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EpilepsyNCT05209386

Flexible Representation of Speech

A study testing Dimension-Based Statistical Learning in people with Epilepsy, run by University of Pittsburgh at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The overarching goal of this exploratory research is to understand the dynamic and flexible nature of speech processing in the human supratemporal plane. The temporal lobe has long been established as a region of interest in the speech perception and processing literature because it contains the auditory cortex. Read more about this study

Who is it for?
Ages 15 to 25 years
Conditions the study is for
Epilepsy
What is being tested?
Dimension-Based Statistical Learning
Could I receive a placebo?
No, everyone receives an active treatment
How many people
48 participants
Where
1 siteUnited States
Study dates
2 May 2022to 10 Apr 2025
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 15 to 25 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Individuals 15-25 years old
  • Undergoing sEEG placement in the supratemporal plane for clinically necessary localization of epileptic foci or language mapping
  • Fluent English speakers
  • Cognition and speech-language skills within normal limits (as determined by evaluation prior to surgery)
  • Normal or correct-to-normal visual acuity
  • Normal hearing acuity in each ear (as determined by audiometric assessment)
  • No history of autism or ADHD

Who cannot join

  • Individuals with intellectual disabilities
  • Abnormal epileptiform activity in the supratemporal plane
  • Lack of fluent English comprehension/production
  • Severe language or auditory-specific cognitive dysfunction
  • History of autism or ADHD

Trial locations and contacts

1 site in 1 country.

United States1 site
  • UPMC Children's Hospital of Pittsburgh

    Pittsburgh, Pennsylvania, 15224

Other trials in United States

About this study

Official title: Flexible Representation of Speech in the Supratemporal Plane

The overarching goal of this exploratory research is to understand the dynamic and flexible nature of speech processing in the human supratemporal plane. The temporal lobe has long been established as a region of interest in the speech perception and processing literature because it contains the auditory cortex. More recently, research has localized the supratemporal plane as an area that exhibits response specificity to acoustic properties of complex auditory signals like speech. The supratemporal plane, comprised of Heschl's gyrus, the planum polare, and the planum temporale, is capable of the rapid spectrotemporal analysis required to map acoustic information to linguistic representation. Neural activity in this area, however, is rarely studied directly because it is difficult to access with non-invasive measures like scalp electroencephalography (EEG). Capitalizing on the unique opportunity to access these areas via routine clinical stereoelectroencephalography (sEEG) in a patient population, this study seeks to understand how cortical responses reflect the diagnosticity of two acoustic-phonetic dimensions of interest and how responses rapidly and flexibly adapt to changes in listening demands. Examining how neural response to voice onset time (VOT) and fundamental frequency (F0) modulates as a function of perceptual weight carried in signaling phoneme categories, and identifying how changes in listening context shift perceptual weight, will provide invaluable data that indicates how speech processing flexibly adapts to short-term acoustic patterns.

Read the detailed description

The purpose of this study is to understand the dynamic, flexible nature of speech processing as a function of perceptual weight applied to acoustic-phonetic dimensions within varying listening contexts and demands.

The specific aims of this study are as follows:

  1. To establish the neural response to two acoustic-phonetic dimensions as a function of the perceptual weight they carry when signaling phoneme identity. Aim 1 will specifically evaluate responses to voice onset time (VOT) and fundamental frequency (F0). Data collected will provide a baseline response for participants.
  2. To identify how experimental manipulation of listening context impacts perceptual weighting strategies of VOT and F0.

Aim 2 will evaluate modulation of neural response to the introduction of noise and the introduction of an "accent."

A secondary aim of this study is to use "control" electrodes, which are those placed in clinically necessary regions of the brain but outside of the region of interest for this study (supratemporal plane), to determine if additional regions of the brain are implicated in adaptive plasticity of speech processing.

Speech is the primary means by which we convey our needs, wants, and thoughts to others and the ability to process speech is crucial to our everyday functioning, as well as our ability to establish and maintain relationships. Impairments in speech processing have an undeniable negative impact on individuals and society. While habilitative and rehabilitative strategies exist that can improve auditory processing and quality of life, understanding the exact neural mechanism underlying the human brain's ability to process speech would contribute to a more well-defined means by which to target deficits. This study seeks to understand the regions of the brain involved in speech processing, how those regions analyze specific acoustic-phonetic dimensions, and how the system adapts to successfully process speech in different listening contexts.

