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AphasiaNCT07460037

Chinese-Specific Speech Imagery Coding Using High-Density ECoG

A study testing Intraoperative high-density ECoG recording and Permanent high-density ECoG implantation in people with Aphasia and Dysarthria, run by Second Affiliated Hospital, Zhejiang University, School of Medicine at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this study is to investigate whether high-density electrocorticography (ECoG) signals recorded from the surface of the brain can be used to decode neural representations of Mandarin Chinese speech features, including lexical tone, without requiring overt speech movements. Read more about this study

Who is it for?
Ages 20 to 80 years
Conditions the study is for
Aphasia, Dysarthria, ALS
What is being tested?
Intraoperative high-density ECoG recording and Permanent high-density ECoG implantation
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
1 siteChina
Study dates
15 Mar 2026to 31 Dec 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

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 20 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age between 20 and 80 years.
  • Ability and willingness to provide informed consent and comply with study procedures.
  • No severe preoperative emotional or consciousness disorders that would preclude participation in experimental tasks.
  • For patients undergoing intraoperative temporary high-density ECoG coverage: Patients with cerebral eloquent-area gliomas or refractory epilepsy undergoing awake craniotomy as part of standard clinical management.
  • For patients undergoing intraoperative temporary high-density ECoG coverage: Lesions involving or adjacent to eloquent brain areas including language, motor, or memory-related regions.
  • For patients undergoing intraoperative temporary high-density ECoG coverage: Mild mass effect without severe intracranial hypertension.
Show all 11Show fewer
  • For patients undergoing intraoperative temporary high-density ECoG coverage: Preoperative language function largely preserved, with naming, reading, and language comprehension ≥80% of normal performance.
  • For patients undergoing permanent high-density ECoG implantation: Severe speech or language dysfunction caused by stroke, brain tumors, amyotrophic lateral sclerosis (ALS), or locked-in syndrome.
  • For patients undergoing permanent high-density ECoG implantation: No substantial improvement after 3-6 months of adequate rehabilitation and disease duration >12 months.
  • For patients undergoing permanent high-density ECoG implantation: Structural integrity of speech imagery-related cortices (ventral central lobule, supramarginal gyrus, superior temporal gyrus, middle temporal gyrus, middle frontal gyrus, and inferior frontal gyrus).
  • For patients undergoing permanent high-density ECoG implantation: Diagnosis of severe dysarthria or severe motor aphasia, with spontaneous speech score <5/20 on the Aphasia Battery of Chinese (ABC) and auditory comprehension ≥80% of normal levels.

Who cannot join

  • Significant mass effect with severe intracranial hypertension precluding awake craniotomy or electrode implantation.
  • Severe neurological dysfunction that would prevent participation in study procedures (except for speech or language impairment in the permanent implantation cohort).
  • Contraindications to MRI scanning or awake craniotomy, including incompatible implanted medical devices, severe claustrophobia, or obstructive sleep apnea syndrome.
  • Severe psychiatric disorders or cognitive impairment preventing participation in treatment or follow-up assessments (Mini-Mental State Examination score <24).
  • Severe systemic medical comorbidities.
  • Pregnancy or lactation.
  • Refusal or inability to provide informed consent.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Feng Yan, MD, PhD contact

+86 19032580606

yan.feng7@163.com

Zehao Zhao, Md, PhD contact

+86 17816872380

zhaozehaox@163.com

China1 site, 1 recruiting
  • The Second Affiliated Hospital, Zhejiang University School of Medicine

    Hangzhou, Zhejiang, 310009

    Feng Yan, MD, PhD, +86 19032580606, yan.feng7@163.com

    Recruiting

Other trials in China

About this study

Official title: Investigation of Chinese-Specific Speech Imagery Encoding and Decoding Using High-Density Electrocorticography

The goal of this study is to investigate whether high-density electrocorticography (ECoG) signals recorded from the surface of the brain can be used to decode neural representations of Mandarin Chinese speech features, including lexical tone, without requiring overt speech movements. The study focuses on the development and evaluation of decoding algorithms based on neural activity recorded during clinically indicated neurosurgical procedures.

The main questions it aims to answer are:

Read more

Can high-density ECoG signals be decoded to reconstruct neural representations of Mandarin Chinese speech features, particularly lexical tone?

