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Brain Excitability and Connectivity in Sensory-motor Pathways in ALS

Sponsor:
Collaborators:
Information provided by (Responsible Party):
September 28, 2018
October 3, 2018
October 3, 2018
November 6, 2018
November 6, 2021   (Final data collection date for primary outcome measure)
Brain activity[ Time Frame: 1 hour ]
Brain parametric maps

Same as current
  • Brain connectivity[ Time Frame: 15 min ]
    diffusion brain MRI (tractography)
 

Brain Excitability and Connectivity in Sensory-motor Pathways in ALS

Evaluation and Characterization of Infraclinical Sensory Deficits in Amyotrophic Lateral Sclerosis by Brain Imaging and Electrophysiology

The main objective is to determine the origin of somatosensory alteration in patients with ALS and to evaluate its impact on brain activity by coupling different imaging modalities and indirect electrophysiology. The secondary objective is to evaluate whether the observed functional changes in MEG / EEG and functional MRI correlate with structural lesions revealed with diffusion MRI (anatomo-functional connectivity of the brain).

Somatosensory evoked potentials (SEPs) produced by ulnar nerve electrical stimulation will be collected with combined MEG and EGG. Functional MRI will be performed during electrical stimulation of ulnar nerve and during mechanical vibration of ADM tendon. Brain diffusion MRI will be performed. Anatomical MRI will be done for source location. Brain resting state activity will be recorded with MEG/EEG and fMRI.
Interventional
N/A
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: patients vs. health subjects
Masking: Interventional
Masking Description:
Primary Purpose: Basic Science
  • Device: functional MRI
    conditioning brain activity with peripheral stimulations
  • Device: structural MRI
    diffusion MRI and tractography for evaluating the brain structures
  • Device: EEG/MEG
    conditioning brain activity with peripheral stimulations
  • Experimental: functional MRI
    a group of patients with ALS and a group of gender and age matched healthy subjects will have functional MRI acquisition conditioned by electrical and mechanical stimuli of ADM proprioceptors
  • Experimental: structural MRI
    a group of patients with ALS and a group of gender and age matched healthy subjects will have diffusion MRI acquisition to evaluate their brain structures
  • Experimental: EEG/MEG
    a group of patients with ALS and a group of gender and age matched healthy subjects will have functional MRI acquisition conditioned by electrical stimuli of ADM proprioceptors
 
Not yet recruiting
52
Same as current
April 6, 2022
November 6, 2021   (Final data collection date for primary outcome measure)
Inclusion Criteria: - ALS, MRC score ≥ 4 at least in one hand - Controls: no history of neurological disorders, right-handed Exclusion Criteria: - contraindication to MRI
Sexes Eligible for Study: All
30 Years and older   (Adult, Older Adult)
No
France
 
 
No
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Plan to Share IPD: Undecided
Institut National de la Santé Et de la Recherche Médicale, France
Principal Investigator: Pierre-Francois Pradat, MD, PhD Assistance Publique - Hôpitaux de Paris
Study Director: Veronique Marchand-Pauvert, PhD Institut National de la Santé Et de la Recherche Médicale, France
September 2018

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP
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