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临床试验/NCT07454785
NCT07454785Enrolling By Invitation不适用

Neuronal Mechanisms of Learning and Utilizing Abstract Representations

Cedars-Sinai Medical Center1 个研究点 分布在 1 个国家目标入组 114 人开始时间: 2026年3月30日最近更新:
干预措施

试验速览

阶段
不适用
状态
Enrolling By Invitation
入组人数
114
试验地点
1
主要终点
Neuronal population activity

研究概览

简要总结

The purpose of this study is to examine how memories of past experiences are used to guide behavior in novel situations through the cognitive process of abstraction. This project examines how abstract representations are learned, whether and how they support generalization to novel situations, and whether and how they support analogical reasoning.

详细描述

Despite the importance of abstraction for human cognition, little is known about the underlying mechanisms and their disruption by disease or injury. The goal of this research is to develop a circuit-level understanding of abstraction to enable the development of new treatments for the devastating effects of cognitive disorders in which abstraction fails. As part of this study, investigators will conduct experiments that utilize the rare opportunity to record in-vivo from human single neurons simultaneously in multiple brain areas in patients undergoing treatment for drug resistant epilepsy.

Researchers will investigate three overarching hypotheses on the neural substrate of abstraction. Aim 1: to determine the dynamics of learning abstract representations. Aim 2: to decipher how abstract representations facilitate generalization. Aim 3: to decipher how abstract representations facilitate analogical reasoning.

The expected outcomes of this work are a characterization of how abstract neural representations are formed, how they enable generalization to novel stimuli and tasks, and how they enable analogical reasoning.

Participants in this study are patients undergoing invasive monitoring for suspected focal epilepsy with depth electrodes. Subjects will conduct a variety of cognitive tests on a computer placed in front of them during their hospital stay. Participating hospitals in this study are Cedars-Sinai, UC Davis, and Barrow Neurological Institute.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Basic Science
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Intractable epilepsy, undergoing invasive monitoring
  • Full Scale Intelligence Quotient > 70
  • Ability to comprehend and perform simple behavioral tasks by pressing buttons on laptop computer in response to questions.

排除标准

  • Determination by clinicians and investigators that a patient is unable to complete the behavioral tasks required for the protocol due to either cognitive limits, psychological limits, or pain.

研究组 & 干预措施

Behavioral Testing

Experimental

Behavioral testing and neuronal recordings

干预措施: Cedrus RB-844 response pad; Adtech Behnke-Fried micro-electrodes; Neurolynx electrophysiology system; Blackrock Cerestim stimulator (Behavioral)

结局指标

主要结局

Neuronal population activity

时间窗: 3 years

Proportion of experiment sessions in which abstract representation emerged following successful learning of the task by the subject.

Facilitation of generalization

时间窗: 3 years

Strength of correlation between the presence of abstract representations at the neuronal level and the subjects ability to perform generalization.

Effect of electrical stimulation

时间窗: 3 years

Proportion of experiment sessions in which electrical stimulation to the hippocampus disrupted abstract representations.

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Adam Mamelak, MD

Professor of Neurosurgery

Cedars-Sinai Medical Center

研究点 (1)

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