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Speech Sequencing Therapies for Stuttering

N/A
Recruiting
Led By Frank H Guenther, PhD
Research Sponsored by Boston University Charles River Campus
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Adult participants must pass a standard pure-tone hearing screening at a 25dB hearing level threshold at 500, 1k, 2k, and 4kHz frequencies
Participating children must pass a hearing screening at a 20 dB threshold at 500, 1k, 2k, and 4k Hz
Timeline
Screening 3 weeks
Treatment Varies
Follow Up evaluated at baseline and immediately following intervention
Awards & highlights

Study Summary

This trial is testing hypotheses about the brain processes involved in speech production in order to improve understanding of stuttering and develop new therapies.

Who is the study for?
This trial is for native American English speakers with limited second language exposure. It includes children who pass a hearing test, adults without neurological issues (except stuttering), and those diagnosed with primary progressive aphasia by MGH-FTD. Excluded are individuals with contraindications to MRI or tDCS, certain medication use in PPA patients, severe cognitive impairment, and outside the age range for child participants.Check my eligibility
What is being tested?
The study investigates brain mechanisms in speech motor planning through experiments involving speech production tasks, functional MRI scans, and non-invasive brain stimulation like sham and anodal tDCS. Participants will learn new phoneme combinations or multisyllabic nonwords across multiple sessions to help understand these processes in people with stuttering or neurodegenerative speech disorders.See study design
What are the potential side effects?
There may be minimal side effects from participating in this study. The most common would be discomfort from wearing an MRI scanner head coil or mild skin irritation under the electrodes used during tDCS. There's also a small risk of seizures during tDCS for those predisposed.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My hearing is good at specific test frequencies.
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My child has passed a hearing test at the required levels.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~evaluated at baseline and immediately following intervention
This trial's timeline: 3 weeks for screening, Varies for treatment, and evaluated at baseline and immediately following intervention for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Brain activity measured with functional magnetic resonance imaging
Change from baseline in production error rate
Change from baseline in reaction time
+2 more
Secondary outcome measures
Cortical morphometry
Cortical white matter connectivity
Forward digit span
+2 more

Trial Design

7Treatment groups
Experimental Treatment
Placebo Group
Group I: Sub-syllabic learning in PPAExperimental Treatment1 Intervention
30 adults with primary progressive aphasia (PPA) will participate in this arm. Subjects will learn novel 1-syllable nonsense words formed by non-native phoneme combinations during 8 training sessions over 2 days. Following training, subjects will complete a behavioral test to compare their performance on the words learned during training with a set of unfamiliar words also formed by non-native phoneme combinations.
Group II: Sub-syllabic learning and fMRIExperimental Treatment1 Intervention
60 adults with neurotypical speech development will participate in this arm. Subjects will learn novel 1-syllable nonsense words formed by non-native phoneme combinations during 6 training sessions over 2 days. Following training, subjects will participate in a functional magnetic resonance imaging (fMRI) session on a third day to measure brain activity associated with producing the words learned during training and with a set of unfamiliar words also formed by non-native phoneme combinations.
Group III: Sub-syllabic learning and anodal tDCS of inferior frontal sulcusExperimental Treatment2 Interventions
35 adults with neurotypical speech development will participate in this arm. Subjects will learn novel 1-syllable nonsense words formed by non-native phoneme combinations. During the training, anodal transcranial direct current stimulation (tDCS) will be applied to the the subject's left inferior frontal sulcus.
Group IV: Sub-syllabic learning and anodal tDCS of cerebellumExperimental Treatment2 Interventions
35 adults with neurotypical speech development will participate in this arm. Subjects will learn novel 1-syllable words formed by non-native phoneme combinations. During the training, continuous anodal transcranial direct current stimulation (tDCS) will be applied to the the subject's right cerebellum.
Group V: Multisyllabic learning in childrenExperimental Treatment1 Intervention
45 children with persistent developmental stuttering (CWS) and 45 children with neurotypical speech development (CNS) will participate in this arm. Subjects will learn nonsense words formed by novel combinations of 2 syllables that are legal in American English during 6 training sessions over 2 days. Behavioral measures extracted from the data will be used to compare performance before and after training and across the CWS and CNS participants.
Group VI: Multisyllabic learning and fMRI in adultsExperimental Treatment1 Intervention
30 adults persistent developmental stuttering (AWS) and 30 adults with neurotypical speech development (ANS) will participate in this arm. Subjects will learn nonsense words formed by novel combinations of 3 syllables that are legal in American English during 6 training sessions over 2 days. Following training, subjects will participate in a functional magnetic resonance imaging (fMRI) session on a third day to measure brain activity associated with producing the words formed by pairing 2 learned 3-syllable strings learned during training and those formed by pairing 2 unfamiliar 3-syllable strings. Behavioral measures extracted from the data will be used to compare performance before and after training and across the AWS and ANS participants.
Group VII: Sub-syllabic learning and sham tDCSPlacebo Group2 Interventions
35 adults with neurotypical speech development will participate in this arm. Subjects will learn novel 1-syllable words formed by non-native phoneme combinations. During training, Sham transcranial direct current stimulation stimulation (tDCS) will be delivered to the subject's brain.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Anodal tDCS
2010
Completed Phase 2
~610

Find a Location

Who is running the clinical trial?

Boston University Charles River CampusLead Sponsor
114 Previous Clinical Trials
11,975 Total Patients Enrolled
University of MichiganOTHER
1,812 Previous Clinical Trials
6,384,824 Total Patients Enrolled
4 Trials studying Stuttering
1,269 Patients Enrolled for Stuttering
Massachusetts General HospitalOTHER
2,947 Previous Clinical Trials
13,204,642 Total Patients Enrolled

Media Library

Learning of non-native phoneme combinations: 1 training session Clinical Trial Eligibility Overview. Trial Name: NCT05437159 — N/A
Stuttering Research Study Groups: Sub-syllabic learning and sham tDCS, Sub-syllabic learning and anodal tDCS of inferior frontal sulcus, Multisyllabic learning in children, Multisyllabic learning and fMRI in adults, Sub-syllabic learning and fMRI, Sub-syllabic learning in PPA, Sub-syllabic learning and anodal tDCS of cerebellum
Stuttering Clinical Trial 2023: Learning of non-native phoneme combinations: 1 training session Highlights & Side Effects. Trial Name: NCT05437159 — N/A
Learning of non-native phoneme combinations: 1 training session 2023 Treatment Timeline for Medical Study. Trial Name: NCT05437159 — N/A
~1 spots leftby May 2026