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RecruitingNCT07719582Updated Nov 4, 2026

Effectivity of P1821, a Novel Tongue Strengthening and Endurance Enhancing Speech Flow Exercise

An interventional study of P1821 in Ankyloglossia, Impairment of Speech and Slurred Speech, sponsored by Dream Video LLC. Recruiting at 1 site in United States. Per ClinicalTrials.gov, last updated 2026-11-04.

Sponsored by Dream Video LLC · Not applicable, Interventional, and Treatment

Updated Nov 4, 2026Now RecruitingSite recruiting status changed+1 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Not applicable
Sex
All
01

Study summary

The P1821 initiative constitutes an innovative intervention specifically engineered to enhance tongue muscular strength and endurance. The primary objective of this research study is to ascertain whether the integration of a proactive tongue strengthening exercise regimen, utilizing a Non-Significant Risk (NSR) Device, contributes to an observable improvement in speech fluency.

Read the detailed description

P1821 specifically targets the muscles in the tongue. These areas are part of the tongue's movable section, known for their great flexibility and ability to perform complex movements.

The tongue plays a crucial role in speech production. Weakness in its muscles can lead to difficulties in speaking clearly and distinctly. The tongue is a highly mobile group of muscles, richly supplied with blood and nerves.

The tongue's remarkable ability to move in all directions stems from the unique arrangement of its muscle fibers, which is unlike any other muscle in the body. These fibers run in three dimensions:

From front to back, from the sides to the middle, and from top to bottom.

This unique structure allows the tongue to perform a variety of movements, including: Getting longer and shorter. The tongue is the only muscle in the body that can be actively lengthened, not just shortened. When the vertical and horizontal fibers contract simultaneously, the tongue becomes narrower and longer, enabling it to be extended. Changing its position: Additional muscles can alter the tongue's overall position by pulling it from the front (from the lower jaw), from below and behind (from the hyoid bone), and from above and behind (from the base of the skull).

02

Conditions studied

  • Ankyloglossia
  • Impairment of Speech
  • Slurred Speech

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Keywords

  • Tongue-strengthening self-exercises (TSsE)
  • Tongue strength
  • Home-based exercise
  • Self-exercise
03

In context

Ankyloglossia

32 studies on the registry are indexed under Ankyloglossia; 8 are open to participants now.

This study's planned enrollment of 100 is close to the median of 105 across 22 interventional studies indexed under Ankyloglossia.

Browse Ankyloglossia studies →

Lead sponsor

Dream Video LLC is the lead sponsor of 3 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Can read and write
  • Willing and able to follow the requirements of the protocol

Exclusion criteria

Exclusion Criteria:

  • Previously seen and treated by speech and language pathologist for dysphagia or dysarthria for non-head and neck cancer causes
  • Medical instability, restlessness, or other factors that would compromise data acquisition
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    P1821 #1

    P1821 interventions are administered once daily over a period of fourteen days.

    Device: P1821

Interventions

  • DeviceP1821

    The P1821 intervention is distinguished by its independence from pharmaceutical agents and electronic devices. Its foundational mechanism is predicated exclusively on the physiological principles of muscle resistance training, thereby offering a non-pharmacological and non-invasive therapeutic approach.

06

What researchers measure

Primary outcomes

  1. P1821

    The primary key performance indicator will be the proportion of study participants who demonstrate statistically significant and measurable improvements in their speaking ability following the completion of the two-week treatment protocol within P1821. This metric is crucial for evaluating the efficacy of the intervention and will be assessed through standardized linguistic and speech pathology evaluations.

    Time frame: From enrollment to the end of treatment at 2 weeks.

  2. P1821

    Compare the number of participants experiencing treatment-related adverse events versus those with positive treatment outcomes.

    Time frame: From enrollment to the end of treatment at 2 weeks.

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Binger C, Ragsdale J, Bustos A. Language Sampling for Preschoolers With Severe Speech Impairments. Am J Speech Lang Pathol. 2016 Nov 1;25(4):493-507. doi: 10.1044/2016_AJSLP-15-0100. PubMed 27552110 ↗
  • Potter NL, Nievergelt Y, VanDam M. Tongue Strength in Children With and Without Speech Sound Disorders. Am J Speech Lang Pathol. 2019 May 27;28(2):612-622. doi: 10.1044/2018_AJSLP-18-0023. Epub 2019 Feb 28. PubMed 31136240 ↗
  • Lalakea ML, Messner AH. Ankyloglossia: the adolescent and adult perspective. Otolaryngol Head Neck Surg. 2003 May;128(5):746-52. doi: 10.1016/S0194-59980300258-4. PubMed 12748571 ↗
  • Wang J, Yang X, Hao S, Wang Y. The effect of ankyloglossia and tongue-tie division on speech articulation: A systematic review. Int J Paediatr Dent. 2022 Mar;32(2):144-156. doi: 10.1111/ipd.12802. Epub 2021 May 22. PubMed 33964037 ↗
  • Belmehdi A, Harti KE, Wady WE. Ankyloglossia as an oral functional problem and its surgical management. Dent Med Probl. 2018 Apr-Jun;55(2):213-216. doi: 10.17219/dmp/85708. PubMed 30152627 ↗
  • Wei EX, Tunkel D, Boss E, Walsh J. Ankyloglossia: Update on Trends in Diagnosis and Management in the United States, 2012-2016. Otolaryngol Head Neck Surg. 2020 Nov;163(5):1029-1031. doi: 10.1177/0194599820925415. Epub 2020 May 19. PubMed 32427523 ↗
  • Suter VG, Bornstein MM. Ankyloglossia: facts and myths in diagnosis and treatment. J Periodontol. 2009 Aug;80(8):1204-19. doi: 10.1902/jop.2009.090086. PubMed 19656020 ↗
  • Walsh J, Tunkel D. Diagnosis and Treatment of Ankyloglossia in Newborns and Infants: A Review. JAMA Otolaryngol Head Neck Surg. 2017 Oct 1;143(10):1032-1039. doi: 10.1001/jamaoto.2017.0948. PubMed 28715533 ↗

Individual participant data

Plan to share: No

09

Updates

2 registry updates since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Nov 4, 2026
Sites
N/A - Remote Study is now Recruiting
Nov 4, 2026
Start date
Jan 1, 2028→Nov 1, 2026 (actual)
Nov 4, 2026
Show all 2 updates
  1. Nov 4, 2026
    Not yet recruiting→Recruiting
    N/A - Remote Study is now Recruiting
    Start date Jan 1, 2028→Nov 1, 2026 (now actual)
    + 1 other change: verification date
  2. Oct 21, 2026
    Minor edits only
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07719582
Lead sponsor
Dream Video LLC
Collaborators
Dream Holdings Research
Responsible party
Sponsor
First posted
Jul 22, 2026
Start date
Nov 1, 2026
Primary completion
Jan 1, 2029 (estimated)
Completion
Jan 1, 2030 (estimated)
Last update
Nov 4, 2026

Study contacts

Matthew Quitto II
Contact
dream@dreamholdingsllc.com
917-342-2895

Oversight

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

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