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LanguageLCCMPHNCT05272397

Language & Cognitive Control

A study testing Methylphenidate 20 Mg Oral Tablet, Language Task and Rest Recording in people with Language and Methylphenidate of Undetermined Intent, run by Donders Centre for Cognitive Neuroimaging at 1 site in Netherlands.

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

Catecholamine (CA) neurotransmitters, such as dopamine (DA) and noradrenaline (NA), have long been implicated playing a critical role in cognitive functions, such as working memory (WM), inhibition, learning, and decision making. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
What is being tested?
Methylphenidate 20 Mg Oral Tablet, Language Task and Rest Recording
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
36 participants
Where
1 siteNetherlands
Study dates
26 Nov 2019to 2 Dec 2021
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 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Native Dutch speakers
  • Right-handed

Who cannot join

  • Current (or history of) psychiatric disorder (e.g., psychosis, mania, severe depressive disorder)
  • Current (or history of) neurological disorder (e.g. m. Parkinson, epilepsy)
  • Current (or history of) endocrine / metabolic disorder
  • Current (or history of) cardiac or vascular disorder
  • Current (or history of) blood illness (e.g. severe anaemia, porphyria)
  • Current (or history of) stomach or gastrointestinal tract disease
Show all 28Show fewer
  • History of autonomic failure (e.g., vasovagal reflex syncope)
  • Experience of irregular sleep-wake rhythm
  • Current (or history of) obstructive respiratory disease
  • Current (or history of) clinically significant renal or hepatic disease
  • (Recent treatment of) glaucoma
  • Current (or history of) drug addiction (e.g. opiate, (meth)amphetamine, lysergic acid diethylamide, cocaine, solvents or barbiturate) or alcohol dependence
  • One first degree or two or more second degree family members with a recent treatment of sudden death or ventricular arrhythmia
  • Problems swallowing or problems with the oesophagus
  • Frequent experience of headrush (vertigo)
  • Current experience of an acute serious infection
  • First degree family member with schizophrenia or bipolar disorder
  • Abnormal hearing or (uncorrected) vision
  • Use of psychotropic medication or recreational drugs weekly or more over a period of more than three months in the last 6 months
  • Cannabis usage for the last 6 months
  • Strong smoking behaviour starting at more than 1 package of cigarettes per week
  • Hypersensitivity for e.g. beta blockers or methylphenidate
  • Uncontrolled hypertension, defined as diastolic blood pressure at rest >95 mmHg or systolic blood pressure at rest >180 mmHg
  • Irregular sleep/wake rhythm (e.g. regular nightshifts or cross timeline travel)
  • Possible pregnancy or breastfeeding/ inadequate anticonception (for women)
  • Lactose intolerance (because the placebo pill will be a lactose product)
  • Language related disabilities (e.g. dyslexia, stuttering)
  • Daily intense physical training

Trial locations and contacts

1 site in 1 country.

Netherlands1 site
  • Donders Institute for Brain, Cognition and Behaviour, Centre for Cognitive Neuroimaging

    Nijmegen, Gelderland, 6525EN

Other trials in Netherlands

About this study

Official title: The Interaction of Cognitive Control Mechanisms and Language Processing: An Investigation With Methylphenidate

Catecholamine (CA) neurotransmitters, such as dopamine (DA) and noradrenaline (NA), have long been implicated playing a critical role in cognitive functions, such as working memory (WM), inhibition, learning, and decision making. Recent evidence from neurodegenerative patients and the healthy population suggested that CA also influences language processing. However, the question of what kind of influence that CA might exert on language is still open. Some previous studies have shown that CA can enhance semantic processing. In a recent study it was observed that CA agonists (i.e., methylphenidate) enhance participant's sensitivity to semantically incongruent information even when language processing was actually goal-irrelevant. On the other hand, the processing of semantically congruent information was enhanced while language processing was the goal. Moreover, consistent with some previous findings that there is a relation between participants' baseline characteristics and MPH effects, it was observed that participants with lower WM capacity benefited more from receiving methylphenidate. These results shed light on the relation between CA and language processing, but also lead to further questions, such as whether the interaction between CA and semantic processing is language-specific or mediated by the relation between CA and more general cognitive functions (e.g., WM, inhibition), and whether CA also has an influence on other aspects of language processing, such as syntactic processing. The present study aimed to further investigate the nature of the relation between CA and language processing by administrating methylphenidate (MPH) to healthy participants. MPH is an indirect CA agonist, which is the most commonly prescribed drug for attention deficit/hyperactivity disorder (ADHD). Previous studies have shown that MPH can efficiently increase the extracellular levels of CA in the brain by blocking their reuptake.

