NCT05945628

Brief Summary

This project tests the role of the human hippocampus in providing online representation of episodic content and providing the top-down signals to brain networks for visuospatial attention and visual processing needed to drive visual sampling for the formation of coherent episodic memories. This hypothesis will be tested in several experiments that measure and manipulate hippocampal activity within eye-tracking tasks designed to isolate the interplay between memory and visual sampling during memory formation. These experiments will be performed in individuals with epilepsy undergoing neurosurgical procedures as part of clinical care, as this provides invasive recordings of neural activity (intracranial electroencephalography, or "iEEG") from the hippocampus and other regions of interest with temporal resolution that matches the rapid pace of eye movements. The temporal resolution of iEEG is key to addressing the hypotheses concerning how the hippocampus drives visual sampling, in addition to responding to it. Direct electrical stimulation through the iEEG electrodes will also be used to test the necessary role of hippocampal processing in driving active visual sampling. By rigorously testing the role of hippocampus in interaction with large-scale networks during the process of memory formation that occurs via active sampling, this project aims to better understand mechanisms relevant to the disruptions of memory formation that occur in neurological and psychiatric disorders.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
66

participants targeted

Target at P50-P75 for not_applicable

Timeline
14mo left

Started Jan 2023

Longer than P75 for not_applicable

Geographic Reach
1 country

2 active sites

Status
enrolling by invitation

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

Study Progress74%
Jan 2023Jun 2027

Study Start

First participant enrolled

January 16, 2023

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

June 27, 2023

Completed
17 days until next milestone

First Posted

Study publicly available on registry

July 14, 2023

Completed
3.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2027

Expected
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2027

Last Updated

July 8, 2025

Status Verified

June 1, 2025

Enrollment Period

4.3 years

First QC Date

June 27, 2023

Last Update Submit

July 2, 2025

Conditions

Outcome Measures

Primary Outcomes (2)

  • iEEG theta band power

    iEEG is used to measure slow and fast theta power

    Outcome assessed 5 minutes after intervention

  • iEEG phase synchrony to eye movement

    iEEG is used to measure phase synchronization of theta to eye movements

    Outcome assessed 5 minutes after intervention

Secondary Outcomes (2)

  • Eye movements

    Outcome assessed 5 minutes after intervention

  • Memory task performance

    Outcome assessed 5 minutes after intervention

Study Arms (6)

Experiment 1

EXPERIMENTAL

Subjects with iEEG electrodes implanted will perform an eye-tracking memory task in which they view pictures of naturalistic scenes and later undergo memory testing for these scene pictures. For the memory test, studied scenes will be repeated and presented along with novel (foil) scenes. Subjects will attempt to discriminate studied from novel scenes using button press responses. Eye movements will be remotely (noninvasively) tracked using a camera during both study and test. This memory task will take about 1.5 hours to complete. 20 subjects undergoing iEEG recordings as part of epilepsy treatment will be assigned to this study experiment condition.

Behavioral: Different cognitive and memory demands during the memory experiment

Experiment 2

EXPERIMENTAL

Subjects with iEEG electrodes implanted will perform an eye-tracking memory task in which they view arrays of everyday objects arranged as a grid and later undergo memory testing for these object image arrays. Half of the object-image arrays are studied actively (subjects view objects in any order they wish) and half are studied passively (viewing patterns are predetermined and subjects must follow along). For the memory test, subjects attempt to pick studied objects from among novel (foil) objects and replace them at studied locations using the computer mouse. Eye movements will be remotely (noninvasively) tracked using a camera during the study phases. This memory task will take about 1.5 hours to complete. 20 subjects undergoing iEEG recordings as part of epilepsy treatment will be assigned to this study experiment condition.

Behavioral: Different cognitive and memory demands during the memory experiment

Experiment 3

EXPERIMENTAL

The same 20 subjects with iEEG electrodes implanted who perform Study Experiment Condition 2 will perform the same eye-tracking memory task described for Study Experiment Condition 1. For these subjects, high-frequency electrical stimulation will be delivered through the iEEG electrodes on a subset of study trials, with half of stimulated trials receiving stimulation of the hippocampus and the other half receiving stimulation of the amygdala. This memory task will take about 1.5 hours to complete and will be performed on a different day of their inpatient visit than the procedures for Study Experiment Condition 2.

Behavioral: Different cognitive and memory demands during the memory experimentOther: Different electrical stimulation parameters during cognitive and memory demands

Experiment 4

EXPERIMENTAL

The same 20 subjects with iEEG electrodes implanted who perform Study Experiment Condition 1 will perform the same eye-tracking memory task described for Study Experiment Condition 2. For these subjects, high-frequency electrical stimulation will be delivered through the iEEG electrodes on a subset of study trials, with half of stimulated trials receiving stimulation of the hippocampus and the other half receiving stimulation of the amygdala. This memory task will take about 1.5 hours to complete and will be performed on a different day of their inpatient visit than the procedures for Study Experiment Condition 1.

Behavioral: Different cognitive and memory demands during the memory experimentOther: Different electrical stimulation parameters during cognitive and memory demands

Experiment 5

EXPERIMENTAL

Subjects with iEEG electrodes implanted will perform the same eye-tracking memory task as described for Study Experiment Condition 1. This is a different group of iEEG subjects selected based on having iEEG electrodes implanted in the hippocampus as well as in at least one location of the Dorsal Attention Network (DAN), which is a region of interest for the experiment condition. 20 subjects undergoing iEEG recordings as part of epilepsy treatment will be assigned to this study experiment condition.

Behavioral: Different cognitive and memory demands during the memory experiment

Experiment 6

EXPERIMENTAL

The same group of 20 iEEG subjects that are included in Study Experiment Condition 5 will perform the same eye-tracking memory task as described for Study Experiment Condition 2. This experiment condition will be performed on a different day of the inpatient visit than participation in Study Experiment Condition 5.

Behavioral: Different cognitive and memory demands during the memory experiment

Interventions

Study conditions will involve attempting to memorize visual scenes, attempting to memorize arrays of visual objects, viewing in a self-directed manner, viewing in a passive other-directed manner, and making memory judgments about whether stimuli are studied versus novel.

Experiment 1Experiment 2Experiment 3Experiment 4Experiment 5Experiment 6

Study conditions will involve different parameters for electrical stimulation delivered through iEEG electrodes, including the presence of stimulation (no stimulation versus stimulation) and the location of stimulation (hippocampus versus amygdala).

Experiment 3Experiment 4

Eligibility Criteria

Age18 Years - 45 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Age 18+ years old
  • Native English speakers.
  • Normal or corrected-to-normal near and far vision.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Northwestern Memorial Hospital

Chicago, Illinois, 60611, United States

Location

University of Chicago Medical Center

Chicago, Illinois, 60637, United States

Location

Study Officials

  • Joel Voss, PhD

    University of Chicago

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 27, 2023

First Posted

July 14, 2023

Study Start

January 16, 2023

Primary Completion (Estimated)

April 30, 2027

Study Completion (Estimated)

June 30, 2027

Last Updated

July 8, 2025

Record last verified: 2025-06

Data Sharing

IPD Sharing
Will share

Individual participant data will be shared through the National Institute of Mental Health (NIMH) Data Archive

Shared Documents
SAP, ANALYTIC CODE
Time Frame
Data will become available starting July 2023
Access Criteria
Individuals with an NIMH Data Archive account may request access to the de-identified data

Locations