Developing a Device to Improve Speech Sound Differentiation in Preterm Infants

This study is testing a new device called smallTalk NICU Active, designed to help preterm infants in the NICU (Neonatal Intensive Care Unit) better differentiate speech sounds. The device uses a special pacifier with a sensor that delivers a parent's voice when the baby sucks. This aims to improve how their brains process speech, which is important for language development. Preterm infants often have difficulty with speech sound processing, which can lead to language delays. This study is looking for 203 preterm infants, aged 32 to 35 weeks gestational age (the age of the baby from conception), who were born at 35 weeks gestational age or earlier. To see if the device works, researchers will measure brain activity related to sensory processing using an ERP (Event-Related Potential) recording before and after the intervention. The study's current status is unclear.

Study design
This is an interventional study planning to enroll 203 participants. The study is testing a device called smallTalk NICU Active.
What's involved
Participants will have an ERP recording two days before starting the intervention. The intervention involves 20 sessions over three weeks, and another ERP recording will be done within 24 hours of the last session.
Compensation
Not stated in the trial record.
Follow-up
Participants are followed for the duration of the intervention (three weeks) and for 24 hours after the last session for the final ERP test.

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NCT06063122

Development of a Therapeutic Device to Improve Speech Sound Differentiation in Preterm Infants

Recruiting
NAAges 32–35InterventionalTreatment
Thrive Neuromedical, LLC
~203 participants
Updated 2025-09-10 on ClinicalTrials.gov
What's tested:smallTalk NICU Active

At a glance

Recruiting sites
1 of 2 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Sensory processing measurement by ERP recording
Measured over Initial ERP Test is performed 2 days prior to intervention. Intervention timeframe is 20 sessions across 3 weeks. ERP Test is repeated within 24 hours of the last session.
Premature Birth
2 sites across 2 states
Georgia1
Ohio1
  • Dean Koch · PRINCIPAL_INVESTIGATOR · Thrive Neuromedical, LLC

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Eligibility criteria

Inclusion

CGA 32 0/7-35 0/7 weeks at study start, and GA 35 0/7 weeks at birth

Exclusion

Ventilation using an endotracheal tube, major congenital malformations, family history of genetic hearing loss, and use of sedative/seizure medications (medications potentially masking ERP measured sensory processing) and severe white matter injury as it increases the likelihood of hearing deficits.
  • Sensory processing measurement by ERP recordingInitial ERP Test is performed 2 days prior to intervention. Intervention timeframe is 20 sessions across 3 weeks. ERP Test is repeated within 24 hours of the last session.

    A high-density array of 128 electrodes embedded in soft sponges (high-density 64-electrode waveguard™ net, ANT Neuro, Hengelo, Netherlands) will be used to record ERPs with a sampling rate of 1000 Hz, filters set to 0.1-400 Hz. Recording of brainwaves will be controlled by eego™mylab system (v. 9.2, ANT Neuro, Hengelo, Netherlands). E-Prime (v. 4.0, PST, Inc., Pittsburgh, PA) software will control stimulus delivery. The stimuli will be presented at 60 dBA. The ERP speech sound paradigm included a computer-generated woman's voicing one of six syllables (/ba/, /da/, /ga/, /bu/, /du/, /gu/) randomly and at random intertrial intervals for a total of 25 trials per syllables over 7-10 minutes. Inter-trial intervals will be varied between 1600ms and 2600ms. All stimuli are presented thus to prevent habituation.