Trial Outcomes & Findings for Dosage and Predictors of Naming Treatment Response in Aphasia (NCT NCT02005016)

NCT ID: NCT02005016

Last Updated: 2019-11-04

Results Overview

The Philadelphia Naming Test is a performance-based measure commonly used to assess naming (word production) ability among adults with aphasia. Participants are shown 175 pictures of common objects and asked to name each stimulus item within 30 seconds. Score range is from 0 to 175 (number out of 175 items that were correctly named), with higher scores representing better performance. Change in PNT score from entry to exit is the primary study outcome. Mean PNT change score measures treatment-related changes in naming ability.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

46 participants

Primary outcome timeframe

Baseline (at study entry) to the day after completion of intervention (after 4 weeks of behavioral therapy).

Results posted on

2019-11-04

Participant Flow

Participant milestones

Participant milestones
Measure
Behavioral Therapy
All study participants will be assigned to this arm of this single-arm study. Participants will receive intensive behavioral therapy intended to improve their naming (word production) ability. Naming therapy: Participants will receive behavioral therapy which is designed to stimulate semantic (meaning) representations which are required for successful naming (word production). Therapy will be administered for 4 weeks on an intensive schedule (5 days a week, approximately 4.5 hours per day).
Overall Study
STARTED
46
Overall Study
COMPLETED
44
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Two enrolled participants did not complete the protocol.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Behavioral Therapy
n=46 Participants
All study participants will be assigned to this arm of this single-arm study. Participants will receive intensive behavioral therapy intended to improve their naming (word production) ability. Naming therapy: Participants will receive behavioral therapy which is designed to stimulate semantic (meaning) representations which are required for successful naming (word production). Therapy will be administered for 4 weeks on an intensive schedule (5 days a week, approximately 4.5 hours per day).
Age, Categorical
<=18 years
0 Participants
n=44 Participants • Two enrolled participants did not complete the protocol.
Age, Categorical
Between 18 and 65 years
22 Participants
n=44 Participants • Two enrolled participants did not complete the protocol.
Age, Categorical
>=65 years
22 Participants
n=44 Participants • Two enrolled participants did not complete the protocol.
Age, Continuous
61.56 years
STANDARD_DEVIATION 12.64 • n=46 Participants
Sex: Female, Male
Female
5 Participants
n=46 Participants
Sex: Female, Male
Male
41 Participants
n=46 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=46 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
45 Participants
n=46 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=46 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=46 Participants
Race (NIH/OMB)
Asian
0 Participants
n=46 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=46 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=46 Participants
Race (NIH/OMB)
White
39 Participants
n=46 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=46 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=46 Participants
Region of Enrollment
United States
46 Participants
n=46 Participants
Philadelphia Naming Test
111.96 units on a scale
STANDARD_DEVIATION 39.92 • n=46 Participants

PRIMARY outcome

Timeframe: Baseline (at study entry) to the day after completion of intervention (after 4 weeks of behavioral therapy).

Population: The PNT was administered at two timepoints for the majority of the sample (32/44). The initial 12 participants received the PNT at study entry and abbreviated forms of the assessment during the protocol and at study exit. These abbreviated forms were found not to be reliable, so the full PNT was administered to remaining participants at exit.

The Philadelphia Naming Test is a performance-based measure commonly used to assess naming (word production) ability among adults with aphasia. Participants are shown 175 pictures of common objects and asked to name each stimulus item within 30 seconds. Score range is from 0 to 175 (number out of 175 items that were correctly named), with higher scores representing better performance. Change in PNT score from entry to exit is the primary study outcome. Mean PNT change score measures treatment-related changes in naming ability.

Outcome measures

Outcome measures
Measure
Behavioral Therapy
n=32 Participants
All study participants will be assigned to this arm of this single-arm study. Participants will receive intensive behavioral therapy intended to improve their naming (word production) ability. Naming therapy: Participants will receive behavioral therapy which is designed to stimulate semantic (meaning) representations which are required for successful naming (word production). Therapy will be administered for 4 weeks on an intensive schedule (5 days a week, approximately 4.5 hours per day).
Change From Baseline in Philadelphia Naming Test Score
5.91 score on a scale
Standard Error 1.84

SECONDARY outcome

Timeframe: Baseline (at study entry) to the day after completion of intervention (after 4 weeks of behavioral therapy).

The Comprehensive Aphasia Test (CAT) is a performance-based measure of language processing across multiple language domains commonly used to assess language-processing ability among adults with aphasia. The CAT Modality Mean T-Score represents an measurement of overall language-processing ability (aphasia severity). Scores are on a T-score scale (mean score 50, 2 SD range from 30 to 70), with higher scores representing better performance. Change in CAT score from entry to exit (secondary outcome) measures treatment-related changes in overall aphasia severity.

Outcome measures

Outcome measures
Measure
Behavioral Therapy
n=44 Participants
All study participants will be assigned to this arm of this single-arm study. Participants will receive intensive behavioral therapy intended to improve their naming (word production) ability. Naming therapy: Participants will receive behavioral therapy which is designed to stimulate semantic (meaning) representations which are required for successful naming (word production). Therapy will be administered for 4 weeks on an intensive schedule (5 days a week, approximately 4.5 hours per day).
Change From Baseline on Comprehensive Aphasia Test Modality Mean T-Score
0.80 units on a scale
Standard Error 0.17

Adverse Events

Behavioral Therapy

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Michael Dickey

VA Pittsburgh Healthcare System

Phone: 412-360-6467

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place