N/A
N=48
Flexible Representation of Speech
Epilepsy
Bottom Line
View on ClinicalTrials.gov: NCT05209386 ↗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
| Outcome | Result | p-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
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.