NCT04036630

Brief Summary

This study contributes to fundamental research investigating the role of the articulatory-motor integration and cerebro-acoustic coherence in speech comprehension. In a series of experiments non-invasive brain stimulation (NIBS) techniques including transcranial electric stimulation with alternating current waveforms (tACS) and transcranial magnetic stimulation (TMS) will be applied to the left ventral motor cortex (vMC) to test the contribution of this area to speech comprehension under challenging listening situations. As long as the exclusion criteria for TMS and tACS are strictly considered, only very minimal risks and no long-term effects are expected. There are no known risks associated with NIBS and pregnancy; however, since risks cannot be completely excluded, pregnant women will be excluded from participation. If a female participant is uncertain whether she is pregnant, she will be provided with a pregnancy test at no cost.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
190

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Dec 2020

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 15, 2019

Completed
15 days until next milestone

First Posted

Study publicly available on registry

July 30, 2019

Completed
1.3 years until next milestone

Study Start

First participant enrolled

December 1, 2020

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 28, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2024

Completed
Last Updated

November 22, 2022

Status Verified

November 1, 2022

Enrollment Period

3.2 years

First QC Date

July 15, 2019

Last Update Submit

November 21, 2022

Conditions

Outcome Measures

Primary Outcomes (6)

  • articulatory motor-evoked potential (aMEP) amplitude (Experiment 1) - time point 1

    The comparison of articulatory motor-evoked potential (aMEP) amplitude after tACS and sham stimulation

    online (during tACS intervention)

  • articulatory motor-evoked potential (aMEP) amplitude (Experiment 1) - time point 2

    The comparison of articulatory motor-evoked potential (aMEP) amplitude after tACS and sham stimulation

    5min after tACS

  • articulatory motor-evoked potential (aMEP) amplitude (Experiment 1) - time point 3

    The comparison of articulatory motor-evoked potential (aMEP) amplitude after tACS and sham stimulation

    55min after (tACS)

  • degraded speech comprehension (Experiment 2)

    Subjects will listen and transcribe noise-vocoded sentence according to their subjective intelligibility levels (75% (easy), 50% (medium) and 25% (difficult)) assessed prior to the expermental manipulation Comparison of degraded speech comprehension following tACS over the left ventral motor cortex (vMC) with performance following sham stimulation over the same region.

    right after tACS or sham stimulation (cross-over design)

  • degraded speech comprehension (Experiment 3)

    Subjects will listen and transcribe noise-vocoded sentence according to their subjective intelligibility levels (75% (easy), 50% (medium) and 25% (difficult)) assessed prior to the expermental manipulation Comparison of degraded speech comprehension following tACS over the left ventral motor cortex (vMC) with performance following sham stimulation over the same region.

    20min after tACS or sham stimulation (between-group design), following a training of degraded speech comprehension

  • degraded speech comprehension (Experiment 4)

    Subjects will listen and transcribe noise-vocoded sentence according to their subjective intelligibility levels (75% (easy), 50% (medium) and 25% (difficult)) assessed prior to the expermental manipulation The comparison of degraded speech comprehension between concomitant low-frequency (theta-band) speech envelope-shaped tACS (env-tACS), reversed env-tACS, and sham stimulation over left ventral motor cortex

    during env-tACS or sham stimulation (online)

Secondary Outcomes (9)

  • syllable discrimination ability (Experiment 1) - time point 1

    before tACS or sham stimulation (cross-over design)

  • syllable discrimination ability (Experiment 1) - time point 2

    5min after tACS or sham stimulation (cross-over design)

  • speech degradation level (Experiment 2)

    right after tACS or sham stimulation (cross-over design)

  • age group dependent tACS modulation (Experiment 2)

    right after tACS or sham stimulation (cross-over design)

  • speech degradation level (Experiment 3)

    20min after tACS or sham stimulation, following a training of degraded speech comprehension

  • +4 more secondary outcomes

Study Arms (9)

2kHz tACS (Experiment 1)

EXPERIMENTAL

The subjects in this arm will undertake 20min tACS stimulation applied over the left ventral motor cortex.

Device: Transcranial alternating current stimulation (tACS)Device: Transcranial magnetic stimulation (TMS) induced motor-evoked potentials (MEPs)

sham tACS (Experiment 1)

SHAM COMPARATOR

The subjects in this arm will undertake 20min tACS stimulation applied over the left ventral motor cortex.

Device: Transcranial alternating current stimulation (tACS)Device: Transcranial magnetic stimulation (TMS) induced motor-evoked potentials (MEPs)

2kHz tACS (Experiment 2)

EXPERIMENTAL

The subjects in this arm will undertake 20min tACS stimulation applied over the left ventral motor cortex.

