ClinicalTrials.gg
RecruitingNCT07260253Updated Sep 4, 2026

Remotely-supervised Neuromodulation in PPA

An interventional study of Lexical Retrieval Cascade Treatment and Remotely Supervised Transcranial Direct Current Stimulation- Active in Primary Progressive Aphasia(PPA), Progressive Aphasia and Progressive Aphasia in Alzheimer's Disease, sponsored by Maya Henry. Recruiting at 2 sites in United States. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2026-09-04.

Sponsored by Maya Henry · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2026; still recruiting 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to learn whether home-based brain stimulation combined with virtual speech-language therapy can improve communication abilities in adults with logopenic variant primary progressive aphasia (lvPPA), a language disorder most often caused by Alzheimer's disease.

The main questions the study aims to answer are:

  • Is combining remotely supervised transcranial direct current stimulation (tDCS) with virtual speech-language therapy feasible and acceptable for people with lvPPA?
  • Does this combined treatment lead to improvements in communication compared to speech-language therapy with sham (placebo) stimulation?
  • Do individual brain characteristics help predict who benefits most from this treatment?

Researchers will compare participants who receive active tDCS plus virtual speech-language therapy to participants who receive sham (placebo) tDCS plus virtual speech-language therapy to see if active brain stimulation enhances communication outcomes.

Participants will:

  • Complete speech-language therapy sessions delivered by video visit.
  • Receive either active or sham tDCS that is remotely supervised and completed at home.
  • Complete language and cognitive testing before and after treatment.
  • Undergo brain imaging and other assessments to help understand treatment response.
02

Conditions studied

  • Primary Progressive Aphasia(PPA)
  • Progressive Aphasia
  • Progressive Aphasia in Alzheimer's Disease
  • Logopenic Progressive Aphasia (LPA)
  • Logopenic Variant Primary Progressive Aphasia
  • Logopenic Variant of Primary Progressive Aphasia (LPA)

Keywords

  • lvPPA
  • PPA
  • logopenic variant PPA
  • transcranial direct-current stimulation
  • tDCS
  • neuromodulation
  • speech therapy
  • speech-language pathology
  • logopenic
  • teletherapy
  • remote
  • virtual
03

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 planned enrollment of 80 is above the median of 30 across 60 interventional studies indexed under Aphasia, Primary Progressive.

Browse Aphasia, Primary Progressive studies →

Lead sponsor

Maya Henry is the lead sponsor of 2 studies on the registry; 2 are open to participants now.

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

04

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

  • Meets diagnostic criteria for primary progressive aphasia (PPA)
  • Meets diagnostic criteria for logopenic variant PPA
  • Attains score of 15 or higher on the
  • Has adequate hearing and vision (with hearing or vision aids, if needed)
  • Is able to travel to research site and undergo MRI brain scan
  • Has access to high speed internet and basic experience using a computer and the internet
  • Is a fluent speaker of English
  • Has a study partner who can co-enroll in the study, attend pre-treatment training at the research site, and be present for teleconference meetings, as needed

Exclusion criteria

Exclusion Criteria:

  • Speech and language deficits better accounted for by another neurological disorder
  • Does not meet diagnostic criteria for logopenic variant PPA
  • Scores less than 15 on the
  • Does not have a study partner who can co-enroll in the study
  • Has for tDCS or MRI scan (History of seizures, head injury, craniotomy, skull surgery or fracture; History of severe or frequent migraines; Metallic implant in head or any metal in head; Pacemaker or cardioverter-defibrillator or any other stimulator; Chronic skin problems; Pregnancy)
  • Has a history of stroke, epilepsy, or significant brain injury
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Care provider, Investigator, Outcomes assessor)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    Language Therapy with Active Stimulation

    Participants will receive virtual language therapy in conjunction with active remotely-supervised transcranial direct current stimulation.

    Behavioral: Lexical Retrieval Cascade Treatment · Device: Remotely Supervised Transcranial Direct Current Stimulation- Active

  • Sham comparator
    Language Therapy with Sham Stimulation

    Participants will receive virtual language therapy in conjunction with sham remotely-supervised transcranial direct current stimulation.

    Behavioral: Lexical Retrieval Cascade Treatment · Device: Remotely Supervised Transcranial Direct Current Stimulation - Sham

Interventions

  • BehavioralLexical Retrieval Cascade Treatment

    Participants work on producing spoken and written names of personally-relevant target items. Treatment focuses on the use of strategies that capitalize on spared cognitive-linguistic abilities to support word retrieval. The participant completes two (one hour each) teletherapy sessions per week with a clinician plus 30 minutes of additional independent, computer-based practice exercises 3 times per week.

    Also known as: LRCT

  • DeviceRemotely Supervised Transcranial Direct Current Stimulation- Active

    tDCS is a type of non-invasive brain stimulation. 2.0 milliamp (mA) of current will be delivered via electrodes in saline-soaked sponges placed on the left and right sides of the head. The stimulation will last 20 minutes and will occur 5 times weekly, in the participant's home setting, while the participant engages in computer-delivered speech-language training. Sessions are monitored by study personnel.