Objective: The primary objectives are: 1) to further investigate the effect of CA on semantic processing. The study plans to examine whether MPH interacts with processing of sentence context constraints via its influence on cognitive control operations. 2) To investigate the effects of MPH on syntactic processing. More specifically, the study is interested in whether MPH has an influence on revising syntactically temporarily ambiguous sentences.

Read more

A secondary objective is to further examine the relation between MPH effects and the baseline characteristics of individual participants.

Study design: This study will use a within-subject, double-blind, placebo-controlled, randomized, crossover design.

Study population: Approximately 40 healthy native Dutch speakers between 18 and 45 years old will be recruited. All subjects will have to complete one screening session and two separate testing sessions within three different days at the Donders Centre for Cognitive Neuroimaging (DCCN).

Intervention: Participants will either orally receive a 20mg methylphenidate or placebo capsule in each of the two testing sessions. Methylphenidate has been approved for clinical use in the Netherlands and the drug can be administered safely without any relevant risk of serious adverse events.

Main study parameters: Primary study parameters will include sentence comprehension capacity, attention and processing speed. In addition, several other measures will be included to monitor participants' baseline characteristics (e.g. working memory capacity, vocabulary size) and the general modulation effects of MPH (e.g. heart rate, blood pressure, subjective feeling).

Hypotheses:

Based on the previous finding that methylphenidate improves cognitive stability while it impairs flexible updating, the hypothesis is that methylphenidate will hinder participants' performance in resolving syntactic ambiguity, which requires an immediate updating and revising of an initial interpretation. This should be reflected in event-related potential (ERP) measures related to revision, namely the P600 effect is predicted to be reduced in the drug condition compared to placebo.

Being tested
Methylphenidate 20 Mg Oral Tablet, Placebo, Language Task, Rest Recording, Go/No-Go Task
Keywords
Cognitive Control, Language Processing, Reading, Methylphenidate, Catecholaminergic Neurotransmitters
Medical subject headings
Language

What participants receive

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

  • Methylphenidate 20 Mg Oral TabletDrug

    20mg methylphenidate or placebo capsule - one per session (counterbalanced) approximately 1 week apart

  • PlaceboDrug

    20mg methylphenidate or placebo capsule - one per session (counterbalanced) approximately 1 week apart

  • Language TaskBehavioural

    The core part of the experiment is the language task, in which the aim is to investigate two critical aspects of language processing: semantic and syntactic processing. In this task, participants will be asked to read a list of sentences.

  • Rest RecordingBehavioural

    Brain activity in the EEG is recorded at rest with eyes open and eyes closed to obtain baseline measures of alpha power as a proxy for attention and control under conditions of drug and placebo.

  • Go/No-Go TaskBehavioural

    A Go/No-Go task will be implemented in the study design to investigate the functional properties of spatial selective attention and response inhibition. An adapted cued Go/No-Go paradigm from Randall \& Smith (2011) will be employed.

  • Processing SpeedBehavioural

    A speeded button response task will be included to measure participants' general processing speed. In this task, participants will be instructed to respond to a simple shape presented in the centre of the screen as fast and accurately as possible through pressing a corresponding button.

  • Operation SpanBehavioural

    In the operation span task, participants are instructed to solve math operations (e.g., (1*2) +1=?) as soon as possible and then remember a single letter. This to-be-remembered letter is followed by either another math-word combination or a recall screen, which will show up at the end of each set. When the recall screen is presented, participants have to recall all the letters in the correct order they were presented. The experimental trials contain three sets at each set size (i.e., the number of math-word pairs), with set sizes ranging from 3 to 7 items. This results in a total of 75 sets with 75 letters and 75 math problems. The order of set sizes is random for each participant. Participants' operation span will be evaluated by the total number of letters recalled in the correct serial position regardless of whether the entire trial was recalled correctly.

  • Reading SpanBehavioural

    Participants are instructed to judge whether a presented sentence makes sense or not. After each sentence, a to-be-remembered letter will be shown on the screen, which is followed by either another sentence-word combination or the final recall screen. The set size ranges from 3 to 7 items. At the end of each set of sentences, participants will be required to recall all the letters in the current set in order. There will be a total of 75 letters and 75 sentence judgements. The order of the set sizes will be at random for each participant. Participants' performance will be evaluated by calculating the total number of correctly recalled letter sets.

  • Barratt Impulsiveness ScaleBehavioural

    The Barratt impulsiveness scale (BIS-11) will be used in the experiment to measure participants' trait impulsivity. Participants will be required to rate themselves on 30 items that are related to attention, motor, self-control, cognitive complexity, perseverance, and cognitive instability impulsiveness.