Device: Transcranial alternating current stimulation (tACS)

sham tACS (Experiment 2)

SHAM COMPARATOR

The subjects in this arm will undertake 20min tACS stimulation applied over the left ventral motor cortex.

Device: Transcranial alternating current stimulation (tACS)

2kHz tACS (Experiment 3)

EXPERIMENTAL

The subjects in this arm will undertake 20min tACS stimulation applied over the left ventral motor cortex.

Device: Transcranial alternating current stimulation (tACS)

sham tACS (Experiment 3)

SHAM COMPARATOR

The subjects in this arm will undertake 20min tACS stimulation applied over the left ventral motor cortex.

Device: Transcranial alternating current stimulation (tACS)

env tACS (Experiment 4)

EXPERIMENTAL

The subjects in this arm will undertake 20min tACS stimulation applied over the left ventral motor cortex.

Device: Transcranial alternating current stimulation (tACS)

time-reversed env-tACS (Experiment 4)

ACTIVE COMPARATOR

The subjects in this arm will undertake 20min tACS stimulation applied over the left ventral motor cortex.

Device: Transcranial alternating current stimulation (tACS)

sham tACS (Experiment 4)

SHAM COMPARATOR

The subjects in this arm will undertake 20min tACS stimulation applied over the left ventral motor cortex.

Device: Transcranial alternating current stimulation (tACS)

Interventions

The main study intervention is tACS stimulation. TACS is a non-invasive brain stimulation (NIBS) techniques that belong to the class of low current transcranial electric stimulation. In contrast to the better known transcranial direct current stimulation (tDCS), the tACS current is not constant, but alternates with a certain frequency. The aim of the tACS stimulation is to enhance degraded speech comprehension in healthy individuals. TACS stimulation will be applied over the left ventral motor cortex, with a current intensity of 2mA (peak-to-peak) The arm will be compared to the tACS sham stimulation condition.

2kHz tACS (Experiment 1)2kHz tACS (Experiment 2)2kHz tACS (Experiment 3)env tACS (Experiment 4)sham tACS (Experiment 1)sham tACS (Experiment 2)sham tACS (Experiment 3)sham tACS (Experiment 4)time-reversed env-tACS (Experiment 4)

TMS is a technique where a transient magnetic field (or "pulse") is used to cause an electric current to flow in a targeted brain area via electromagnetic induction. The pulse causes the rapid and above-threshold depolarisation of cell membranes affected by the current. Therefore, TMS induces a current that elicits action potentials in neurons. MEPs are electrical potentials recorded from a target muscle after TMS stimulation. In experiment 1, so-called articulatory MEPs will be recorded from participants' lip muscle (orbicularis oris). Articulatory MEPs will be recorded by placing two recording electrodes on the right part of orbicularis oris and a reference electrode on the right temple.

2kHz tACS (Experiment 1)sham tACS (Experiment 1)

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Written informed consent by the participant
  • Age: 18-35 / 65+
  • Normal (or corrected to normal) vision
  • German as a first language
  • Right-handed

You may not qualify if:

  • hearing loss
  • Raised bi- or multilingual
  • Women who are currently pregnant or breastfeeding
  • Known or suspected drug or alcohol abuse
  • History of brain injury or any neurological disorder (y/n)
  • For example, stroke, traumatic brain injury, brain surgery, epilepsy etc.
  • Dyslexia
  • History of psychiatric disorder
  • Recent drug consumption
  • Medication with cognitive side effects (e.g. psychoactive medications or sleeping pills)
  • Metallic implants in the head region (excluding fixed braces and tooth fillings)
  • Any implanted medical device (e.g. cardiac pacemakers)
  • previous enrolment in one of the experiments comprising the main investigational plan

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of Psychology, University of Zurich

Zurich, 8050, Switzerland

RECRUITING

MeSH Terms

Interventions

Transcranial Direct Current StimulationTranscranial Magnetic Stimulation

Intervention Hierarchy (Ancestors)

Electric Stimulation TherapyTherapeuticsConvulsive TherapyPsychiatric Somatic TherapiesBehavioral Disciplines and ActivitiesElectroshockPsychological TechniquesMagnetic Field Therapy

Study Officials

  • Alexis Hervais-Adelman, Prof. Dr.

    University of Zurich, Institute for Psychology

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
single-blind
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Model Details: The current study includes 4 different experiments (i.e., arms) including different experimental designs. See separate design description for each arm of the study
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 15, 2019

First Posted

July 30, 2019

Study Start

December 1, 2020

Primary Completion

February 28, 2024

Study Completion

February 28, 2024

Last Updated

November 22, 2022

Record last verified: 2022-11

Data Sharing

IPD Sharing
Will share

We intend to share the raw data of the included participants and the analysis code

Shared Documents
ANALYTIC CODE
Time Frame
after the project is completed
Access Criteria
upon personal request

Locations