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CompletedNCT02675270Updated Sep 25, 2024

Rehabilitation and Prophylaxis of Anomia in Primary Progressive Aphasia

An interventional study of Phonological and Orthographic in Aphasia, Primary Progressive, Anomia and Alzheimer Disease, sponsored by Georgetown University. Completed at 2 sites in United States. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2024-09-25.

Sponsored by Georgetown University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 4 years 2 months after the study started (first participant enrolled Nov 2011, registered Jan 2016).
Phase
Not applicable
Study type
Interventional
Enrollment
84
Allocation
Non-randomized
Ages
40 Years and older
Sex
All
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Study summary

The goal of this study is to remediate word-finding problems in patients who have Primary Progressive Aphasia (PPA) or Alzheimer's Disease and to delay the further progression of word-finding impairment. The current approach is novel in that it contains a prophylaxis component in which the investigators attempt to strengthen neural connections that remain functional, making them more resistant to degradation as the disease progresses. While the study is specific in its targeting of word-finding problems, a successful outcome would bode well for other studies aimed at prevention or reversal of declining cognitive functions in dementia. One set of participants with PPA will receive practice with picture naming in two conditions: viewing the picture and repeating the name; and viewing the picture with its written name, plus reading and writing the name. Another set of participants with PPA or Alzheimer's Disease will be trained in two different conditions: learning about the word's semantic features (meaning); and learning about the word's lexical features (letters and sounds). Naming of pictures trained in each of these conditions will be compared, at three time intervals post-training, with naming of pictures tested before the study but never trained. It is predicted that the pairing of the picture with its written name, combined with the motor task of writing the name, will result in a greater ability to name the picture at a later date than simple practice viewing the picture and repeating the name. Furthermore, it is predicted that participants who have difficulty understanding concepts will be more likely to respond to semantic treatment, while participants who have difficulty connecting words with concepts will be more likely to respond to lexical treatment.

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Conditions studied

  • Aphasia, Primary Progressive
  • Anomia
  • Alzheimer Disease
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In context

Aphasia, Primary Progressive

77 studies on the registry are indexed under Aphasia, Primary Progressive; 29 are open to participants now.

This study's enrollment of 84 is above the median of 30 across 60 interventional studies indexed under Aphasia, Primary Progressive.

Browse Aphasia, Primary Progressive studies →

Lead sponsor

Georgetown University is the lead sponsor of 292 studies on the registry; 40 are open to participants now.

Of its 28 completed or terminated interventional studies of FDA-regulated products, 20 (71%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of Primary Progressive Aphasia (PPA; including Frontotemporal Dementia, Semantic Dementia, or a similar condition) or Diagnosis of Alzheimer's Disease
  • At least 10 years of education
  • Ability to follow spoken instructions
  • Medically stable
  • First language is English, or fluent in English since childhood
  • Willing to participate over a period of two years

Exclusion criteria

Exclusion Criteria:

  • No history of additional neurological problems
  • No history of substance abuse or psychiatric problems
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
84 participants (actual)

Study arms

  • Experimental
    Phonological, Orthographic, Untrained

    Behavioral: Phonological · Behavioral: Orthographic · Behavioral: Untrained

  • Experimental
    Semantic, Lexical, Untrained

    Behavioral: Semantic · Behavioral: Lexical · Behavioral: Untrained

Interventions

  • BehavioralPhonological

    This treatment involves picture viewing and word repetition.

  • BehavioralOrthographic

    This treatment involves picture viewing, reading, and writing.

  • BehavioralSemantic

    This treatment involves learning about the semantic features (meaning) of each trained word.

  • BehavioralLexical

    This treatment involves learning about the lexical features (letters and sounds) of each trained word.

  • BehavioralUntrained

    These words are not trained during the treatment phase.

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What researchers measure

Primary outcomes

  1. Change in picture naming accuracy for words within each treatment condition during treatment

    The change in picture naming accuracy for trained words will be compared with the change in picture naming accuracy for words that were tested at baseline but never trained during the treatment phase.

    Time frame: baseline, 7 months

Secondary outcomes

  1. Change in picture naming accuracy for words within each treatment condition between baseline and first follow-up assessment

    The change in picture naming accuracy for trained words will be compared with the change in picture naming accuracy for words that were tested at baseline but never trained during the treatment phase.

    Time frame: baseline, 14 months

  2. Change in picture naming accuracy for words within each treatment condition between baseline and second follow-up assessment

    The change in picture naming accuracy for trained words will be compared with the change in picture naming accuracy for words that were tested at baseline but never trained during the treatment phase.

    Time frame: baseline, 21 months

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Study locations

2 sites
  • Georgetown University Medical Center
    Washington, District of Columbia 20057, United States
  • Johns Hopkins University
    Baltimore, Maryland 21287, United States
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References and documents

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 25, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02675270
Responsible party
Aaron Meyer, PhD (Assistant Professor, Georgetown University) — Principal investigator
First posted
Feb 5, 2016
Start date
Nov 2011
Primary completion
Jun 30, 2023
Completion
Jun 30, 2024
Last update
Sep 25, 2024

Study contacts

Aaron Meyer, PhD
principal investigator · Georgetown University
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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