CClinicalTrials.gg
CompletedNCT05746299Updated Jul 14, 2025Results posted

The Impact of Reactivation During Sleep on the Consolidation of Abstract Information in Humans

An interventional study of Congruent vs. Incongruent and Immediate vs. Awake vs. Asleep in Memory Consolidation, sponsored by University of Pennsylvania. Completed at 1 site in United States. Open to participants aged 18 Years to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-07-14.

Sponsored by University of Pennsylvania · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
194
Allocation
Randomized
Ages
18 Years to 35 Years
Sex
All
01

Study summary

In any given cognitive domain, representations of individual elements are not independent but are organized by means of structured relations. Representations of this underlying structure are powerful, allowing generalization and inference in novel environments. In the semantic domain, structure captures associations between different semantic features or concepts (e.g., green, wings, can fly) and is known to influence the development and deterioration of semantic knowledge. The investigators recently found that humans more easily learn novel categories that contain clusters of reliably co-occurring features, revealing an influence of structure on novel category formation. However, a critical unknown is whether learned representations of structure are closely tied to category-specific elements, or whether such representations become abstract to some extent, transformed away from the experienced features. Further, if abstract structural representations do emerge, prior work provides intriguing hints that these representations may require offline consolidation during awake rest or sleep. The investigators have developed a paradigm in which carefully designed graph structures govern the pattern of feature co-occurrences within individual categories. Here the investigators implement a "structure transfer" extension of this paradigm in order to determine whether learning one structured category facilitates learning of a second identically structured category defined by a new set of features. This facilitation would provide evidence that structure representations are abstract to some degree. Aim 1 will use these methods to evaluate whether abstract structural representations emerge immediately during learning. Aim 2 will determine whether these representations persist, or emerge, over a delay, and whether sleep-based consolidation in particular is needed. The role of replay of recent experience during sleep will be evaluated using electroencephalography (EEG) paired with closed-loop targeted memory reactivation (TMR), a technique that enables causal influence over the consolidation of recently learned information in humans. This work will inform and constrain theories of semantic learning as well as theories of structure learning and representation more broadly.

02

Conditions studied

  • Memory Consolidation

Keywords

  • memory
  • sleep
  • learning
03

In context

Lead sponsor

University of Pennsylvania is the lead sponsor of 1,635 studies on the registry; 239 are open to participants now.

Of its 154 completed or terminated interventional studies of FDA-regulated products, 104 (68%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Ages between 18 and 35

Exclusion criteria

Exclusion Criteria:

  • No medical or neurological illness that would impact experimental performance
  • Not a member of a vulnerable population
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
194 participants (actual)

Study arms

  • Experimental
    Immediate Congruent

    Participants will learn and be tested on two different semantic categories with the same structure that dictates the co-occurrence of different features.

    Behavioral: Congruent vs. Incongruent · Behavioral: Immediate vs. Awake vs. Asleep

  • Experimental
    Immediate Incongruent

    Participants will learn and be tested on two different semantic categories with different structures that dictate the co-occurrence of different features.

    Behavioral: Congruent vs. Incongruent · Behavioral: Immediate vs. Awake vs. Asleep

  • Experimental
    Awake Incongruent

    Participants will learn two different semantic categories, neither of which has a Modular structure. After a 2.5-hour break, they will learn and be tested on a novel semantic category with a Modular structure.

    Behavioral: Congruent vs. Incongruent · Behavioral: Immediate vs. Awake vs. Asleep

  • Experimental
    Awake Congruent

    Participants will learn two different semantic categories, one of which has a Modular structure. After a 2.5-hour break, they will learn and be tested on a novel semantic category with a Modular structure.

    Behavioral: Congruent vs. Incongruent · Behavioral: Immediate vs. Awake vs. Asleep

  • Experimental
    Sleep Incongruent

    Participants will learn two different semantic categories, one of which has a Modular structure. After a 2-hour nap opportunity, during which TMR will be used to reactivate the non-Modular category, participants will take a 30-minute break. After the break, they will learn and be tested on a novel semantic category with a Modular structure.

    Behavioral: Congruent vs. Incongruent · Behavioral: Immediate vs. Awake vs. Asleep · Behavioral: Targeted memory reactivation (TMR)

  • Experimental
    Sleep Congruent (SWS)

    Participants will learn two different semantic categories, one of which has a Modular structure. After a 2-hour nap opportunity, during which TMR will be used to reactivate the Modular category during slow wave sleep (SWS), participants will take a 30-minute break. After the break, they will learn and be tested on a novel semantic category with a Modular structure.

    Behavioral: Congruent vs. Incongruent · Behavioral: Immediate vs. Awake vs. Asleep · Behavioral: Targeted memory reactivation (TMR)

  • Experimental
    Sleep Congruent (REM)

    Participants will learn two different semantic categories, one of which has a Modular structure. After a 2-hour nap opportunity, during which TMR will be used to reactivate the Modular category during rapid eye movement (REM) sleep, participants will take a 30-minute break. After the break, they will learn and be tested on a novel semantic category with a Modular structure.

    Behavioral: Congruent vs. Incongruent · Behavioral: Immediate vs. Awake vs. Asleep · Behavioral: Targeted memory reactivation (TMR)

Interventions

  • BehavioralCongruent vs. Incongruent

    The Congruent vs. Incongruent intervention relates to the feature-based structure of the novel categories (Modular or non-Modular) and whether there is (Congruent) or is not (Incongruent) a match between what was previously learned and the final target category.

  • BehavioralImmediate vs. Awake vs. Asleep

    Immediate, Awake, and Sleep refer to either no break, 2.5 hours awake, or 2 hours asleep plus a 30-minute post-nap break to account for sleep inertia between learning and target category.

