure pain in preterm infants in the NICU during routine procedures.

Quick facts

Study typeObservational
Ages25 Weeks to 33 Weeks
SexAll
Enrollment400 (estimated)
SponsorYork University
Academic / other
Locations2 sites (Toronto, Ontario and 1 other locations)
StatusRecruiting
StartedNovember 1, 2020
Main results expectedMarch 2030
Study endsMarch 2031
Registry record updatedJuly 13, 2026
Trial IDNCT05579496 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include preterm infants born between 28 to 32 weeks gestational age who are undergoing routine heel lances.

Probably not a fit

Patients with congenital malformations or those receiving analgesics or sedatives at the time of the study may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study aims to develop a machine learning algorithm to better assess pain in preterm infants in the Neonatal Intensive Care Unit (NICU). A multinational team will analyze data from 400 preterm infants during routine painful procedures, such as heel lances, to identify distress signals through behavioral and physiological indicators. The goal is to differentiate between pain-related and non-pain-related distress, ultimately enhancing pain management practices in the NICU.

Why it matters

Potential benefit: If successful, this study could lead to more accurate pain assessments and improved pain management for preterm infants.

How similar studies have gone: Other studies utilizing machine learning for pain assessment in infants have shown promise, indicating potential for success in this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
QUALITATIVE INTERVIEWS

Inclusion Criteria:

* Parents of a child currently in the NICU or
* Health professionals currently working in the NICU.

Exclusion Criteria:

\*Participants who cannot communicate fluently in English

QUANTITITATIVE DATA CAPTURE (video, eeg, ecg, RR, SPo2)

Inclusion Criteria:

* Infants born between 25 0/7 weeks 32 6/7 weeks gestational age
* Infants who are within 8 weeks postnatal age
* Infants who are undergoing a routine heel lance

Exclusion Criteria:

* Infants with congenital malformations
* Infants receiving analgesics or sedatives at the time of study (aside from sucrose)
* Infants with history of perinatal hypoxia/ischemia at the time of study
* Infants with diaper rash or excoriated buttocks
* Parents who are not fluent in English

Where it's running

  • Mount Sinai Hospital
    Toronto, Ontario, Canada
    Recruiting
  • University College London Hospital
    London, No Province, United Kingdom
    Recruiting

Study contacts

  • Principal investigator: Rebecca Pillai Riddell, PhD — York University/Mount Sinai Hospital
  • Study coordinator: Rebecca Pillai Riddell, PhD
  • Email: rpr@yorku.ca
  • Phone: 4167362100

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.