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Ischemic StrokeNCT03608904

Stroke Recovery and Music or No Music

A study testing Music listening and Spoken word (language) listening in people with Ischemic Stroke, run by The Methodist Hospital Research Institute at 1 site in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The primary outcome of this study is to determine the quantitative increase in connectivity, as measured by fMRI brain and calculated as a percent increase from baseline in patients with ischemic stroke. Read more about this study

Who is it for?
Ages 18 to 90 years
Conditions the study is for
Ischemic Stroke
What is being tested?
Music listening and Spoken word (language) listening
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
20 participants
Where
1 siteUnited States
Study dates
21 Jul 2017to 31 Dec 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Ischemic Stroke 30 days to 5 years days prior to enrollment
  • Age 18-90
  • Modified Rankin Score (mRS) 1-3, inclusive, post-qualifying event (for a history of multiple strokes, baseline mRS is 0-1 AND a lower value than the qualifying mRS)
  • A measureable deficit either in motor or speech/cognition that can be assessed using standardized testing
  • Fluency in English (written and verbal)
  • Demonstrates willingness to participate in study and complete all schedule of events

Who cannot join

  • Severe cognitive impairment, as determined by investigator using the baseline MoCA score
  • Comorbid neurological disease that may interfere with rehabilitation
  • Psychiatric disorder or taking psychoactive medication that may interfere with completing study
  • Inability to complete music listening exercises
  • Alcohol or drug abuse
  • Hearing impairment
  • Contraindication to scheduled fMRI Brain evaluations
  • Pregnant women

Trial locations and contacts

1 site in 1 country.

United States1 site, 1 recruiting
  • Houston Methodist

    Houston, Texas, 77030

    John J Volpi, MD

    Recruiting

Other trials in United States

About this study

Official title: A Quantitative Connectivity Assessment of Music Listening Compared to Spoken Word in Ischemic Stroke Recovery, as Measured by Functional MRI (fMRI).

The primary outcome of this study is to determine the quantitative increase in connectivity, as measured by fMRI brain and calculated as a percent increase from baseline in patients with ischemic stroke. Eligible patients will receive a listening session of music or spoken word listening, 30 days to 5 years following ischemic stroke. Assessments will include modified Rankin Scale, National Institute of Health Stroke Scale, functional Magnetic Resonance Imaging, motor function tests, and neuropsychological evaluations. Assessments occur at baseline, day 45, and day 90 after starting listening sessions.

Read the detailed description

This is a prospective, investigator-blinded and outcome assessor-blinded, randomized, single-center study in subjects 18-90 years old who have sustained an ischemic stroke within 30 days to 5 years. Study subjects will be randomized 1:1 to receive one of two types of listening sessions: music or spoken word (language) listening. Each arm will enroll a total of ten subjects, with a total study population of 20 subjects. Subjects will follow a 90-day listening schedule.

Subjects will complete a baseline Montreal Cognitive Assessment (MoCA), National Institute of Health Stroke Scale (NIHSS), modified Rankin Score (mRS), motor function tests, neuropsychological evaluations and functional magnetic resonance imaging (fMRI) brain evaluation. Follow-up evaluations on day 45 (+/- 7 days) and on day 90 (+/-7days) and will include NIHSS/mRS, motor function tests, neuropsychological evaluations and fMRI Brain evaluation.

All subjects will continue to receive standard of care treatment for stroke as directed by their physician(s) regardless of study enrollment.

The primary objective is to determine the quantitative increase in connectivity, as measured by fMRI brain and calculated as a percent increase from baseline.

The secondary objectives include the effect of music and language listening in improving motor function and neuropsychological development in patients with an ischemic stroke.

Conditions
Ischemic Stroke
Being tested
Music listening, Spoken word (language) listening
Keywords
Stroke, Music, Ischemic Stroke, fMRI, functional MRI
Medical subject headings
Ischemic Stroke, Stroke

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Music listeningOther

    Familiar and unfamiliar music selections, listening duration of approximately 15 minutes, three times daily, 90-day listening duration.

  • Spoken word (language) listeningOther

    Familiar and unfamiliar spoken word (language) selections, listening duration of approximately 15 minutes, three times daily, 90-day listening duration.

Study groups in NCT03608904
Study groupRoleWhat they receive
Music ListeningExperimentalFamiliar and unfamiliar music selections, listening duration of approximately 15 minutes, three times daily, 90-day listening duration.
Receives: Other: Music listening
Spoken word (language) listeningPlacebo comparatorFamiliar and unfamiliar spoken word (language) selections, listening duration of approximately 15 minutes, three times daily, 90-day listening duration.
Receives: Other: Spoken word (language) listening

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Connectivity as Measured by Functional Magnetic Resonance Imaging (fMRI) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To determine quantitative increase in connectivity of music and/or spoken word (language) listening, as measured by fMRI brain, and calculated as a percent increase from baseline.

    Measured: Change from Baseline to Days 45 and 90

Secondary outcomes (25)
  1. Change in Motor Function Test Pinch Grip (pounds) at Baseline as Compared to Post-Listening Exposure at Day 45 and Day 90.

    To assess the effect of music and/or spoken word (language) listening in improving motor function test of pinch grip.

    Measured: Change from Baseline to Days 45 and 90

  2. Change in Motor Function Test Grip Strength (pounds) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improving motor function test of grip strength.

    Measured: Change from Baseline to Days 45 and 90

  3. Change in Grooved Pegboard Test (seconds) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improving motor function test of grooved pegboard test.

    Measured: Change from Baseline to Days 45 and 90

  4. Change in Action Research Arm Test (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improving motor function test of Action Research Arm Test (ARAT).

