# Biomarker Qualification Plan Development for the Oculomotor Index of Gaze to Human Faces

> **NIH FDA U01** · YALE UNIVERSITY · 2020 · $249,430

## Abstract

Project summary
Autism spectrum disorder (ASD) is a highly prevalent neurodevelopmental condition. The lack of validated
biomarkers for use in clinical trials is a significant problem for drug development in ASD and
neurodevelopmental disorders. The Autism Biomarkers Consortium for Clinical Trials (ABC-CT) investigated
electroencephalogram (EEG) and eye-tracking assays as potential biomarkers for clinical research. The study
included 280 children with ASD and 119 with typical development (TD) between the ages of 6 to 11 years.
Biomarker assays were collected at baseline (T1), six weeks (T2), and 24 weeks (T3). Analyses in a subset of
222 participants indicated that an oculomotor biomarker, the “Oculomotor Index of Gaze to Human Faces,”
demonstrated strong properties in terms of: (a) acquisition feasibility across sites and across key demographic
and clinical factors; (b) appropriate distributional properties overall and at each timepoint (T1, T2) across and
within diagnostic groups; (c) construct validity demonstrated by task-specific activation and signal strength in
accordance with experimental manipulation in the TD group; (d) discriminant validity in terms of distinguishing
between ASD and TD subjects; (e) test-retest reliability between T1 and T2 assays. Based on this evidence, a
Letter of Intent (LOI) was submitted to the FDA Center for Drug Evaluation and Research (CDER) Biomarker
Qualification Program. This LOI put forward the “Oculomotor Index of Gaze to Human Faces” for a context-of-
use as a diagnostic biomarker to be used in conjunction with clinical and demographic characteristics to select
a less heterogeneous subgroup within subjects with autism spectrum disorder (ASD) for clinical trial
enrichment. The LOI was accepted into the FDA’s Biomarker Qualification Program on March 17, 2020. The
current application is submitted to support development of a Biomarker Qualification (BQ) Plan for the
Oculomotor Index. In response to the requirements of the FDA’s BQ Plan outline and aligned with previous and
planned (as per this cooperative agreement) discussions with the FDA, this proposal seeks to enhance
empirical support for the biomarker with expanded analyses applied to the complete ABC-CT dataset and to
refine the biomarker context-of-use in the process of developing a BQ Plan. The team of investigators has a
successful record of collaboration and complementary expertise in electrophysiology, biostatistics, and the
ASD clinical phenotype. The environments across sites have strong resources for the conduct of this work, and
the methodological approach applies rigor unprecedented in ASD neuroscience research. Continued progress
on a BQ Plan is a high impact objective for the field, as this innovative line of research represents one of the
first potential biomarkers for ASD.
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## Key facts

- **NIH application ID:** 10146536
- **Project number:** 1U01FD007000-01
- **Recipient organization:** YALE UNIVERSITY
- **Principal Investigator:** James Charles McPartland
- **Activity code:** U01 (R01, R21, SBIR, etc.)
- **Funding institute:** FDA
- **Fiscal year:** 2020
- **Award amount:** $249,430
- **Award type:** 1
- **Project period:** 2020-08-01 → 2021-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10146536

## Citation

> US National Institutes of Health, RePORTER application 10146536, Biomarker Qualification Plan Development for the Oculomotor Index of Gaze to Human Faces (1U01FD007000-01). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/10146536. Licensed CC0.

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