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2026-07-24 00:00 United States Papers Foundations & Methods Translated from EN

Only 11 pediatric BCI trials worldwide, children may be underrepresented

Summary A registry-based cross-sectional analysis found only 11 pediatric brain-computer interface (pBCI) clinical trials worldwide, spanning 7 countries. Eight evaluated non-implanted devices and 3 evaluated implanted systems. Non-implanted trials had a median enrollment of 29 participants and median duration of 56.0 days; implanted trials had a median enrollment of 8 and median duration of 365.3 days. Only 4 studies enrolled exclusively pediatric participants; the rest recruited both children and adults. The authors conclude that current pBCI research is limited in scope and that children may be inadequately prioritized.
Why it matters This study provides the first systematic snapshot of pediatric BCI clinical trials: only 11 trials across 7 countries, most recruiting both adults and children. It highlights how children may be overlooked in BCI development and points to a need for regulatory and clinical strategies that prioritize this population.

BCIwiki (bciwiki.com) — Only 11 pediatric brain-computer interface (BCI) clinical trials exist worldwide, and most enroll both adults and children, suggesting that children may be inadequately prioritized in BCI research, according to a registry-based cross-sectional descriptive analysis published in Journal of Child Neurology on July 24, 2026. The authors are Christopher A. Bobier, Reza Peyravi, and Daniel Hurst.

The researchers searched ClinicalTrials.gov and 3 international registries using terms including "brain-computer interface," "BCI," "brain-machine interface," "neural interface," "neuroprosthetics," and "EEG-based assistive technology," limited to participants aged 0-17 years. Two independent reviewers screened records and extracted key study variables, including device type (implanted vs. non-implanted), enrollment, duration, phase, and condition studied.

The 11 included trials spanned 7 countries. Eight evaluated non-implanted devices and 3 evaluated implanted systems. Non-implanted trials had a median duration of 56.0 days (IQR: 42.0-182.6) and a median enrollment of 29 participants (IQR: 19-51.5; range: 8-400). Implanted trials had a median duration of 365.3 days (IQR: 91.3-1826.4) and a median enrollment of 8 participants (IQR: 3-30; range: 3-30). Only 4 studies enrolled exclusively pediatric participants; the rest recruited both pediatric and adult participants.

The authors conclude that current pBCI clinical research remains limited in scope, and children may be inadequately prioritized in BCI research.

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doi.org 2026-07-24

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