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AphasiaNCT01927302

Neurobiology of Language Recovery in Aphasia: Natural History and Treatment-Induced Recovery

A study testing Treatment Focusing on Naming Objects, Treatment Focusing on Improving Spelling Abilities and Treatment Focusing on Improving Sentence Processing in people with Aphasia and Dysgraphia, run by Northwestern University at 4 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to investigate the effects of treatment for specific language deficits in people with aphasia. In addition to language and cognitive measures, changes in brain function will also be gathered before and after the treatment is administered in order to track any changes resulting from… Read more about this study

Who is it for?
Ages 35 to 80 years
Conditions the study is for
Aphasia, Dysgraphia, Anomia
What is being tested?
Treatment Focusing on Naming Objects, Treatment Focusing on Improving Spelling Abilities and Treatment Focusing on Improving Sentence Processing
Could I receive a placebo?
No, everyone receives an active treatment
How many people
90 participants
Where
4 sitesUnited States
Study dates
Apr 2013to 27 Mar 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 35 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Aphasia following a stroke
  • Stoke was at least 1 year ago
  • Medically stable
  • Right-handed
  • Normal or 'corrected to normal' vision and hearing
  • English as primary language
  • At least a high school education

Who cannot join

  • History of neurological disease, head trauma, psychiatric disorders, alcoholism, or developmental speech, language, or learning disabilities

Trial locations and contacts

4 sites in 1 country.

United States4 sites
  • Johns Hopkins University

    Baltimore, Maryland, 21218

  • Boston University

    Boston, Massachusetts, 02215

  • Harvard University

    Cambridge, Massachusetts, 02138

  • Northwestern University

    Chicago, Illinois, 60208

Other trials in United States

About this study

Official title: The Center for the Neurobiology of Language Recovery (CNLR)

The purpose of this study is to investigate the effects of treatment for specific language deficits in people with aphasia. In addition to language and cognitive measures, changes in brain function will also be gathered before and after the treatment is administered in order to track any changes resulting from receiving treatment.

Read the detailed description

Naming Impairments (Anomia):

The labs of Dr. Swathi Kiran (Boston University) and Dr. David Caplan (Harvard University, Massachusetts General Hospital) will be studying language recovery in adults with anomia (naming impairments) following a stroke. Participants will receive treatment focusing on the semantic features of common objects (e.g., that birds can fly). The study will examine how naming and other language abilities change in response to treatment, as well as how the brain changes, as measured by magnetic resonance imaging (MRI) and other techniques.

Spelling/Writing Impairments (Dysgraphia):

At Johns Hopkins University, the lab of Dr. Brenda Rapp will investigate the neurobiology of language recovery in individuals with dysgraphia (spelling/writing impairments) resulting from a stroke. In this study, treatment will focus on improving spelling ability. The study will examine how spelling and other language abilities change in response to treatment, as well as how the brain changes, as measured by magnetic resonance imaging (MRI) and other techniques.

Deficits in Sentence Comprehension \& Production:

Dr. Cynthia Thompson's lab at Northwestern University will investigate language recovery in individuals with deficits in sentence production and comprehension. Treatment focuses on production and comprehension of complex sentences. At baseline (week 0) and after the treatment period (at week 12), participants take part in language, eye-tracking, and MRI testing, in order to learn how the processing of language, as well as brain function, changes as a result of treatment.

Being tested
Treatment Focusing on Naming Objects, Treatment Focusing on Improving Spelling Abilities, Treatment Focusing on Improving Sentence Processing, No Treatment
Keywords
Aphasia, Dysgraphia, Anomia, Agrammatism, Stroke, Language Recovery, Treatment, Biomarkers of Recovery
Medical subject headings
Aphasia, Agraphia, Anomia, Aphasia, Broca, Stroke

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Treatment Focusing on Naming ObjectsBehavioural

    Also called Language treatment

    Treatment will be administered from week 0 until week 12.

  • Treatment Focusing on Improving Spelling AbilitiesBehavioural

    Also called Language Treatment

    Treatment will be administered from week 0 until week 12.

  • Treatment Focusing on Improving Sentence ProcessingBehavioural

    Also called Language Treatment

    Treatment will be administered from week 0 until week 12.

