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Representation of Spatiotemporal Information in Human Episodic Memory and Navigation

Representation of Spatiotemporal Information in Human Episodic Memory and Navigation

Status
Enrolling by invitation
Phases
Early Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07423923
Enrollment
15
Registered
2026-02-20
Start date
2025-04-01
Completion date
2030-03-29
Last updated
2026-04-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Schema to Organize Memory or no Schema, Scopolamine or Placebo

Keywords

scopolamine, memory training, hippocampus, brain oscillation

Brief summary

Neural diseases such as stroke can have distinct effects on the ability to navigate and orient compared to remembering daily events like when one last took medicine. This proposal seeks test rival hypotheses regarding the neural mechanisms underlying commonalities and differences in navigation and event-related memory, particularly as they relate to pre-existing knowledge. Such mechanistic insight could help inspire therapies that could be used to bolster intact brain function in a compensatory manner following strokes or other neural insults.

Detailed description

Contemporary models of spatial navigation and episodic memory (memory for events) postulate that their underlying computations emerge primarily from shared neural mechanisms within the medial temporal lobes. As part of the last two rounds of funding for this competitive renewal, the investigators began delineation of important cognitive and neural differences between navigation and episodic memory. The emerging new framework argues for navigation as a sensory-driven cognitive motor skill involving extracting spatial regularities and episodic memory as primarily internally driven and involving ordinal placeholders. The investigators hypothesize that navigation and episodic memory therefore involve partially distinct brain regions and macroscale networks, although where and how these differences emerge in the brain remains an area of active exploration. Here, the investigators test novel aspects of this theoretical framework: how pre-existing knowledge differentially affects the acquisition of new episodic memories compared to navigation-related representations over both longer (days and weeks; Aim 1) and shorter (hours; Aim 2) intervals. Throughout, the investigators propose meaningful alternative models, including the idea that connectivity to the hippocampus and neocortex, and cortical macroscale networks outside of the hippocampus, play critical and unique roles in episodic memory compared to navigation. In Aim 1, using high-resolution fMRI, the investigators propose to employ three different experiments to compare how schema (pre-existing spatial knowledge) and scripts (pre-existing temporal knowledge) differentially interact with new learning in the context of episodic memory and navigation. Together, the outcomes from these experiments will provide mechanistic insight into how humans organize episodic memories and navigation-relevant knowledge over longer intervals that could be meaningful for cognitive rehabilitation. In Aim 2, the investigators focus on how episodic memory interacts with navigation and pre-existing knowledge over shorter-term intervals (hours) by studying mental simulation before and after navigation. Mental simulation involves actively remembering or planning experiences and has direct links with cognitive processes central to episodic memory, particularly in our three different proposed experiments. Here, the PI's team will employ time-resolved intracranial EEG in conjunction with Dr. Brad Lega at University of Texas Southwestern to better identify the mnemonic content of both navigation and mental simulation, including a causal manipulation involving the muscarinic acetylcholine antagonist scopolamine and single cell recordings. Together, the experiments in Aim 2 will provide novel insight into the mechanistic basis of episodic memory and navigation-related representations. Such mechanistic could be helpful in developing neurostimulation or pharmacological protocols (e.g., involving acetylcholine) that could be used to bolster either impaired memory or navigation function following stroke, seizure damage, or other brain injuries affecting hippocampal function.

Interventions

DRUGScopolamine

effects of scopolamine on brain oscillations, navigation, and memory

Sponsors

University of Arizona
Lead SponsorOTHER
University of Texas
CollaboratorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
Yes

Inclusion criteria

* Inclusion Criteria (for healthy young adults in fMRI studies) 1. Able to provide verbal and written informed consent 2. Fluent English speaker 3. At least 8th grade education 4. Age between 18-40 years. 5. Normal or corrected-to-normal eyesight

Exclusion criteria

(for healthy young adults in fMRI studies) 1. Magnetic resonance imaging contraindications (e.g., metallic objects in body, claustrophobia) 2. Current use of anticonvulsant, neuroleptic, sedatives, or other medications known to affect cognition 3. Neurologic conditions affecting the brain (e.g., stroke, epilepsy, traumatic brain injury with loss of consciousness) 4. Psychiatric conditions (e.g., major depression, schizophrenia) Patient inclusion criteria for iEEG: Inclusion Criteria: 1\. Adult patients with medically refractory epilepsy who are scheduled to undergo or have previously undergone placement of sub-dural electrodes or depth electrodes or stereo-electroencephalography to localize the site of seizure onset.

Design outcomes

Primary

MeasureTime frameDescription
behavioral: navigational accuracyfrom enrollment to end of study (3 days)accuracy (path error) of routes taken in virtual environment
intracranial EEG low-frequency oscillatory powerfrom enrollment to the end of study (3 days)approximate amplitude of signal recorded from the hippocampus of patients undergoing seizure monitoring
memory accuracy (as part of memory training component involving healthy controls)from enrollment to the end of study (3 weeks)how many words remembered
Route replay timefrom enrollment to the end of study (3 days)time (in seconds) it takes to remember a route that will or has been taken

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORArne Ekstrom, Ph.D.

University of Arizona McKnight Brain Institute

STUDY_DIRECTORBrad Lega, M.D.

University of Texas, Southwestern Medican Center

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: May 1, 2026