Dopaminergic Enhancement of Learning and Memory in Aphasia
Recruitment status was Recruiting
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Purpose
The purpose of this study is to determine whether levodopa, in combination with a high frequency language training, is effective in boosting naming performance in patients with aphasia.
| Condition | Intervention | Phase |
|---|---|---|
|
Cerebrovascular Accident Aphasia |
Drug: levodopa |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Crossover Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | Dopaminergic Enhancement of Learning and Memory (LL_001, Project on Aphasia) |
- Boost in naming performance (percent correct) through levodopa as compared to placebo
- Brain activity pattern in successfully trained patients
- Stability of naming performance after one month and six months post treatment
| Estimated Enrollment: | 10 |
| Study Start Date: | January 2005 |
| Estimated Study Completion Date: | December 2008 |
Our prior work shows that d-amphetamine and the dopamine precursor levodopa markedly improve word learning success in healthy subjects. In this randomized, placebo-controlled, double-blind clinical trial, we probe whether daily administration of levodopa, coupled with several hours of language training every day, will significantly improve naming abilities in patients with aphasia as compared to placebo administration. We furthermore examine with magnetic resonance imaging which brain regions need to be functionally intact for a dopaminergic improvement of language therapy.
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria for patients with aphasia:
- Unilateral cerebrovascular accident (stroke) in the territory of the arteria media
- Time post onset: > 6 months
- Aphasia with anomia
- Age between 18-75 years
- Premorbid right-handedness
- Primary language: German
Exclusion Criteria for patients and healthy controls:
- Known allergy to levodopa or tartrazine
- History of medication/drug abuse
- Acute nicotine withdrawal or > 15 cigarettes per day
- > 6 cups/glasses of coffee, caffeine drinks or energy drinks per day
- > 50 grams of alcohol per day
- Severe hypertonia (systole >180 mm Hg)
- Severe arteriosclerosis
- Diabetes, asthma, or glaucoma
- Severe hearing disability
- Evidence for severe hippocampal damage
- Premorbid depression or psychosis
- Medication with dopamine agonists or antagonists
- Parkinsonian symptoms
- Changes in anticonvulsive medication during the week prior to study enrollment
Contacts and Locations| Contact: Kira Wedler, MA | +49-251-83 ext 45304 | kira.wedler@uni-muenster.de |
| Contact: Caterina Breitenstein, PhD | +49-251-83 ext 49969 | breitens@uni-muenster.de |
| Germany | |
| Dept. of Neurology, University Hospital Muenster | Recruiting |
| Muenster, Nordrhein-Westfalen, Germany, 48129 | |
| Contact: Stefan Knecht, MD +49-251-83 ext 48195 knecht@uni-muenster.de | |
| Contact: Caterina Breitenstein, PhD +49-251-83 ext 49969 breitens@uni-muenster.de | |
| Principal Investigator: Caterina Breitenstein, PhD | |
| Principal Investigator: Stefan Knecht, MD | |
| Study Director: | Caterina Breitenstein, PhD | Dept. of Neurology, University Hospital Muenster, Germany |
| Study Chair: | Stefan Knecht, MD | Dept. of Neurology, University Hospital Muenster, Germany |
More Information
Additional Information:
Publications:
| ClinicalTrials.gov Identifier: | NCT00102869 History of Changes |
| Other Study ID Numbers: | LL_001, Project on aphasia |
| Study First Received: | February 3, 2005 |
| Last Updated: | April 19, 2007 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by University Hospital Muenster:
|
language acquisition plasticity stroke recovery aphasia treatment |
naming levodopa stroke |
Additional relevant MeSH terms:
|
Aphasia Cerebral Infarction Stroke Speech Disorders Language Disorders Communication Disorders Neurobehavioral Manifestations Neurologic Manifestations Nervous System Diseases Signs and Symptoms Brain Infarction Brain Ischemia Cerebrovascular Disorders Brain Diseases Central Nervous System Diseases |
Vascular Diseases Cardiovascular Diseases Dopamine Dopamine Agents Levodopa Dopamine Agonists Cardiotonic Agents Cardiovascular Agents Therapeutic Uses Pharmacologic Actions Sympathomimetics Autonomic Agents Peripheral Nervous System Agents Physiological Effects of Drugs Neurotransmitter Agents |
ClinicalTrials.gov processed this record on May 19, 2013