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Dopamine and Sensorimotor Function in Stuttering

Not Applicable
Recruiting
Conditions
Stuttering, Adult
Interventions
Registration Number
NCT07215884
Lead Sponsor
University of California, San Francisco
Brief Summary

This study is being done to understand the effect of aripiprazole on adults who stutter. Stuttering is a disorder that affects speech fluency. This study aims to understand sensorimotor pathways of stuttering and possible interventions.

Detailed Description

Stuttering is a disorder of speech fluency that affects 3.5 million people in the USA alone. The goal of this project is to assess whether fluency ehnancement with auditory feedback manipulations or with pharmacological agents that regulate dopamine uptake improve the sensorimotor functions of speech feedback prediction and processing in stuttering.

This study may lay the foundation for stuttering treatments that combine dopamine regulators and behavioral treatments. Aripiprazole is an FDA-approved anti-psychotic typically used for treatment of schizophrenia or acute manic episodes. A typical dose is 10-15 mg per day, given daily for treatment. In this study, one 10 mg dose will be given. The usage in this study is purely investigational (experimental) and not FDA approved.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
40
Inclusion Criteria
  • native speakers of American English
  • for adults who stutter, presence of stuttering will be confirmed, with onset before age 6 years
  • Normal hearing
  • Ages of 18 to 65 years
  • healthy adults without hearing-language difficulties
Exclusion Criteria
  • self-reported speech-language-hearing difficulties other than stuttering
  • self-reported neurological or psychological problems
  • other medications (drugs that affect dopaminergic system and/or benzodiazepines)

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Single dose of aripiprazoleAripiprazole 10 MGSingle dose of aripiprazole, 10mg administered orally. Participant and administrator will be blinded.
Placebo dosePlaceboA single placebo dose will be administered.
Primary Outcome Measures
NameTimeMethod
Pre-speech auditory modulation3-4 hours after intervention dose is delivered

Pre-speech auditory modulation (PSAM) is a measure of auditory cortical activity (as collect via magnetoencephalography) in response to a speaking and and matching silent reading task.

Speaking Induced Suppression (SIS)3-4 hours after intervention

SIS is a phenomenon measured through magnetoencephalography that is a marker of auditory cortical response to self-produced speech compared with playback of the same speech.

Centering3-4 hours after intervention

This is a speech behavior associated with SIS involving a reduction of speech variability from speech onset to mid-utterances. This is derived from auditory recordings occurring during magnetoencephalography collection.

Feedback alterations3-4 hours after intervention

This is a measure of fluency enhancement by altered speech feedback (manipulated by methods such as masking noise, frequency shifted feedback,. etc.) This is measured through audio recordings and brain activation patterns during magnetoencephalography.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Biomagentic Imaging Lab

🇺🇸

San Francisco, California, United States

Biomagentic Imaging Lab
🇺🇸San Francisco, California, United States
Natalie Brunwin, MS
Contact
415-476-6888
snl-bil@ucsf.edu
John Houde, PhD
Principal Investigator
Srikantan Nagarajan, PhD
Principal Investigator

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Dopamine and Sensorimotor Function in Stuttering | MedPath