  • No TreatmentBehavioural

    No treatment will be administered.

Study groups in NCT01927302
Study groupRoleWhat they receive
Naming DeficitsExperimentalLanguage treatment will focus on improving naming deficits in people who have aphasia. An experimental group will receive treatment focusing on naming objects and a control/natural history group will receive no treatment. Both groups will be assessed at baseline (week 0), at week 12, and at week 24.
Receives: Behavioral: Treatment Focusing on Naming Objects; Behavioral: No Treatment
Spelling and/or Writing DeficitsExperimentalLanguage treatment will focus on improving writing and/or spelling deficits in people who have aphasia. An experimental group will receive treatment focusing on improving spelling abilities and a control/natural history group will receive no treatment. Both groups will be assessed at baseline (week 0), at week 12, and at week 24.
Receives: Behavioral: Treatment Focusing on Improving Spelling Abilities; Behavioral: No Treatment
Sentence ProcessingExperimentalLanguage treatment will focus on improving sentence comprehension and production deficits in people who have aphasia. An experimental group will receive treatment focusing on improving sentence processing and a control/natural history group will receive no treatment. Both groups will be assessed at baseline (week 0), at week 12, and at week 24.
Receives: Behavioral: Treatment Focusing on Improving Sentence Processing; Behavioral: No Treatment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in language and cognitive abilities as a result of treatment

    Standard and non-standard measures of language and cognitive abilities will be gathered at baseline (week 0) to see if language deficits improve after treatment is administered (week 12).

    Measured: week 0 to week 12

Secondary outcomes (3)
  1. Composite change in brain function as a result of treatment

    Neural correlates of treatment effects will be examined using:

    • Functional Magnetic Resonance Imaging (fMRI)
    • Diffusion Tensor Imaging (DTI)
    • Perfusion Imaging
    • Functional Connectivity
    • Rest state Connectivity

    Measured: week 0 to week 12

  2. Maintenance of language and cognitive abilities as a result of treatment

    Standard and non-standard measures of language and cognitive abilities administered at week 12 will be compared to those administered at week 24 to see if improvement in language abilities as a result of treatment is maintained.

    Measured: week 12 to week 24

  3. Maintenance of composite changes in brain function as a result of treatment

    Neural correlates of treatment effects that are maintained for 12 weeks after treatment ends (week 12 to week 24) will be examined using:

    • Functional Magnetic Resonance Imaging (fMRI)
    • Diffusion Tensor Imaging (DTI)
    • Perfusion Imaging
    • Functional Connectivity
    • Rest state Connectivity

    Measured: week 12 to week 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Aug 2013 (estimated)
  2. Study startApr 2013
  3. Primary completion27 Mar 2019
  4. Study completion27 Mar 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
90 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01927302
Sponsor's protocol ID
P50
Other IDs
P50DC012283
Status last verified
Jun 2026
First submitted
29 Jul 2013
Last updated
1 Jul 2026
Results posted
No
Data monitoring committee
No

Publications

  • Walenski M, Europa E, Caplan D, Thompson CK. Neural networks for sentence comprehension and production: An ALE-based meta-analysis of neuroimaging studies. Hum Brain Mapp. 2019 Jun 1;40(8):2275-2304. doi: 10.1002/hbm.24523. Epub 2019 Jan 28.

    PubMed 30689268
  • Kiran S, Thompson CK. Neuroplasticity of Language Networks in Aphasia: Advances, Updates, and Future Challenges. Front Neurol. 2019 Apr 2;10:295. doi: 10.3389/fneur.2019.00295. eCollection 2019.

    PubMed 31001187
  • Crinion J, Holland AL, Copland DA, Thompson CK, Hillis AE. Neuroimaging in aphasia treatment research: quantifying brain lesions after stroke. Neuroimage. 2013 Jun;73:208-14. doi: 10.1016/j.neuroimage.2012.07.044. Epub 2012 Jul 27.

    PubMed 22846659
  • Kiran S, Ansaldo A, Bastiaanse R, Cherney LR, Howard D, Faroqi-Shah Y, Meinzer M, Thompson CK. Neuroimaging in aphasia treatment research: standards for establishing the effects of treatment. Neuroimage. 2013 Aug 1;76:428-35. doi: 10.1016/j.neuroimage.2012.10.011. Epub 2012 Oct 9.