Can neural activity recorded during silent auditory speech imagery be decoded to reconstruct tone-specific speech representations without actual articulation?

The study includes two groups of adult patients with neurological conditions who require cortical electrode placement as part of clinically indicated care:

A intraoperative high-density ECoG temporary coverage group, enrolling approximately 50 patients with functional-area glioma or drug-resistant epilepsy who undergo awake neurosurgery with temporary high-density ECoG coverage for clinical functional mapping.

A permanent high-density ECoG implantation group, enrolling approximately 10 patients with severe speech or language impairment caused by neurological conditions such as stroke, brain tumors, amyotrophic lateral sclerosis (ALS), or locked-in syndrome, who receive permanent high-density cortical electrode implantation for long-term monitoring.

Participants will:

Complete preoperative clinical assessments as part of standard medical care, including brain imaging, language function evaluation, and routine neurological assessments

Undergo clinically indicated awake neurosurgical procedures during which high-density ECoG electrodes are placed on the cortical surface for clinical functional localization

Perform language-related tasks, such as listening to speech, imagining speech, and limited spoken responses, while brain electrical activity is recorded for approximately 20-30 minutes during surgery, without altering standard surgical procedures

For participants in the permanent implantation group, participate in long-term follow-up visits approximately every 2 weeks or monthly for up to 12 months after surgery, including evaluation of signal quality and research-related analysis and optimization of decoding algorithms

All surgical procedures involving temporary or permanent electrode placement are performed for clinical indications and have been approved through institutional ethical and scientific review. Participation in this study does not alter standard clinical care for the temporary recording group and does not require additional clinical procedures beyond routine treatment.

This research aims to support the long-term development of silent brain-to-speech communication technologies for individuals with severe speech or motor impairments and to improve understanding of how frontal, parietal, and temporal brain regions represent imagined speech in tonal languages such as Mandarin Chinese.

Being tested
Intraoperative high-density ECoG recording, Permanent high-density ECoG implantation
Keywords
speech imagery, speech production, Chinese Mandarin, neural encoding, speech decoding
Medical subject headings
Aphasia, Dysarthria, Speech, Language Disorders, Stroke, Epilepsy, Locked-In Syndrome

What participants receive

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

  • Intraoperative high-density ECoG recordingProcedure or surgery

    Electrode implantation is performed via neurosurgical awake craniotomy. Following intraoperative awakening, direct cortical electrical stimulation is applied to localize language functional areas while the subject performs language tasks. Subsequently, high-density electrocorticography is employed to record neural electrical activity. For the temporary coverage group, this enables precise localization of language functional areas; for the permanent implantation group, this facilitates determination of optimal electrode implantation sites.

  • Permanent high-density ECoG implantationProcedure or surgery

    In the permanent implantation group, subjects demonstrating satisfactory intraoperative electrode signals who voluntarily consent to permanent electrode implantation will undergo permanent electrode placement and long-term follow-up.

    Postoperative follow-up is conducted biweekly or monthly, encompassing: signal quality assessment, analysis of neural encoding mechanisms during speech imagery, and calibration of brain-computer interface decoding algorithms. The trial duration for each subject is approximately 13 months.

Study groups in NCT07460037
Study groupRoleWhat they receive
Intraoperative high-density ECoG temporary coverageExperimentalApproximately 50 patients with cerebral eloquent area gliomas or refractory epilepsy will be enrolled. All enrolled patients will undergo awake craniotomy as part of their routine tumor treatment. ① Age between 20 and 80 years; ② Patients with cerebral eloquent area gliomas or refractory epilepsy, with lesions involving or adjacent to eloquent brain areas including language, motor, and memory critical regions; ③ Mild mass effect; ④ No severe language, emotional, or consciousness disorders preoperatively; preoperative language function assessments including naming, reading, and language comprehension abilities must reach 80% of normal levels; ⑤ Informed consent; subjects must demonstrate good willingness and capacity for cooperation.
Receives: Procedure: Intraoperative high-density ECoG recording
Permanent high-density ECoG implantationExperimentalApproximately 10 patients with speech or language dysfunction resulting from stroke, brain tumors, amyotrophic lateral sclerosis (ALS), or locked-in syndrome will be enrolled. ① Age between 20 and 80 years; ② Speech or language dysfunction caused by stroke, brain tumors, ALS, or locked-in syndrome, with no substantial improvement after 3-6 months of adequate rehabilitation training and disease duration >12 months; ③ Speech imagery-related cortices (ventral central lobule, supramarginal gyrus, superior temporal gyrus, middle temporal gyrus, middle frontal gyrus, and inferior frontal gyrus) essentially intact; ④ No emotional or consciousness disorders preoperatively; preoperative language assessment diagnosis of severe dysarthria or severe motor aphasia (Aphasia Battery of Chinese, ABC spontaneous speech score <5/20), with auditory comprehension reaching >80% of normal levels; ⑤ Informed consent; subjects must demonstrate good willingness and capacity for cooperation.
Receives: Procedure: Intraoperative high-density ECoG recording; Procedure: Permanent high-density ECoG implantation