    Measured: Change from Baseline to Days 45 and 90

  5. Change in Timed Up and Go (seconds) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improving motor function test of Timed Up and Go.

    Measured: Change from Baseline to Days 45 and 90

  6. Change in 10 Meter Walk Test (seconds) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improving motor function test of 10 meter walk test.

    Measured: Change from Baseline to Days 45 and 90

  7. Change in Modified Rankin Score (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improvement of disability score.

    Measured: Change from Baseline to Days 45 and 90

  8. Change in National Institutes of Health Stroke Scale (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improvement of standardized stroke score.

    Measured: Change from Baseline to Days 45 and 90

  9. Change in Neuropsychological Evaluation Wechsler Adult Intelligence Scale-IV: Digit Span (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improvements of neuropsychology evaluation of an aural test of immediate attention and working memory.

    Measured: Change from Baseline to Days 45 and 90

  10. Change in Neuropsychological Evaluation Albert's Test (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improvement of neuropsychology evaluation of a line cancellation test of visual attention/neglect.

    Measured: Change from Baseline to Days 45 and 90

  11. Change in Neuropsychological Evaluation Rey Complex Figure Test and Recognition Trial (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improvement of neuropsychology evaluation of a drawing test used to assess planning, organization and visual-spatial skills.

    Measured: Change from Baseline to Days 45 and 90

  12. Change in Neuropsychological Evaluation MAST (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improvement of neuropsychology evaluation of a language measure for patients with aphasia.

    Measured: Change from Baseline to Days 45 and 90

  13. Change in Neuropsychological Evaluation MAE Token Test (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improvement of neuropsychology evaluation of an aural language comprehension measure.

    Measured: Change from Baseline to Days 45 and 90

  14. Change in Neuropsychological Evaluation Boston Naming Test (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improvement of neuropsychology evaluation of a test of confrontation naming.

    Measured: Change from Baseline to Days 45 and 90

  15. Change in Neuropsychological Evaluation Phonemic Fluency (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improvement of neuropsychology evaluation of a generative naming test.

    Measured: Change from Baseline to Days 45 and 90

  16. Change in Neuropsychological Evaluation Semantic fluency (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improvement of neuropsychology evaluation of a generative naming test.

    Measured: Change from Baseline to Days 45 and 90

  17. Change in Neuropsychological Evaluation Wide Range Achievement Test-4 Reading (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improvement of neuropsychology evaluation of a single-word reading measure that can be used, in some, to assess premorbid intellectual abilities.

    Measured: Change from Baseline to Days 45 and 90

  18. Change in Neuropsychological Evaluation Trail Making Test-A (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in changes of a neuropsychology evaluation of a speeded psychomotor test of attention.

    Measured: Change from Baseline to Days 45 and 90

  19. Change in Neuropsychological Evaluation Trail Making Test-B (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improvement of neuropsychology evaluation of a speeded psychomotor test of alternating attention/working memory.

    Measured: Change from Baseline to Days 45 and 90

  20. Change in Neuropsychological Evaluation Hopkins Verbal Learning Test-Revised (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in changes of a neuropsychology evaluation of a rote verbal learning and test.

    Measured: Change from Baseline to Days 45 and 90

  21. Change in Neuropsychological Evaluation Brief Visuospatial Memory Test-Revised (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improvement of neuropsychology evaluation of a visual learning and memory test.

    Measured: Change from Baseline to Days 45 and 90

  22. Change in Neuropsychological Evaluation Clock Test (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improvement of neuropsychology evaluation of a measure of conceptualization, planning, organization, and visual-spatial skills.

    Measured: Change from Baseline to Days 45 and 90

  23. Change in Neuropsychological Evaluation Beck Depression Inventory-II (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improvement of neuropsychology evaluation of a test to measure depression.

    Measured: Change from Baseline to Days 45 and 90

  24. Change in Neuropsychological Evaluation Generalized Anxiety Disorder 7-item(score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improvement of neuropsychology evaluation of a test to measure generalized anxiety.

    Measured: Change from Baseline to Days 45 and 90

  25. Change in Neuropsychological Evaluation The Stroke-Adapted Sickness Impact Profile (SA-SIP30) (score) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90.

    To assess the effect of music and/or spoken word (language) listening in improvement of neuropsychology evaluation of a post-stroke quality of life measure.

    Measured: Change from Baseline to Days 45 and 90

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Aug 2018
  2. Study start21 Jul 2017
  3. Primary completion31 Dec 2019 (estimated)
  4. Study completion31 Dec 2019 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be exposed to music or no music (spoken words only) during their fMRI scans.
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
20 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03608904
Sponsor's protocol ID
Pro00015563
Status last verified
Jul 2018
First submitted
13 Apr 2018
Last updated
1 Aug 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: No plans at to share individual subject data at this time.

Publications

  • Karmonik C, Brandt A, Anderson J, Brooks F, Lytle J, Silverman E, Frazier JT. Music Listening modulates Functional Connectivity and Information Flow in the Human Brain. Brain Connect. 2016 Oct;6(8):632-641. doi: 10.1089/brain.2016.0428. Epub 2016 Jul 27.

    PubMed 27464741

Questions about this trial

What is this clinical trial studying?

A study testing Music listening and Spoken word (language) listening in people with Ischemic Stroke, run by The Methodist Hospital Research Institute at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 1 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Jonathan Wiese, MSN, RN (713-441-7161, jrwiese@houstonmethodist.org), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Connectivity as Measured by Functional Magnetic Resonance Imaging (fMRI) at Baseline as Compared to Post-Listening Exposure at Days 45 and 90. (time frame: Change from Baseline to Days 45 and 90). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03608904, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Aug 2018.

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