- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06809387
Investigating the SMA's Role in Speech and Reading Fluency in PWS with RTMS
Investigating the Supplementary Motor Area Role in Speech and Reading Fluency in PWS with RTMS
The goal of this clinical trial is to study how a part of the brain called the supplementary motor area (SMA) is connected to speech and reading fluency in adults who stutter. Researchers will use a method called repetitive transcranial magnetic stimulation (rTMS) to learn more about this relationship. The main question it aims to answer is:
-Will participants' speech and reading fluency improve when we stimulate the SMA with rTMS?
Participants will take part in both placebo rTMS and real rTMS sessions.
Participants will:
- Come to the research center for 2 days, with at least a one-week break between visits
- Read 4 passages and speak on 4 topics
- Be video recorded while doing these tasks
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
-
İstanbul, Turkey
- İstanbul Medipol Üniversitesi Dil, Konuşma ve Yutma Terapisi ve Yenilikçi Teknolojiler Merkezi (MEDKOM)
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- To be over 18 years of age
- Presence of developmental stuttering
- Being right hand dominant
Exclusion Criteria:
- Being under 18 years of age
- The presence of a diagnosed brain lesion
- Presence of intracranial metal implantation
- Presence of a speech and language problem other than stuttering
- The presence of a diagnosed neurological disorder
- The presence of a diagnosed psychiatric disorder
- Use of drugs and substances that may affect the central nervous system
- History of epilepsy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Non-Randomized
- Interventional Model: Crossover Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Real rTMS
Participants will be included in the real rTMS.
Participants will perform speech and reading tasks before and after stimulation.
|
Participants will be included in the real and sham rTMS.
Participants will perform speech and reading tasks before and after stimulation.
|
|
Placebo Comparator: Sham rTMS
Participants will be included in the sham rTMS.
Participants will perform speech and reading tasks before and after stimulation.
|
Participants will be included in the real and sham rTMS.
Participants will perform speech and reading tasks before and after stimulation.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Severity of stuttering in speech and reading Day 1 (pre-treatment)
Time Frame: Immediately before the treatment (Day 1)
|
Stuttering severity will be calculated on video recordings taken during speaking and reading tasks.
Stuttering Severity Instrument - 4th Edition (SSI-4) scale will be used for this.
|
Immediately before the treatment (Day 1)
|
|
Severity of stuttering in speech and reading Day 1 (post-treatment)
Time Frame: Immediately after the treatment (Day 1)
|
Stuttering severity will be calculated on video recordings taken during speaking and reading tasks.
Stuttering Severity Instrument - 4th Edition (SSI-4) scale will be used for this.
|
Immediately after the treatment (Day 1)
|
|
Severity of stuttering in speech and reading Day 2 (pre-treatment)
Time Frame: Immediately before the treatment (Day 2)
|
Stuttering severity will be calculated on video recordings taken during speaking and reading tasks.
Stuttering Severity Instrument - 4th Edition (SSI-4) scale will be used for this.
|
Immediately before the treatment (Day 2)
|
|
Severity of stuttering in speech and reading Day 2 (post-treatment)
Time Frame: Immediately after the treatment (Day 2)
|
Stuttering severity will be calculated on video recordings taken during speaking and reading tasks.
Stuttering Severity Instrument - 4th Edition (SSI-4) scale will be used for this.
|
Immediately after the treatment (Day 2)
|
Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Rossi S, Hallett M, Rossini PM, Pascual-Leone A; Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clin Neurophysiol. 2009 Dec;120(12):2008-2039. doi: 10.1016/j.clinph.2009.08.016. Epub 2009 Oct 14.
- Wassermann EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalogr Clin Neurophysiol. 1998 Jan;108(1):1-16. doi: 10.1016/s0168-5597(97)00096-8.
- Tezel-Bayraktaroglu O, Bayraktaroglu Z, Demirtas-Tatlidede A, Demiralp T, Oge AE. Neuronavigated rTMS inhibition of right pars triangularis anterior in stuttering: Differential effects on reading and speaking. Brain Lang. 2020 Nov;210:104862. doi: 10.1016/j.bandl.2020.104862. Epub 2020 Sep 23.
- Neef NE, Anwander A, Friederici AD. The Neurobiological Grounding of Persistent Stuttering: from Structure to Function. Curr Neurol Neurosci Rep. 2015 Sep;15(9):63. doi: 10.1007/s11910-015-0579-4.
- Etchell AC, Civier O, Ballard KJ, Sowman PF. A systematic literature review of neuroimaging research on developmental stuttering between 1995 and 2016. J Fluency Disord. 2018 Mar;55:6-45. doi: 10.1016/j.jfludis.2017.03.007. Epub 2017 Mar 12.
- Busan P, Del Ben G, Russo LR, Bernardini S, Natarelli G, Arcara G, Manganotti P, Battaglini PP. Stuttering as a matter of delay in neural activation: A combined TMS/EEG study. Clin Neurophysiol. 2019 Jan;130(1):61-76. doi: 10.1016/j.clinph.2018.10.005. Epub 2018 Nov 10.
- Busan P. Developmental stuttering and the role of the supplementary motor cortex. J Fluency Disord. 2020 Jun;64:105763. doi: 10.1016/j.jfludis.2020.105763. Epub 2020 Apr 20.
- Brown S, Ingham RJ, Ingham JC, Laird AR, Fox PT. Stuttered and fluent speech production: an ALE meta-analysis of functional neuroimaging studies. Hum Brain Mapp. 2005 May;25(1):105-17. doi: 10.1002/hbm.20140.
- Alm PA. Stuttering and the basal ganglia circuits: a critical review of possible relations. J Commun Disord. 2004 Jul-Aug;37(4):325-69. doi: 10.1016/j.jcomdis.2004.03.001.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- E-10840098-202.3.02-645
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Sharing Time Frame
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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