Evaluation of Brain Plasticity in Premature Infants at School Age After Cognitive Remediation

NCT ID: NCT03972761

Last Updated: 2019-06-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-27

Study Completion Date

2021-09-26

Brief Summary

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Infantile brain plasticity is still a poorly known phenomenon. However, neuropsychological disorders and behavioral deficits are common disorders that can have serious consequences for school enrollment, family and social adjustment, as well as repercussions on future adult lives.

In addition, generally very premature infants (TGP) have identifiable executive function disorders (EF), particularly those involving attentional processes such as working memory (WM).

The main objective of the study is to evaluate the effects of cognitive remediation (CR) strategies on the brain plasticity of the cortical areas involved in the management of WM in school-aged TGP children (8 years).

The secondary objective of the study is to evaluate the action of CR on the development of cortical areas concerned

It is a monocentric, prospective and comparative study of the exposed type (to cognitive remediation) - unexposed. Recruitment and data collection are carried out prospectively, in connection with the original study (EPIREMED). Included patients will be explored by Magnetic Resonance Imaging (MRI) 3 resting state Tesla.

The main hypothesis is that CR strategies have a beneficial effect on the cognitive processing of visual-spatial executive functions, but also on the cortical areas involved in brain plasticity in general (indirect benefits); not to mention the psychological benefits ad hoc to such studies (self-esteem, increased concentration, new stress management strategies put in place).

The ultimate objective of this study is to better understand the mechanisms of cerebral plasticity concerning higher executive functions. Moreover, this study should make it possible to confirm the improvement of the overall fate of the child by better understanding the neuropsychological and anatomical origins of his disorders. Interventions taking into account the environment of the very premature baby are necessary because it is closely linked to the developmental future.

Detailed Description

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Conditions

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Premature Childbirth

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Group exposed to cognitive remediation

Computerized cognitive remediation program. Program performed during inclusion in the EPIREMED patient study (Clinical trial number NCT02757794)

Group Type ACTIVE_COMPARATOR

Magnetic Resonance Imaging (MRI) 3 tesla

Intervention Type DEVICE

Functional neuroimaging objectifies the activation of specific areas of the brain

Group not exposed to cognitive remediation

Standard remediation performed during inclusion in the EPIREMED patient study (Clinical trial number NCT02757794)

Group Type PLACEBO_COMPARATOR

Magnetic Resonance Imaging (MRI) 3 tesla

Intervention Type DEVICE

Functional neuroimaging objectifies the activation of specific areas of the brain

Interventions

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Magnetic Resonance Imaging (MRI) 3 tesla

Functional neuroimaging objectifies the activation of specific areas of the brain

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Children born between 24 and 34 weeks of amenorrhea and living in the Provence region
* Possessing an intelligence quotient (IQ) greater than 70

Exclusion Criteria

* Child not understanding French
* Child who did not have all the interventions in the EPIREMED study
Minimum Eligible Age

8 Years

Maximum Eligible Age

9 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique Hopitaux De Marseille

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean-Olivier ARNAUD, Director

Role: STUDY_DIRECTOR

Assistance Publique Hôpitaux de Marseille

Locations

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Assistance Publique Hôpitaux de Marseille

Marseille, , France

Site Status

Countries

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France

Central Contacts

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Barthélémy TOSELLO, PH

Role: CONTACT

491968300 ext. +33

Facility Contacts

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Barthélémy TOSELLO, PH

Role: primary

491968300 ext. +33

Other Identifiers

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2019-A00829-48

Identifier Type: OTHER

Identifier Source: secondary_id

RCAPHM19_0023

Identifier Type: OTHER

Identifier Source: secondary_id

2019-07

Identifier Type: -

Identifier Source: org_study_id

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