Sleep and Rehearsal-Driven Memory in Epilepsy

NCT ID: NCT06967935

Last Updated: 2025-07-08

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

RECRUITING

Total Enrollment

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-06-30

Study Completion Date

2026-07-31

Brief Summary

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Memory consolidation transforms unstable memory traces into lasting representations, a process enhanced by both sleep and rehearsal during learning. Rehearsal is thought to accelerate consolidation by inducing memory reactivations that resemble those occurring during sleep. However, the respective mechanisms of sleep- and rehearsal-induced consolidation-and their potential interactions-remain poorly understood, especially in patients with temporal lobe epilepsy, where rehearsal might help compensate for memory deficits linked to hippocampal dysfunction, and where sleep may exacerbate epileptic activity. The CORESOM-EPI study aims to compare the effects of rehearsal and sleep on memory consolidation in patients undergoing video-EEG monitoring. Participants will learn "object-place" associations under two conditions (single versus repeated encoding), with memory tested immediately and again after a 12-hour delay. This delay will either include a full day awake or a night of sleep, allowing direct comparison of sleep- and rehearsal-related consolidation effects. Each participant will perform the task twice, with "wake" and "sleep" condition, in a balanced order. As a preliminary phase of the CRIMES study (ANR-DFG 2024), CORESOM-EPI will help assess how sleep and rehearsal influence memory consolidation in epilepsy. It will also serve to adapt the behavioral task for clinical use, paving the way for a future intracranial EEG investigations that will explore the neural networks involved and their modulation by epileptic activity.

Detailed Description

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Conditions

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Epilepsy Memory Consolidation

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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WAKE - SLEEP

This group will start with the condition 1 " wake " (encoding+immediate recall in the morning (8 :00am) and delayed recall in the evening (8 :00pm)) and will end with the condition 2 " sleep " : (encoding+immediate recall in the evening (8 :00pm) and delayed recall in the morning (8 :00am))

Cognitive memory task on a computer

Intervention Type OTHER

Encoding: (1) Participants will learn 60 associations between pairs of items (cue and target) that are presented sequentially at unique locations on a screen, in a given context. 30 pairs are presented once, and 30 pairs are presented repeatedly (4 times).

(2) After learning, the first recall phase begins after a short delay of 30 minutes: 50% of the pairs are tested in a similar way, this time with an assessment of contextual memory.

(3) The remaining 50% of pairs are tested after a 12-hour delay, involving either a day awake (condition 1) or a night asleep (condition 2).

Eye tracking

Intervention Type OTHER

Eye-tracking will be carried out during the task to ensure that participants are focused on the task (quantification of the number and duration of eye fixations in the area of interest corresponding to the target presentation)

Questionnaires on task-related fatigue

Intervention Type OTHER

Questionnaire on task-related fatigue (Likert-scale) will be completed by participants between blocks of items during the task

Questionnaire on task difficulty

Intervention Type OTHER

Questionnaires on task difficulty (Likert-scale) will be completed by participants at the end of the task

Karolinska scale

Intervention Type OTHER

Participants' state of sleepiness will be assessed at the beginning of each stage (encoding, immediate recall, delayed recall) using the Karolinska sleepiness scale

SLEEP-WAKE

This group will start with the condition 2 " sleep "and will end with the condition 1 " wake "

Cognitive memory task on a computer

Intervention Type OTHER

Encoding: (1) Participants will learn 60 associations between pairs of items (cue and target) that are presented sequentially at unique locations on a screen, in a given context. 30 pairs are presented once, and 30 pairs are presented repeatedly (4 times).

(2) After learning, the first recall phase begins after a short delay of 30 minutes: 50% of the pairs are tested in a similar way, this time with an assessment of contextual memory.

(3) The remaining 50% of pairs are tested after a 12-hour delay, involving either a day awake (condition 1) or a night asleep (condition 2).

Eye tracking

Intervention Type OTHER

Eye-tracking will be carried out during the task to ensure that participants are focused on the task (quantification of the number and duration of eye fixations in the area of interest corresponding to the target presentation)

Questionnaires on task-related fatigue

Intervention Type OTHER

Questionnaire on task-related fatigue (Likert-scale) will be completed by participants between blocks of items during the task

Questionnaire on task difficulty

Intervention Type OTHER

Questionnaires on task difficulty (Likert-scale) will be completed by participants at the end of the task

Karolinska scale

Intervention Type OTHER

Participants' state of sleepiness will be assessed at the beginning of each stage (encoding, immediate recall, delayed recall) using the Karolinska sleepiness scale

Interventions

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Cognitive memory task on a computer

Encoding: (1) Participants will learn 60 associations between pairs of items (cue and target) that are presented sequentially at unique locations on a screen, in a given context. 30 pairs are presented once, and 30 pairs are presented repeatedly (4 times).

(2) After learning, the first recall phase begins after a short delay of 30 minutes: 50% of the pairs are tested in a similar way, this time with an assessment of contextual memory.

(3) The remaining 50% of pairs are tested after a 12-hour delay, involving either a day awake (condition 1) or a night asleep (condition 2).

Intervention Type OTHER

Eye tracking

Eye-tracking will be carried out during the task to ensure that participants are focused on the task (quantification of the number and duration of eye fixations in the area of interest corresponding to the target presentation)

Intervention Type OTHER

Questionnaires on task-related fatigue

Questionnaire on task-related fatigue (Likert-scale) will be completed by participants between blocks of items during the task

Intervention Type OTHER

Questionnaire on task difficulty

Questionnaires on task difficulty (Likert-scale) will be completed by participants at the end of the task

Intervention Type OTHER

Karolinska scale

Participants' state of sleepiness will be assessed at the beginning of each stage (encoding, immediate recall, delayed recall) using the Karolinska sleepiness scale

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patient with epilepsy (any type of epilepsy)
* Hospitalized for video-EEG recording lasting at least 4 days
* Aged 18-65 years

Exclusion Criteria

* Major cognitive impairment other than memory deficit
* Refusal to participate
* Pregnant women, women in labor or nursing mothers
* Persons deprived of their liberty by judicial or administrative decision
* Persons under psychiatric care
* Persons admitted to a health or social institution for purposes other than research
* Adults under legal protection (guardianship, curatorship)
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospices Civils de Lyon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Service de neurologie fonctionnelle et d'épileptologie, Hôpital neurologique Pierre Wertheimer

Bron, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Laure PETER-DEREX, Professor

Role: CONTACT

+334 72 07 17 69

Sylvain Rheims, Professor

Role: CONTACT

+334 72 45 79 00

Facility Contacts

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Laure PETER-DEREX, Professor

Role: primary

+334 72 07 17 69

Other Identifiers

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2025-A00510-49

Identifier Type: OTHER

Identifier Source: secondary_id

69HCL25_0188

Identifier Type: -

Identifier Source: org_study_id

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