  • BehavioralTargeted memory reactivation (TMR)

    Targeted memory reactivation (TMR) is the systematic presentation of sounds during sleep that were associated with certain stimuli during learning and will be administered either during slow wave sleep (SWS) or rapid eye movement (REM) sleep.

06

What researchers measure

Primary outcomes

  1. Structure Knowledge for a New Modular Category in Stage 2

    Accuracy (0-100%) on the behavioral missing feature task in Stage 2, which requires participants to use their memory from earlier in the experiment to make a guess about how to fill in missing features of the category exemplars.

    Time frame: In Aim 1, accuracy is collected in a missing feature task 25 min. into the experiment, taking 25 min. In Aim 2, accuracy is collected in a missing feature task over 25 min in Stage 2

07

Results

Posted Jul 14, 2025

Participant flow

Participant flow — Overall Study
MilestoneAim 1 Immediate IncongruentAim 1 Immediate CongruentAim 2 Awake IncongruentAim 2 Awake CongruentAim 2 Sleep IncongruentAim 2 Sleep Congruent
Started474726252227
Completed474726252227
Not completed000000

Outcome measures

PrimaryStructure Knowledge for a New Modular Category in Stage 2

Accuracy (0-100%) on the behavioral missing feature task in Stage 2, which requires participants to use their memory from earlier in the experiment to make a guess about how to fill in missing features of the category exemplars.

Time frame:
In Aim 1, accuracy is collected in a missing feature task 25 min. into the experiment, taking 25 min. In Aim 2, accuracy is collected in a missing feature task over 25 min in Stage 2
Reported as:
Mean · Proportion of correct responses
Structure Knowledge for a New Modular Category in Stage 2
Proportion of correct responsesAim 1 Immediate IncongruentAim 1 Immediate CongruentAim 2 Awake IncongruentAim 2 Awake CongruentAim 2 Sleep IncongruentAim 2 Sleep Congruent
Structure Knowledge for a New Modular Category in Stage 20.563 ± .0983.5726 ± .0857.6303 ± .0942.6266 ± .1043.6287 ± .11470.6231 ± 0.0998

Adverse events

Collected over One day (specifically the hours during which participants were completing tasks). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Immediate Congruent0/47 (0%)0/47 (0%)0/47 (0%)
Immediate Incongruent0/47 (0%)0/47 (0%)0/47 (0%)
Awake Incongruent0/26 (0%)0/26 (0%)0/26 (0%)
Awake Congruent0/25 (0%)0/25 (0%)0/25 (0%)
Sleep Incongruent0/22 (0%)0/22 (0%)0/22 (0%)
Sleep Congruent (SWS)0/27 (0%)0/27 (0%)0/27 (0%)
Sleep Congruent (REM)———

Baseline characteristics

Since only a small percentage of participants enter REM sleep within the 2-hour nap opportunity, if we were to randomly assign participants to either non-REM vs. REM conditions, there would be an extremely high likelihood that participants assigned to the REM condition would never enter that sleep phase, rendering that participant's data unusable and resulting in a high attrition rate. In order to generate as much usable data as possible, we therefore decided to remove the REM condition.

Age, Categorical
Age, Categorical(Participants)Immediate IncongruentImmediate CongruentAwake IncongruentAwake CongruentSleep IncongruentSleep Congruent (SWS)Sleep Congruent (REM)Total
<=18 years000000—0
Between 18 and 65 years474726252227—194
>=65 years000000—0
Age, Continuous
Age, Continuous(years)Immediate IncongruentImmediate CongruentAwake IncongruentAwake CongruentSleep IncongruentSleep Congruent (SWS)Sleep Congruent (REM)Total
Mean25.0213 ± 1.905225.6809 ± 1.770621.19 ± 3.923.08 ± 4.7520.95 ± 3.5822.96 ± 4.42—23.67 ± 3.69
Sex: Female, Male
Sex: Female, Male(Participants)Immediate IncongruentImmediate CongruentAwake IncongruentAwake CongruentSleep IncongruentSleep Congruent (SWS)Sleep Congruent (REM)Total
Female302913151616—119
Male17181310611—75
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Immediate IncongruentImmediate CongruentAwake IncongruentAwake CongruentSleep IncongruentSleep Congruent (SWS)Sleep Congruent (REM)Total
Hispanic or Latino560602—19
Not Hispanic or Latino424124182225—172
Unknown or Not Reported002100—3
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Immediate IncongruentImmediate CongruentAwake IncongruentAwake CongruentSleep IncongruentSleep Congruent (SWS)Sleep Congruent (REM)Total
American Indian or Alaska Native100201—4
Asian431391316—58
Native Hawaiian or Other Pacific Islander000000—0
Black or African American022230—9
White42418949—113
More than one race011111—5
Unknown or Not Reported002210—5
Region of Enrollment
Region of Enrollment(participants)Immediate IncongruentImmediate CongruentAwake IncongruentAwake CongruentSleep IncongruentSleep Congruent (SWS)Sleep Congruent (REM)Total
United States474726252227—194
08

Study locations

1 site
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
09

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Study documents

  • Study protocol · Nov 11, 2021
  • Statistical analysis plan · Jun 17, 2025
  • Informed consent form · Jul 1, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — All IPD that underlie results in a publication.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 14, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05746299
Lead sponsor
University of Pennsylvania
Collaborators
National Institute of Mental Health (NIMH)
Responsible party
Sponsor
First posted
Feb 27, 2023
Start date
Mar 29, 2023
Primary completion
Jun 30, 2024
Completion
Jun 30, 2024
Results posted
Jul 14, 2025
Last update
Jul 14, 2025

Study contacts

Anna C Schapiro, PhD
principal investigator · University of Pennsylvania

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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