Koneksa Solutions

Digital Biomarkers

From step counts to speech patterns, Koneksa’s validated algorithms translate multimodal sensor data into reliable, regulatory-grade digital biomarkers remotely, consistently, and at scale.

Clinical Optimization

235+

Validated digital measures

Digital Endpoints

30+

Measurement concepts

wearables

100%

Device-agnostic by design

globe

85+

Peer-reviewed publications

Why it Matters

Sensor Algorithm Digital Measurement Insights
Smarter Data, Better Decisions
  • Modern clinical trials generate data from many sources including smartphones, wearables, and patient-reported tools. Koneksa’s validated algorithms are the connective tissue, transforming raw, real-world data into sensitive, regulatory-grade digital biomarkers.
  • Our digital biomarkers quantify symptoms traditionally assessed subjectively, such as tremor, sleep, gait, speech, and cognitive function, improving signal detection and trial efficiency across therapeutic areas including Parkinson’s disease, oncology, and respiratory conditions.

Not a Device. Not Just a Platform.
Validated Science.

Device-agnostic:
Our measures run on any device that captures the right data type. You’re never locked into a single wearable or vendor ecosystem.

Validated end-to-end:
Every biomarker is backed by sensor verification, usability evaluation, and analytical validation, evidence that supports publications and regulatory submissions.

Full-stack:
From capture through algorithm to analysis-ready endpoint, one accountable partner. No stitching together device vendors, algorithm shops, and ePRO providers.

From Sensor Signal
to Validated Endpoints

Digital biomarkers are only as strong as the evidence behind them. Koneksa’s end-to-end service takes a measurement concept from device selection through validated, submission-ready endpoint:

Device Evaluation

Ensuring the right fit before you invest

Rigorous assessment of hardware reliability, software functionality, and validation evidence, so only viable, scalable solutions move forward.

Regulatory Evaluation

De-risking your path to compliance

510(k)/CE verification, vendor qualification (QMS), and risk review via sources like the MAUDE database in alignment with FDA, CE, and global standards.

Verification & Validation

Generating evidence and trust

Sensor verification, usability evaluation, and analytical validation of outputs, generating data that supports publications and regulatory submissions.

Backed by Our
Digital Measurement Framework

Every Koneksa digital biomarker is built on our digital measurement framework, developed for real-world clinical research. We support a full spectrum of digital data capture, from passive wearables to structured tasks, powered by our advanced algorithms:

Concept
Measure
Example Devices

Gait & Mobility

Step length, gait speed, stride period, freezing index

Accelerometry devices 

(e.g., ActiGraph CPIW, iPhone)

Turn Detection

Turn angle, duration, rate

Accelerometry devices

Upper Limb Function

Pronation/supination count, rate, smoothness

Wearable accelerometry devices 

(e.g., ActiGraph CPIW, Empatica Embrace)

Sleep Analytics

Wake after sleep onset, total sleep time, efficiency

Wearable accelerometry devices 

(e.g., ActiGraph CPIW, Empatica Embrace)

Voice Biomarkers

Speech variability, pauses, articulation, pitch

Smartphone voice capture

Tremor Biomarkers

Peak tremor frequency, tremor energy

Accelerometry devices

Finger Dexterity

Number of taps, tapping speed, tap regularity

iPhone

Cardiac Function

Mean heart rate, heart rate variability 

(e.g., RMSSD)

PPG devices 

(e.g., Empatica Embrace Plus, Corsano)

Gait and Mobility

Measure:
Step length, gait speed, stride period, freezing index

Example Devices:
Accelerometry devices
(e.g., ActiGraph CPIW, iPhone)

Turn Detection

Measure:
Turn angle, duration, rate

Example Devices:
Accelerometry devices

Upper Limb Function

Measure:
Pronation/supination count, rate, smoothness

Example Devices:
Wearable accelerometry devices
(e.g., ActiGraph CPIW, Empatica Embrace Plus)

Sleep Analytics

Measure:
Wake after sleep onset, total sleep time, efficiency

Example Devices:
Wearable accelerometry devices (e.g., ActiGraph CPIW, Empatica Embrace Plus)

Voice Biomarkers

Measure:
Speech variability, pauses, articulation, pitch

Example Devices:
Smartphone voice capture

Temor Biomarkers

Measure:
Peak tremor frequency, tremor energy

Example Devices:
Accelerometry devices

Finger Dexterity

Measure:
Number of taps, tapping speed, tap regularity

Example Devices:
iPhone

Cardiac Function

Measure:
Mean heart rate, heart rate variability (e.g., RMSSD)

Example Devices:
PPG devices (e.g., Empatica Embrace Plus, Corsano)

Flexibility Without Device Constraints

Our digital measures were developed with a device agnostic framework.
  • This means that our measures can be calculated prospectively or retrospectively on any device that captures the appropriate data type.
  • For example, we retrospectively used the mPower dataset to compare our digital measures in people with Parkinson’s disease and healthy controls.

Our Digital Measurement Catalog

Designed for Clinical Precision and Flexibility

We combine sensor inputs, mobile technology, and intelligent algorithms across four digital measurement types:
Coached Assessments

Used when consistent measurement is critical, such as for vital signs or tasks that follow a standard protocol.

2Concepts

40+Measures

eDiaries
and ePROs

Ideal for high-frequency at-home capture. Configurable for scheduling and context-driven reporting.

21Concepts

35+Measures

Instructed
Tasks

Designed to support a wide range of therapeutic areas and clinical applications through guided interactions.

6Concepts

100+Measures

Single / Multi- sensor Devices

Integrated device options tailored by study needs, balancing accuracy, wear time, and participant experience.

4Concepts

60+Measures

Proven in Practice:
Parkinson’s Disease

Core Koneksa assessments:
  • Gait & Balance
  • Postural, resting and kinetic tremor
  • Pronation/Supination
  • Finger Tap
Optional 3rd party integrated assessments:
  • Speech
  • Cognition
Wrist-worn passive measures:
  • Gait
  • Walk detection
  • Physical activity
  • Sleep
PROs:
  • Configured to clinical research requirements
  • Ex: sleep quality & duration

Our algorithm-driven approach replaces the difficult task of subjectively rating tremor, gait, and balance in clinic. Core Koneksa assessments combine with wrist-worn passive measures, configurable PROs, and optional third-party speech and cognition assessments for a complete picture of disease.