~6 spots leftby Apr 2026

Statistical Learning for Epilepsy

Recruiting in Palo Alto (17 mi)
TJ
Overseen byTaylor J Abel, MD
Age: < 65
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: University of Pittsburgh
Disqualifiers: Intellectual disabilities, Abnormal epileptiform activity, others
No Placebo Group

Trial Summary

What is the purpose of this trial?

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.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Dimension-Based Statistical Learning for epilepsy?

The research on machine learning models for predicting epilepsy drug treatment outcomes suggests that advanced data analysis techniques can help tailor treatments to individual patients, potentially improving outcomes. Additionally, the use of machine learning to identify unique patient profiles in epilepsy indicates that personalized approaches, like Dimension-Based Statistical Learning, could be effective in managing the condition.12345

How does the treatment in the 'Statistical Learning for Epilepsy' trial differ from other epilepsy treatments?

This treatment is unique because it uses advanced statistical learning techniques to analyze brain activity data, aiming to identify seizure onset zones and predict seizures more accurately than traditional methods. It leverages high-dimensional data analysis and machine learning algorithms to provide personalized insights into epilepsy management.56789

Research Team

TJ

Taylor J Abel, MD

Principal Investigator

University of Pittsburgh

Eligibility Criteria

This trial is for individuals aged 15-25 with epilepsy who are undergoing sEEG in the supratemporal plane and have normal hearing, vision, cognitive, and speech-language skills. They must be fluent English speakers without a history of autism or ADHD.

Inclusion Criteria

You have normal or corrected-to-normal vision.
My hearing is normal in both ears.
I am between 15 and 25 years old.
See 4 more

Exclusion Criteria

You do not speak or understand English well.
You have serious problems with understanding language or hearing.
You have been diagnosed with autism or ADHD in the past.
See 2 more

Trial Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

sEEG-EEG Recording

Neural activity is measured via simultaneous EEG-sEEG monitoring in the supratemporal plane and other cortical regions as participants listen to acoustic stimuli with manipulated acoustic dimensions and in different listening contexts.

Up to 3 hours per session
1 session

Behavioral Response Collection

Behavioral responses are collected as participants provide category judgments based on perceived phonemes during acoustic stimuli presentation.

Up to 3 hours per session
1 session

Follow-up

Participants are monitored for any adverse effects or changes in neural response post-recording sessions.

4 weeks

Treatment Details

Interventions

  • Dimension-Based Statistical Learning (Behavioral Intervention)
Trial OverviewThe study explores how the brain processes speech by examining responses to voice onset time (VOT) and fundamental frequency (F0) during routine clinical sEEG monitoring in patients with epilepsy.
Participant Groups
1Treatment groups
Experimental Treatment
Group I: Patient ParticipantsExperimental Treatment1 Intervention
This single-group study will recruit patients through the PI's clinical practice who are undergoing invasive neurophysiological monitoring (sEEG) with clinically necessary placement of electrodes in the supratemporal plane. All participants will complete the same behavioral response paradigms.

Find a Clinic Near You

Research Locations NearbySelect from list below to view details:
UPMC Children's Hospital of PittsburghPittsburgh, PA
Loading ...

Who Is Running the Clinical Trial?

University of Pittsburgh

Lead Sponsor

Trials
1820
Patients Recruited
16,360,000+

National Institutes of Health (NIH)

Collaborator

Trials
2896
Patients Recruited
8,053,000+

Carnegie Mellon University

Collaborator

Trials
80
Patients Recruited
540,000+

National Institute on Deafness and Other Communication Disorders (NIDCD)

Collaborator

Trials
377
Patients Recruited
190,000+

Findings from Research

Psychosocial profiles and their predictors in epilepsy using patient-reported outcomes and machine learning.Josephson, CB., Engbers, JDT., Wang, M., et al.[2021]
Machine learning and statistic analysis to predict drug treatment outcome in pediatric epilepsy patients with tuberous sclerosis complex.Zhao, X., Jiang, D., Hu, Z., et al.[2023]
The EpiBioS4Rx project aims to identify biomarkers for epileptogenesis after traumatic brain injury (TBI) by analyzing extensive data from both human subjects and animal models, which is crucial for developing antiepileptogenic therapies.
Using advanced data analysis techniques, the project seeks to standardize and interpret complex data from multiple sources, enabling the design of effective clinical trials to prevent or cure epilepsy.
Analytic Tools for Post-traumatic Epileptogenesis Biomarker Search in Multimodal Dataset of an Animal Model and Human Patients.Duncan, D., Barisano, G., Cabeen, R., et al.[2020]
Increasing structural atrophy and functional isolation of the temporal lobe with duration of disease in temporal lobe epilepsy.Morgan, VL., Conrad, BN., Abou-Khalil, B., et al.[2022]
Seizure clustering during epilepsy monitoring.Haut, SR., Swick, C., Freeman, K., et al.[2023]
The developed algorithm effectively detects seizure onset and identifies seizure-generating brain regions using only one or two seizure examples from intracranial electroencephalography (iEEG) recordings of 16 drug-resistant epilepsy patients, demonstrating a high generalization rate of 100% for most patients.
This algorithm outperforms existing methods, including deep learning approaches, by achieving higher specificity (94.84%) and accuracy (95.42%) while maintaining a significantly lower memory footprint, making it a promising tool for clinical decision-making in epilepsy management.
Hyperdimensional Computing With Local Binary Patterns: One-Shot Learning of Seizure Onset and Identification of Ictogenic Brain Regions Using Short-Time iEEG Recordings.Burrello, A., Schindler, K., Benini, L., et al.[2020]
A Realistic Seizure Prediction Study Based on Multiclass SVM.Direito, B., Teixeira, CA., Sales, F., et al.[2019]
Uncovering low-dimensional structure in high-dimensional representations of long-term recordings in people with epilepsy.Rapela, J., Proix, T., Todorov, D., et al.[2021]
Manifold-adaptive dimension estimation revisited.Benkő, Z., Stippinger, M., Rehus, R., et al.[2022]

References

Psychosocial profiles and their predictors in epilepsy using patient-reported outcomes and machine learning. [2021]
Machine learning and statistic analysis to predict drug treatment outcome in pediatric epilepsy patients with tuberous sclerosis complex. [2023]
Analytic Tools for Post-traumatic Epileptogenesis Biomarker Search in Multimodal Dataset of an Animal Model and Human Patients. [2020]
Increasing structural atrophy and functional isolation of the temporal lobe with duration of disease in temporal lobe epilepsy. [2022]
Seizure clustering during epilepsy monitoring. [2023]
Hyperdimensional Computing With Local Binary Patterns: One-Shot Learning of Seizure Onset and Identification of Ictogenic Brain Regions Using Short-Time iEEG Recordings. [2020]
A Realistic Seizure Prediction Study Based on Multiclass SVM. [2019]
Uncovering low-dimensional structure in high-dimensional representations of long-term recordings in people with epilepsy. [2021]
Manifold-adaptive dimension estimation revisited. [2022]