Modern electrophysiological techniques have revolutionized research into activity in the human brain, allowing investigators to identify specific regions or patterns of activity associated with various behaviors and sensory experiences. sEEG recordings, which involve intracerebral measurements of neural activity using depth electrodes, are capable of providing unique access to regions of the brain that are otherwise inaccessible with less invasive measurements. Capitalizing on PI Abel's work with pediatric patients undergoing sEEG recording for localization of seizure foci or language mapping, this study will allow researchers to directly study activity in regions that have already been implicated in the literature as crucial to spectrotemporal analysis of complex acoustic signals like speech. These regions within the supratemporal plane (STP) include Heschl's gyrus, the planum polare, and the planum temporale, all of which are uniquely targeted via sEEG.

Existing literature in speech processing has indicated that the mapping of physical input (acoustic signal) to linguistic representation (identification of phonemes or words) is not a static process, but rather highly dependent on listening context. The auditory processing system regularly adapts to changes in signal quality, adverse listening conditions, and short-term deviations from expected and learned regularities in native language input by applying varying importance, or perceptual weight, to specific acoustic-phonetic parameters. This indicates the existence of adaptive plasticity in speech processing, yet existing neurophysiological models do not account for this flexibility in cortical response. Data from pilot EEG and sEEG studies demonstrated that high gamma activity in the STP and behavioral responses were graded by the perceptual weight given to two acoustic-phonetic dimensions, voice onset time (VOT) and fundamental frequency (F0).

The proposed study will contribute to existing knowledge by helping to establish a more detailed model of on-line cortical response and adaptation to changing acoustic signals. It is unique in its accounting for the role that perceptual weight of acoustic-phonetic dimensions play in signaling phonemes and making category-based judgments.

Conditions
Epilepsy
Being tested
Dimension-Based Statistical Learning
Keywords
sEEG, Speech representation, Supratemporal plane
Medical subject headings
Epilepsy

What participants receive

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

  • Dimension-Based Statistical LearningBehavioural

    Each participant will complete self-paced blocks of stimuli that will first establish a baseline for neural activity and behavioral responses with clear speech, and will then record responses for experimentally manipulated blocks to introduce 1) speech-in-noise and 2) a Canonical-Reverse block to model an "accent." Auditory stimuli will be adjusted to a comfortable level for each participant as determined by a calibration process completed by the participant. Each block involves listening to sound via earphones and making a categorical decision between initial consonants (/b/ or /p/) by tapping a button to indicate the word heard by the participant.

Study groups in NCT05209386
Study groupRoleWhat they receive
Patient ParticipantsExperimentalThis single-group study will recruit patients through the PI's clinical practice who are undergoing invasive neurophysiological monitoring (sEEG) with clinically necessary placement of electrodes in the supratemporal plane. All participants will complete the same behavioral response paradigms.
Receives: Behavioral: Dimension-Based Statistical Learning

What is being measured

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

  1. Supratemporal Neural Response to Change in Acoustic-Phonetic Dimensions

    Neural activity will be measured via simultaneous EEG-sEEG monitoring in the supratemporal plane as indicated by high-gamma band activity in the electrical signal. Neural activity will be measured as participants listen to acoustic stimuli with gradually manipulated acoustic dimensions, fundamental frequency (F0) and voice onset time (VOT). The data reported here is the number of temporal lobe channels demonstrating significant encoding of change in acoustic dimension (F0 as VOT is held constant).

    Measured: During sEEG-EEG recording sessions, up to 3 hours total

  2. Behavioral Impact of Change in Acoustic-Phonetic Dimensions

    Behavioral responses in the form of a category judgment will be obtained as participants listen to acoustic stimuli in with gradually varying fundamental frequency (F0) and voice onset time (VOT). Participants will provide a behavioral response by indicating the phoneme perceived at the beginning of stimulus words (/b/ or /p/). Specifically, the outcome is reported as percent of stimuli classified as /p/ over varying F0 with VOT held constant.