Study groups in NCT05272397
Study groupRoleWhat they receive
Drug SessionActive comparatorIn this arm of the study participants receive the drug (Methylphenidate - 20mg), administered prior to completion of the primary and secondary tasks for the study. Electroencephalography (EEG) is measured for the duration of the primary and secondary tasks. Participants complete both arms of the study, and the order in which participants are assigned to this and the other arm of the study is randomized.
Receives: Drug: Methylphenidate 20 Mg Oral Tablet; Behavioral: Language Task; Behavioral: Rest Recording; Behavioral: Go/No-Go Task; Behavioral: Processing Speed
Placebo SessionPlacebo comparatorIn this arm of the study participants receive the a placebo, administered prior to completion of the primary and secondary tasks for the study. Electroencephalography (EEG) is measured for the duration of the primary and secondary tasks. Participants complete both arms of the study, and the order in which participants are assigned to this and the other arm of the study is randomized.
Receives: Drug: Placebo; Behavioral: Language Task; Behavioral: Rest Recording; Behavioral: Go/No-Go Task; Behavioral: Processing Speed
Intake SessionOtherIn this arm of the study participants are screened for suitability to participate in the experiment based on specified inclusion and exclusion criteria. They also complete some baseline tasks to assess working memory capacity, impulsiveness, and subjective mood.
Receives: Behavioral: Operation Span; Behavioral: Reading Span; Behavioral: Barratt Impulsiveness Scale

What is being measured

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

  1. Language Task ERP Drug Session

    This measure will assess the P600 ERP effect (amplitude difference between correct and syntactic ambiguity conditions) just after the target word in the sentences being read.

    Measured: First or second testing session depending on which session corresponds to the session where the drug was administered.

  2. Language Task ERP Placebo Session

    This measure will assess the P600 ERP effect (amplitude difference between correct and syntactic ambiguity conditions) just after the target word in the sentences being read.

    Measured: First or second testing session depending on which session corresponds to the session where the placebo was administered.

  3. Language Task Alpha Power Drug Session

    This measure will assess the alpha power effect (relative power difference between high and low sentence constraint conditions in the alpha frequency band, 8-12 Hz) just before the target word in the sentences being read.

    Measured: First or second testing session depending on which session corresponds to the session where the drug was administered.

  4. Language Task Alpha Power Placebo Session

    This measure will assess the alpha power effect (relative power difference between high and low sentence constraint conditions in the alpha frequency band, 8-12 Hz) just before the target word in the sentences being read.

    Measured: First or second testing session depending on which session corresponds to the session where the placebo was administered.

Secondary outcomes (4)
  1. Default Mode Alpha Power Drug Session

    This measure will assess alpha power (8-12 Hz) at rest (relative difference between alpha power measured over the duration of the eyes open to that measured over the duration of the eyes closed recordings).

    Measured: First or second testing session depending on which session corresponds to the session where the placebo was administered.

  2. Default Mode Alpha Power Placebo Session

    This measure will assess alpha power (8-12 Hz) at rest (relative difference between alpha power measured over the duration of the eyes open to that measured over the duration of the eyes closed recordings).

    Measured: First or second testing session depending on which session corresponds to the session where the placebo was administered.

  3. Go-NoGo Task Alpha Power Drug Session

    This measure will assess alpha power (8-12 Hz) at response and no-response cues to obtain a measure of attentional control.

    Measured: First or second testing session depending on which session corresponds to the session where the placebo was administered.

  4. Go-NoGo Task Alpha Power Placebo Session

    This measure will assess alpha power (8-12 Hz) at response and no-response cues to obtain a measure of attentional control.

    Measured: First or second testing session depending on which session corresponds to the session where the placebo was administered.

Timeline

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

  1. First posted9 Mar 2022
  2. Study start26 Nov 2019
  3. Primary completion2 Dec 2021
  4. Study completion2 Dec 2021

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
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
36 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05272397
Sponsor's protocol ID
NL69700.091.19
Acronym
LCCMPH
Status last verified
Feb 2022
First submitted
7 Feb 2022
Last updated
1 Apr 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Methylphenidate 20 Mg Oral Tablet, Language Task and Rest Recording in people with Language and Methylphenidate of Undetermined Intent, run by Donders Centre for Cognitive Neuroimaging at 1 site in Netherlands.

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 2 inclusion and 28 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 1 Apr 2022. 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 Netherlands. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Language Task ERP Drug Session (time frame: First or second testing session depending on which session corresponds to the session where the drug was administered.). 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 1 Apr 2022.

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