Can zapping the brain boost speech therapy for aphasia patients?
NCT ID NCT06921265
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether adding a non-invasive brain stimulation technique called transcranial magnetic stimulation (TMS) to speech therapy can improve language skills in people with primary progressive aphasia (PPA), a condition that slowly damages language areas of the brain. About 75 participants (45 with PPA and 30 healthy controls) will receive either speech therapy alone or speech therapy plus TMS. The goal is to see if the combination leads to better naming and communication, and whether personalized TMS works better than a standard approach.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 75 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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May 2026
An estimate. Start dates often move.
- Expected to finish
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Apr 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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40 to 85 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria for patients * Clinical and imaging-supported diagnosis of any variant of PPA (svPPA, lvPPA, nfvPPA) according to international diagnostic criteria (Gorno- Tempini et al., 2011) * Age range: 40-85 * MMSE\>15 * Native Italian Speaker * Right handedness * Stable pharmacological treatment of at least 4 weeks and without any change during the observation period (48 weeks) * Oral and written informed consent to study participation Exclusion Criteria for patients * Any major systemic, psychiatric, neurological, and visual disturbance * Medical conditions or substance abuse that could interfere with cognition * Hypoacusis or severe visual deficits * Pacemaker and/or other implanted neurostimulation devices in the head/neck district * (Other) Contraindications to undergoing MRI examination * Brain damage at routine MRI, including extensive cerebrovascular disorders * Denied oral and written informed consent to study participation * Inability to repeat multisyllabic words (4 syllables) * Concomitant participation to other pharmacological and non pharmacological studies * Traumatic or surgical wounds that could determine a risk of infection in the site of non-invasive stimulation * Scalp alterations that could determine the spread of excessive current from the device. * Known history of epilepsy (due to small risk of seizure induction from rTMS in epileptic patients Inclusion criteria for healthy controls: * Sex-matched and age-matched (age range: mean age of PPA years ± 15 years) * MMSE\>27 * Native Italian Speaker * Right handedness * Oral and written informed consent to study participation Exclusion criteria for healthy controls: * Any major systemic, psychiatric, neurological, and visual disturbance * Medical conditions or substance abuse that could interfere with cognition * Hypoacusis or severe visual deficits * Pacemaker and/or other implanted neurostimulation devices in the head/neck district * (Other) Contraindications to undergoing MRI examination * Brain damage at routine MRI, including extensive cerebrovascular disorders * Denied oral and written informed consent to study participation
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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San Raffaele Neurotech Hub
Milan, Milano, 20132, Italy
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