    Measured: During sEEG-EEG recording sessions, up to 3 hours total

  3. Supratemporal Neural Response to Change in Listening Context

    Neural activity was measured via sEEG monitoring as indicated by high-gamma band activity in the electrical signal. Neural activity will be measured as participants listen to acoustic stimuli in accented speech. The un-transformed voltage represents the difference in electric potential between a specific electrode contact and the reference electrode contact; since we use a common average reference, that means it's the difference between a specific electrode contact and the mean voltage across all electrodes. We then z-score to characterize shifts from baseline activity (where z = 0) at a specific electrode, which is believed to measure changes in voltage due largely to post-synaptic currents. This is a mathematical transformation rather than a published scale or standardized assessment. More extreme z-scores (+ or -) indicate a greater change from baseline local neural activity; in other words, stimuli evoked greater activity in this region.

    Measured: During sEEG-EEG recording sessions, up to 3 hours total

  4. Behavioral Impact of Change in Listening Context

    Behavioral responses in the form of a category judgment will be obtained as participants listen to acoustic stimuli in a varied listening context: accented speech. Participants will provide a behavioral response by indicating the phoneme perceived at the beginning of stimulus words (/b/ or /p/). Specifically, the outcome is reported as the mean % of stimuli classified as /p/ with varying VOT and F0 relationships.

    Measured: During sEEG-EEG recording sessions, up to 3 hours total

Secondary outcomes (2)
  1. Neural Response of Non-Regions of Interest to Change in Acoustic-Dimension

    Neural activity will be measured via simultaneous EEG-sEEG monitoring in the supratemporal plane as indicated by high-gamma band activity in the electrical signal. Neural activity will be measured as participants listen to acoustic stimuli with gradually manipulated acoustic dimensions, fundamental frequency (F0) and voice onset time (VOT). The data reported here is the number of temporal lobe channels demonstrating significant encoding of change in acoustic dimension (F0 as VOT is held constant).

    Measured: During sEEG-EEG recording sessions, up to 3 hours total

  2. Neural Response of Non-Regions of Interest to Change in Listening Context

    Neural activity was measured via sEEG monitoring as indicated by high-gamma band activity in the electrical signal. Neural activity will be measured as participants listen to acoustic stimuli in accented speech. The un-transformed voltage represents the difference in electric potential between a specific electrode contact and the reference electrode contact; since we use a common average reference, that means it's the difference between a specific electrode contact and the mean voltage across all electrodes. We then z-score to characterize shifts from baseline activity (where z = 0) at a specific electrode, which is believed to measure changes in voltage due largely to post-synaptic currents. This is a mathematical transformation rather than a published scale or standardized assessment. More extreme z-scores (+ or -) indicate a greater change from baseline local neural activity; in other words, stimuli evoked greater activity in this region.

    Measured: During sEEG-EEG recording sessions, up to 3 hours total

Timeline

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

  1. First posted26 Jan 2022
  2. Study start2 May 2022
  3. Primary completion1 Jul 2024
  4. Study completion10 Apr 2025

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
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05209386
Sponsor's protocol ID
STUDY21090011
Other IDs
1R21DC019217-01A1
Status last verified
Aug 2025
First submitted
12 Jan 2022
Last updated
8 Sep 2025
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The individual deidentified participant data intended to be shared include the individual participant data that underlie the results to be reported in published articles after deidentification. Other documents that will be made available include the study protocol and statistical analysis plan. Data will be available as soon as possible following publication, but no later than one year upon completion. There is no end date. IPD will be made available for any purpose via open access.

Questions about this trial

What is this clinical trial studying?

A study testing Dimension-Based Statistical Learning in people with Epilepsy, run by University of Pittsburgh 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 7 inclusion and 5 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: finished, as of the sponsor's last update on 8 Sep 2025. 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. 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?

Yes. Results are posted in the registry (first posted 8 Sep 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Supratemporal Neural Response to Change in Acoustic-Phonetic Dimensions (time frame: During sEEG-EEG recording sessions, up to 3 hours total). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 8 Sep 2025.

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Flexible Representation of Speech (NCT05209386) | AzTrials