  • DeviceRemotely Supervised Transcranial Direct Current Stimulation - Sham

    tDCS is a type of non-invasive brain stimulation. 2.0 milliamp (mA) of current will be delivered via electrodes in saline-soaked sponges placed on the left and right sides of the head. In sham stimulation, current will be delivered for a brief period of time and then turned off. Sham stimulation will last 20 minutes and will occur 5 times weekly, in the participant's home setting, while the participant engages in computer-delivered speech-language training. Sessions are monitored by study personnel.

06

What researchers measure

Primary outcomes

  1. Change in spoken naming

    Change in percent correctly named trained/untrained pictures

    Time frame: change from pre-treatment to one month and three months after onset of treatment in each phase (stimulation and sham)

Secondary outcomes

  1. Change on Communication Confidence Rating Scale for Aphasia

    Change on self-rating scale evaluating communication confidence in different settings for persons with aphasia. A higher score indicates greater confidence, with minimum and maximum values of 0 and 100.

    Time frame: change from pre-treatment to one month and three months after onset of treatment in each phase (stimulation and sham)

  2. Change on Aphasia Impact Questionnaire

    Change on patient reported outcome measure for persons with aphasia; characterizes activities, participation and emotional state/wellbeing using a 5-point pictorial rating scale. A higher score indicates greater impact of aphasia, with minimum and maximum values of 0 and 84.

    Time frame: change from pre-treatment to one month and three months after onset of treatment in each phase (stimulation and sham)

  3. Theoretical Framework of Acceptability Questionnaire

    The Theoretical Framework of Acceptability questionnaire is a measure developed for healthcare interventions to identify characteristics of interventions that may be improved or that were well-received.

    Time frame: one month after onset of treatment

  4. Acceptability and Perception of Change Survey

    The Acceptability and Perception of Change Survey characterizes perceived response to treatment.

    Time frame: one month after onset of treatment

07

Study locations

2 of 2 sites recruiting
  • UCSF Memory and Aging Cener
    San Francisco, California 94158, United States
    Recruiting
  • University of Texas
    Austin, Texas 78712, United States
    Recruiting
08

References and documents

Publications

  • Dial HR, Hinshelwood HA, Grasso SM, Hubbard HI, Gorno-Tempini ML, Henry ML. Investigating the utility of teletherapy in individuals with primary progressive aphasia. Clin Interv Aging. 2019 Feb 25;14:453-471. doi: 10.2147/CIA.S178878. eCollection 2019. PubMed 30880927 ↗
  • Henry ML, Hubbard HI, Grasso SM, Dial HR, Beeson PM, Miller BL, Gorno-Tempini ML. Treatment for Word Retrieval in Semantic and Logopenic Variants of Primary Progressive Aphasia: Immediate and Long-Term Outcomes. J Speech Lang Hear Res. 2019 Aug 15;62(8):2723-2749. doi: 10.1044/2018_JSLHR-L-18-0144. Epub 2019 Aug 7. PubMed 31390290 ↗

Individual participant data

Plan to share: Yes — De-identified individual participant data, including behavioral and MRI/fMRI data from 80 individuals with lvPPA and limited data from study partners, will be shared via the ICPSR repository. Data will be available at publication or within 9 months of database lock, and accessible for at least 10 years. Publicly shared datasets will exclude identifiable information, audio/video files, and non-skull-stripped imaging. Additional data may be shared via IRB-approved data-sharing agreements.

Time frame: De-identified clinical trial data (participant level and summary level data, raw and processed) will be made available at the time of publication of the primary results or within 9 months of database lock, whichever comes first. We will also include relevant datasets as supplementary material accompanying articles submitted to PubMed Central. Data will be publicly available for 10 years following the end of the award and by request thereafter.

Access criteria: De-identified data will be accessible to researchers and the broader scientific community. Publicly available datasets will be hosted on the ICPSR repository and accessible via DOI. Additional data (e.g., voice samples) may be accessed through an IRB-approved data-sharing agreement, which will require users to commit to secure data handling and non-identification of participants.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 4, 2026, 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
NCT07260253
Lead sponsor
Maya Henry
Responsible party
Maya Henry (Associate Professor, Associate Dean for Research, University of Texas at Austin) — Sponsor-investigator
First posted
Dec 3, 2025
Start date
Apr 15, 2026
Primary completion
Apr 1, 2030 (estimated)
Completion
Apr 30, 2030 (estimated)
Last update
Sep 4, 2026

Study contacts

Aphasia Lab Research Coordinator
Contact
aphasialab@austin.utexas.edu
512-471-3420
Maya L Henry, PhD
principal investigator · University of Texas at Austin
Jessica D Richardson, PhD
principal investigator · University of New Mexico

Oversight

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

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