    PubMed 23063559
  • Meinzer M, Beeson PM, Cappa S, Crinion J, Kiran S, Saur D, Parrish T, Crosson B, Thompson CK; Neuroimaging in Aphasia Treatment Research Workshop. Neuroimaging in aphasia treatment research: consensus and practical guidelines for data analysis. Neuroimage. 2013 Jun;73:215-24. doi: 10.1016/j.neuroimage.2012.02.058. Epub 2012 Feb 24.

    PubMed 22387474
  • Rapp B, Caplan D, Edwards S, Visch-Brink E, Thompson CK. Neuroimaging in aphasia treatment research: issues of experimental design for relating cognitive to neural changes. Neuroimage. 2013 Jun;73:200-7. doi: 10.1016/j.neuroimage.2012.09.007. Epub 2012 Sep 10.

    PubMed 22974976
  • Ditges R, Barbieri E, Thompson CK, Weintraub S, Weiller C, Mesulam MM, Kummerer D, Schroter N, Musso M. German Language Adaptation of the NAVS (NAVS-G) and of the NAT (NAT-G): Testing Grammar in Aphasia. Brain Sci. 2021 Apr 8;11(4):474. doi: 10.3390/brainsci11040474.

    PubMed 33918022
  • Thompson CK. Neurocognitive Recovery of Sentence Processing in Aphasia. J Speech Lang Hear Res. 2019 Nov 22;62(11):3947-3972. doi: 10.1044/2019_JSLHR-L-RSNP-19-0219. Epub 2019 Nov 22.

    PubMed 31756151
  • Schuchard J, Thompson CK. Implicit and explicit learning in individuals with agrammatic aphasia. J Psycholinguist Res. 2014 Jun;43(3):209-24. doi: 10.1007/s10936-013-9248-4.

    PubMed 23532578
  • Wang H, Yoshida M, Thompson CK. Parallel functional category deficits in clauses and nominal phrases: The case of English agrammatism. J Neurolinguistics. 2014 Jan;27(1):75-102. doi: 10.1016/j.jneuroling.2013.09.001.

    PubMed 26379370
  • Thompson CK, Faroqi-Shah Y, & Lee J. (2015). Models of sentence production. In: A. Hillis (Ed.). The handbook of adult language disorders: Integrating cognitive neuropsychology, neurology, and rehabilitation. Second Edition (pp. 328-354). New York: Psychology Press.

  • Thompson CK, Kielar A. (2014). Neural bases of sentence processing: evidence from neurolinguistic and neuroimaging studies. In M. Goldrick, V. Ferreira, & M. Miozzo (Eds.) The Oxford Handbook of Language Production (pp. 47-69). New York: Oxford University Press.

  • Thompson CK, Meltzer-Asscher, A. (2014). Neurocognitive mechanisms of verb argument structure processing. In Asaf Bachrach, Isabelle Roy and Linaea Stockall (Eds.) Structuring the Argument: Multidisciplinary research on verb argument structure (pp. 141-168). John Benjamins.

  • Iorga M, Higgins J, Caplan D, Zinbarg R, Kiran S, Thompson CK, Rapp B, Parrish TB. Predicting language recovery in post-stroke aphasia using behavior and functional MRI. Sci Rep. 2021 Apr 19;11(1):8419. doi: 10.1038/s41598-021-88022-z.

    PubMed 33875733
  • Ingo C, Sui Y, Chen Y, Parrish TB, Webb AG, Ronen I. Parsimonious continuous time random walk models and kurtosis for diffusion in magnetic resonance of biological tissue. Front Phys. 2015 Mar;3:11. doi: 10.3389/fphy.2015.00011. Epub 2015 Mar 16.

    PubMed 28344972

Questions about this trial

What is this clinical trial studying?

A study testing Treatment Focusing on Naming Objects, Treatment Focusing on Improving Spelling Abilities and Treatment Focusing on Improving Sentence Processing in people with Aphasia and Dysgraphia, run by Northwestern University at 4 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in language and cognitive abilities as a result of treatment (time frame: week 0 to week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01927302, which also lists 72 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Jul 2026.

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