What is being measured

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

  1. Electrode Signal Quality Assessment

    Electrode reliability over time is evaluated through electrode impedance, signal-to-noise ratio (SNR), and responsive channel proportion. Low electrode impedance, high SNR, and high responsive channel proportion indicate good signal quality reliability of the device.

    Measured: through study completion, an average of 2 years

  2. Decoding Classification Accuracy

    The proportion of correctly classified targets by the decoding model is evaluated for recognition categories (e.g., syllables, words, or sentences).

    Measured: through study completion, an average of 2 years

Secondary outcomes (1)
  1. Encoding Model Analysis

    An L2-regularized time-receptive-field (TRF) model (time window: -400 to 400 ms) with parallel five-fold cross-validation is employed to calculate the coefficient of determination (R²) between neural signals and AKT, phonemic features, and Mel-spectrogram, respectively, enabling comprehensive evaluation of the encoding capacity of fronto-parieto-temporal neurons for articulatory and acoustic features.

    Measured: through study completion, an average of 2 years

Timeline

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

  1. First posted10 Mar 2026
  2. Study start15 Mar 2026 (estimated)
  3. Primary completion31 Dec 2028 (estimated)
  4. Study completion31 Dec 2028 (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
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07460037
Sponsor's protocol ID
2025-1259
Status last verified
Feb 2026
First submitted
4 Mar 2026
Last updated
10 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The human patient data relevant to this study are accessible under restricted access according to our IRB protocol.

Publications

  • Metzger SL, Littlejohn KT, Silva AB, Moses DA, Seaton MP, Wang R, Dougherty ME, Liu JR, Wu P, Berger MA, Zhuravleva I, Tu-Chan A, Ganguly K, Anumanchipalli GK, Chang EF. A high-performance neuroprosthesis for speech decoding and avatar control. Nature. 2023 Aug;620(7976):1037-1046. doi: 10.1038/s41586-023-06443-4. Epub 2023 Aug 23.

    PubMed 37612505
  • Lu J, Li Y, Zhao Z, Liu Y, Zhu Y, Mao Y, Wu J, Chang EF. Neural control of lexical tone production in human laryngeal motor cortex. Nat Commun. 2023 Oct 30;14(1):6917. doi: 10.1038/s41467-023-42175-9.

    PubMed 37903780
  • Liu Y, Zhao Z, Xu M, Yu H, Zhu Y, Zhang J, Bu L, Zhang X, Lu J, Li Y, Ming D, Wu J. Decoding and synthesizing tonal language speech from brain activity. Sci Adv. 2023 Jun 9;9(23):eadh0478. doi: 10.1126/sciadv.adh0478. Epub 2023 Jun 9.

    PubMed 37294753

Questions about this trial

What is this clinical trial studying?

A study testing Intraoperative high-density ECoG recording and Permanent high-density ECoG implantation in people with Aphasia and Dysarthria, run by Second Affiliated Hospital, Zhejiang University, School of Medicine at 1 site in China.

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 11 inclusion and 7 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: looking for participants now, as of the sponsor's last update on 10 Mar 2026. 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 China. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Feng Yan, MD, PhD (+86 19032580606, yan.feng7@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Electrode Signal Quality Assessment (time frame: through study completion, an average of 2 years). The study lists 2 primary outcomes in all. 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 NCT07460037, which also lists 3 linked publications.

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 10 Mar 2026.

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