CTAD 2026 · Boston · 16–19 November · Poster P446

Do your speech measures shift when phones change mid‑trial?

Noise cancellation and other phone or software changes can shift speech measures in Alzheimer’s disease trials. Find us at poster P446, or book 20 minutes about your own trial.

The question

The speaker stays the same. The phone does not.

Over a long Alzheimer’s trial, phones update, noise cancellation changes and phones get replaced. Speech measures can move with them, and a standard analysis can read that as decline or improvement.

Noise cancellation varies

Phones and apps clean up speech in different ways, and an update can change the cleaning in the middle of a study.

Updates on their own schedule

Operating system and app updates arrive when the phone installs them, not at a visit, so a change can fall anywhere in the trial.

What the FDA asks

The FDA guidance on digital health technologies asks sponsors to record each update, compare data before and after it, and say how differences are handled before unblinding.

Recalibrated from the audio

Separate from the poster: Cephalgo readings stay stable across phone and software changes, recalibrated from the recordings themselves, blind to arm, so readings before and after a change sit on one scale.

Device changes
Where to find us

Poster P446, Gloucester Ballroom and Atrium

We stand by the poster during the coffee breaks. To talk outside the breaks, or away from the poster hall, book a time that suits you.

Conference
CTAD 2026, Clinical Trials on Alzheimer’s Disease, in person and online
Dates
16–19 November 2026
Venue
Boston Marriott Copley Place, 110 Huntington Avenue, Boston
Poster
P446, Gloucester Ballroom and Atrium, level 3
Online
In the virtual poster hall of the CTAD app once the conference opens
Afterwards
The abstract will be published in a Journal of Prevention of Alzheimer’s Disease supplement
What to bring

Bring your study, leave with a plan

Twenty minutes is enough to go through one of these for your own program. Each one can start as a fixed scope with a fixed fee.

Audio from a trial you already ran

You leave with the outline of a re-analysis pilot: readings on your trial’s own scale from recordings you already hold. Re‑analysis pilot ›

Your device plan

Study phones or BYOD: we go through where phone or software changes can enter your study, and what a stability audit would check. Stability audit ›

Recorded CDR or NPI interviews

You see how each interview would be checked against the rater’s own usual range, with flags per rater and per site. Trial QC ›

Your own or your vendor’s speech measures

Recalibration works on measures you already use, with their definitions unchanged, so you see how they hold up when phones change. Already using a vendor ›

Not coming to Boston?

The poster is in the CTAD app’s virtual poster hall once the conference opens. We can also send it to you, or go through your study on a call in any week.

Request

We use your work email to send you the document and to follow up about it and related work. You can opt out at any time. Privacy policy

Thank you. We will send it to your work email.

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