Summary

Eligibility
for people ages 40 years and up (full criteria)
Location
at UCSF
Dates
study started
study ends around
Principal Investigator
by Maria Luisa Gorno-Tempini, MD, PhD (ucsf)

Description

Summary

The goal of this clinical trial is to learn whether home-based brain stimulation combined with virtual speech-language therapy can improve communication abilities in adults with logopenic variant primary progressive aphasia (lvPPA), a language disorder most often caused by Alzheimer's disease.

The main questions the study aims to answer are:

  • Is combining remotely supervised transcranial direct current stimulation (tDCS) with virtual speech-language therapy feasible and acceptable for people with lvPPA?
  • Does this combined treatment lead to improvements in communication compared to speech-language therapy with sham (placebo) stimulation?
  • Do individual brain characteristics help predict who benefits most from this treatment?

Researchers will compare participants who receive active tDCS plus virtual speech-language therapy to participants who receive sham (placebo) tDCS plus virtual speech-language therapy to see if active brain stimulation enhances communication outcomes.

Participants will:

  • Complete speech-language therapy sessions delivered by video visit.
  • Receive either active or sham tDCS that is remotely supervised and completed at home.
  • Complete language and cognitive testing before and after treatment.
  • Undergo brain imaging and other assessments to help understand treatment response.

Official Title

Investigating the Benefits of Remotely-Supervised Neuromodulation In Primary Progressive Aphasia

Keywords

Primary Progressive Aphasia(PPA), Progressive Aphasia, Progressive Aphasia in Alzheimer's Disease, Logopenic Progressive Aphasia (LPA), Logopenic Variant Primary Progressive Aphasia, Logopenic Variant of Primary Progressive Aphasia (LPA), lvPPA, PPA, logopenic variant PPA, transcranial direct-current stimulation, tDCS, neuromodulation, speech therapy, speech-language pathology, logopenic, teletherapy, remote, virtual, Primary Progressive Aphasia, Aphasia, Communication Disorders, Lexical Retrieval Cascade Treatment, Remotely Supervised Transcranial Direct Current Stimulation- Active

Eligibility

You can join if…

Open to people ages 40 years and up

  • Meets diagnostic criteria for primary progressive aphasia (PPA)
  • Meets diagnostic criteria for logopenic variant PPA
  • Attains score of 20 or higher on the Mini-Mental State Examination
  • Has adequate hearing and vision (with hearing or vision aids, if needed)
  • Is able to travel to research site and undergo MRI brain scan
  • Has access to high speed internet and basic experience using a computer and the internet
  • Is a fluent speaker of English
  • Has a study partner who can co-enroll in the study, attend pre-treatment training at the research site, and be present for teleconference meetings, as needed

You CAN'T join if...

  • Speech and language deficits better accounted for by another neurological disorder
  • Does not meet diagnostic criteria for logopenic variant PPA
  • Scores less than 20 on the Mini-Mental State Examination
  • Does not have a study partner who can co-enroll in the study
  • Has contraindications for tDCS or MRI scan (History of seizures, head injury, craniotomy, skull surgery or fracture; History of severe or frequent migraines; Metallic implant in head or any metal in head; Pacemaker or cardioverter-defibrillator or any other stimulator; Chronic skin problems; Pregnancy)
  • Has a history of stroke, epilepsy, or significant brain injury

Locations

  • UCSF Memory and Aging Cener accepting new patients
    San Francisco California 94158 United States
  • University of Texas accepting new patients
    Austin Texas 78712 United States

Lead Scientist at University of California Health

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
Maya Henry
Links
University of Texas Aphasia Research and Treatment Lab
ID
NCT07260253
Study Type
Interventional
Participants
Expecting 80 study participants
Last Updated