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N/A N=48 Basic Science

Flexible Representation of Speech

Epilepsy

Enrolled (actual)
48
Serious AEs
0.0%
Results posted
Sep 2025
Primary outcome: Primary: Supratemporal Neural Response to Change in Acoustic-Phonetic Dimensions — 17 sEEG Channels

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Dimension-Based Statistical Learning (Behavioral)
Age
Pediatric, Adult · 15+ yrs
Sex
All
Sponsor
University of Pittsburgh
Primary completion
Jul 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Supratemporal Neural Response to Change in Acoustic-Phonetic Dimensions
17
PRIMARY
Behavioral Impact of Change in Acoustic-Phonetic Dimensions
37.4 <0.0001 sig
PRIMARY
Supratemporal Neural Response to Change in Listening Context
0.55 <0.0001 sig
PRIMARY
Behavioral Impact of Change in Listening Context
54.9; 30.3 <0.0001 sig
SECONDARY
Neural Response of Non-Regions of Interest to Change in Acoustic-Dimension
4
SECONDARY
Neural Response of Non-Regions of Interest to Change in Listening Context
-0.11 0.480

Summary

The overarching goal of this exploratory research is to understand the dynamic and flexible nature of speech processing in the human supratemporal plane. The temporal lobe has long been established as a region of interest in the speech perception and processing literature because it contains the auditory cortex. More recently, research has localized the supratemporal plane as an area that exhibits response specificity to acoustic properties of complex auditory signals like speech. The supratemporal plane, comprised of Heschl's gyrus, the planum polare, and the planum temporale, is capable of the rapid spectrotemporal analysis required to map acoustic information to linguistic representation. Neural activity in this area, however, is rarely studied directly because it is difficult to access with non-invasive measures like scalp electroencephalography (EEG). Capitalizing on the unique opportunity to access these areas via routine clinical stereoelectroencephalography (sEEG) in a patient population, this study seeks to understand how cortical responses reflect the diagnosticity of two acoustic-phonetic dimensions of interest and how responses rapidly and flexibly adapt to changes in listening demands. Examining how neural response to voice onset time (VOT) and fundamental frequency (F0) modulates as a function of perceptual weight carried in signaling phoneme categories, and identifying how changes in listening context shift perceptual weight, will provide invaluable data that indicates how speech processing flexibly adapts to short-term acoustic patterns.

Eligibility Criteria

Inclusion Criteria

  • Individuals 15-25 years old
  • Undergoing sEEG placement in the supratemporal plane for clinically necessary localization of epileptic foci or language mapping
  • Fluent English speakers
  • Cognition and speech-language skills within normal limits (as determined by evaluation prior to surgery)
  • Normal or correct-to-normal visual acuity
  • Normal hearing acuity in each ear (as determined by audiometric assessment)
  • No history of autism or ADHD

Exclusion Criteria

  • Individuals with intellectual disabilities
  • Abnormal epileptiform activity in the supratemporal plane
  • Lack of fluent English comprehension/production
  • Severe language or auditory-specific cognitive dysfunction
  • History of autism or ADHD
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05209386). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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