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The Neural Coding of Speech Across Human Languages

Primary Purpose

Epilepsy, Brain Tumor, Speech

Status
Enrolling by invitation
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Speech Tasks
Sponsored by
University of California, San Francisco
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Epilepsy

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Participants with epilepsy or brain tumors at UCSF undergoing surgical electrode implantation for seizure localization or for speech and language mapping and
  • Participants with electrodes implanted in at least two regions of interest who are willing and able to cooperate with study tasks.

Exclusion Criteria:

  • Participants who lack capacity or decline to provide informed consent,
  • Participants who have significant cerebral lesions or
  • Participants with cognitive deficits that preclude reliable completion of study tasks.

Sites / Locations

  • University of California, San Francisco

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Electrocorticography (ECoG) recording during Speech Tasks

Arm Description

Participants listened to 20-minute Speech Tasks while ECoG signals for neural activity was recorded during their intraoperative procedure or inpatient hospitalization at the University of California, San Francisco (UCSF).

Outcomes

Primary Outcome Measures

Number of Participants with Electrocorticography (ECoG) Signals for Neural Activity Identified During Intraoperative Procedure or Inpatient Hospitalization
Number of participants with ECoG signals for neural activity identified during intraoperative procedure or inpatient hospitalization, between 10-30 minutes.

Secondary Outcome Measures

Full Information

First Posted
August 13, 2021
Last Updated
March 3, 2023
Sponsor
University of California, San Francisco
Collaborators
University of California, Berkeley, Lawrence Livermore National Laboratory, The University of Hong Kong, National Institute of Neurological Disorders and Stroke (NINDS)
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1. Study Identification

Unique Protocol Identification Number
NCT05014841
Brief Title
The Neural Coding of Speech Across Human Languages
Official Title
The Neural Coding of Speech Across Human Languages
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Enrolling by invitation
Study Start Date
April 19, 2019 (Actual)
Primary Completion Date
August 31, 2024 (Anticipated)
Study Completion Date
August 31, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of California, San Francisco
Collaborators
University of California, Berkeley, Lawrence Livermore National Laboratory, The University of Hong Kong, National Institute of Neurological Disorders and Stroke (NINDS)

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The overall goal of this study is to reveal the fundamental neural mechanisms that underlie comprehension across human spoken languages. An understanding of how speech is coded in the brain has significant implications for the development of new diagnostic and rehabilitative strategies for language disorders (e.g. aphasia, dyslexia, autism, et alia). The basic mechanisms underlying comprehension of spoken language are unknown. Researchers are only beginning to understand how the human brain extracts the most fundamental linguistic elements (consonants and vowels) from a complex and highly variable acoustic signal. Traditional theories have posited a 'universal' phonetic inventory shared by all humans, but this has been challenged by other newer theories that each language has its own unique and specialized code. An investigation of the cortical representation of speech sounds across languages can likely shed light on this fundamental question. Previous research has implicated the superior temporal cortex in the processing of speech sounds. Most of this work has been entirely carried out in English. The recording of neural activity directly from the cortical surface from individuals with different language experience is a promising approach since it can provide both high spatial and temporal resolution. This study will examine the mechanisms of phonetic encoding, by utilizing neurophysiological recordings obtained during neurosurgical procedures. High-density electrode arrays, advanced signal processing, and direct electrocortical stimulation will be utilized to unravel both local and population encoding of speech sounds in the lateral temporal cortex. This study will also examine the neural encoding of speech in patients who are monolingual and bilingual in Mandarin, Spanish, and English, the most common spoken languages worldwide, and feature important contrastive differences of pitch, formant, and temporal envelope. A cross-linguistic approach is critical for a true understanding of language, while also striving to achieve a broader approach of diversity and inclusion in neuroscience of language.
Detailed Description
Experimental approaches with significantly greater spatial and temporal resolution are necessary to directly resolve, both local- and population- level, the contrastive encoding of speech sounds. This study proposes an innovative methodological approach using customized intracranial high-density electrode arrays to record neural activity directly from nonprimary auditory cortex in patients undergoing clinical neurosurgical procedures (acute intraoperative and chronic extraoperative). This approach overcomes obstacles in traditional neuroimaging by offering high signal-to-noise recordings, unprecedented detailed spatiotemporal resolution, and a large number of simultaneously recorded cortical sites in awake, behaving subjects. The research study team will leverage the diversity of languages spoken by patients that are treated at the large volume epilepsy and tumor brain mapping programs at the University of California, San Francisco. They will examine cortical responses to speech stimuli (natural speech corpora and control tokens) in Spanish, Mandarin, and English speakers (monolingual and bilingual). They will also focus on encoding models in three fundamental domains of acoustic-phonetic cues that are present in all languages: pitch, formants, and amplitude envelope. The aims of this study seeks to determine how pitch cues encode lexical tone processing in Mandarin (Aim 1), the cortical representation of vowels in Spanish and English (Aim 2), and the encoding of the speech amplitude envelope in Spanish and English (Aim 3). Together, these aims will elucidate mechanistic principles of speech encoding in the human auditory cortex to understand what is shared and different across human spoken languages. Abnormalities in these fundamental processes have been implicated in a host of communication disorders such as dyslexia, developmental language disorder, central hearing loss, and aphasia. These results should heavily impact current theories of speech processing and, therefore, will have significant implications for understanding and remediating human disorders across different languages.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Epilepsy, Brain Tumor, Speech, Bilingualism

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
52 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Electrocorticography (ECoG) recording during Speech Tasks
Arm Type
Experimental
Arm Description
Participants listened to 20-minute Speech Tasks while ECoG signals for neural activity was recorded during their intraoperative procedure or inpatient hospitalization at the University of California, San Francisco (UCSF).
Intervention Type
Behavioral
Intervention Name(s)
Speech Tasks
Intervention Description
Listen to 20-minutes of speech sounds in English, Spanish, and/or Mandarin.
Primary Outcome Measure Information:
Title
Number of Participants with Electrocorticography (ECoG) Signals for Neural Activity Identified During Intraoperative Procedure or Inpatient Hospitalization
Description
Number of participants with ECoG signals for neural activity identified during intraoperative procedure or inpatient hospitalization, between 10-30 minutes.
Time Frame
Between 10-30 minutes

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participants with epilepsy or brain tumors at UCSF undergoing surgical electrode implantation for seizure localization or for speech and language mapping and Participants with electrodes implanted in at least two regions of interest who are willing and able to cooperate with study tasks. Exclusion Criteria: Participants who lack capacity or decline to provide informed consent, Participants who have significant cerebral lesions or Participants with cognitive deficits that preclude reliable completion of study tasks.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Edward F Chang, MD
Organizational Affiliation
University of California, San Francisco
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of California, San Francisco
City
San Francisco
State/Province
California
ZIP/Postal Code
94143
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
No Individual Participant Data (IPD) will be made available to other researchers; only de-identified data will be shared with Collaborators for research analysis.

Learn more about this trial

The Neural Coding of Speech Across Human Languages

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