Trial Outcomes & Findings for Neural Mechanisms of Successful Intervention in Children With Dyslexia (NCT NCT04323488)

NCT ID: NCT04323488

Last Updated: 2025-11-14

Results Overview

Change in white matter mean diffusivity (MD) measured with diffusion MRI. MD quantifies the average magnitude of water diffusion within a given region of tissue. An increase in mean diffusivity (MD) suggests an increase in free water movement (corresponds to less white matter integrity), while a decrease in MD suggests restricted water diffusion, potentially from increased cellular density (corresponds to greater white matter integrity). Values typically range from approximately 0.5 to 1.5 × 10\^-3 mm²/s in healthy white matter.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

90 participants

Primary outcome timeframe

Baseline (within 2 weeks pre-intervention), post-intervention (within 2 weeks post-intervention, up to 10 weeks), and at 1 year follow up

Results posted on

2025-11-14

Participant Flow

Participant milestones

Participant milestones
Measure
Lindamood-Bell Seeing Stars
Subjects receive reading instruction Lindamood-Bell Seeing Stars that focuses on systematic training in the building blocks of skilled reading.
Control
Subjects are followed longitudinally but do not receive intervention
Overall Study
STARTED
44
46
Overall Study
Began study procedures
44
43
Overall Study
COMPLETED
40
37
Overall Study
NOT COMPLETED
4
9

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Neural Mechanisms of Successful Intervention in Children With Dyslexia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lindamood-Bell Seeing Stars
n=44 Participants
Subjects receive reading instruction Lindamood-Bell Seeing Stars that focuses on systematic training in the building blocks of skilled reading.
Control
n=46 Participants
Subjects are followed longitudinally but do not receive intervention
Total
n=90 Participants
Total of all reporting groups
Age, Categorical
<=18 years
44 Participants
n=171 Participants
46 Participants
n=23 Participants
90 Participants
n=306 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=171 Participants
0 Participants
n=23 Participants
0 Participants
n=306 Participants
Age, Categorical
>=65 years
0 Participants
n=171 Participants
0 Participants
n=23 Participants
0 Participants
n=306 Participants
Sex/Gender, Customized
Female
20 Participants
n=171 Participants
22 Participants
n=23 Participants
42 Participants
n=306 Participants
Sex/Gender, Customized
Male
23 Participants
n=171 Participants
24 Participants
n=23 Participants
47 Participants
n=306 Participants
Sex/Gender, Customized
Non-binary
1 Participants
n=171 Participants
0 Participants
n=23 Participants
1 Participants
n=306 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
12 Participants
n=171 Participants
9 Participants
n=23 Participants
21 Participants
n=306 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
32 Participants
n=171 Participants
32 Participants
n=23 Participants
64 Participants
n=306 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=171 Participants
5 Participants
n=23 Participants
5 Participants
n=306 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
1 Participants
n=171 Participants
0 Participants
n=23 Participants
1 Participants
n=306 Participants
Race/Ethnicity, Customized
Asian
3 Participants
n=171 Participants
7 Participants
n=23 Participants
10 Participants
n=306 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
1 Participants
n=171 Participants
0 Participants
n=23 Participants
1 Participants
n=306 Participants
Race/Ethnicity, Customized
Black or African American
4 Participants
n=171 Participants
2 Participants
n=23 Participants
6 Participants
n=306 Participants
Race/Ethnicity, Customized
White
28 Participants
n=171 Participants
24 Participants
n=23 Participants
52 Participants
n=306 Participants
Race/Ethnicity, Customized
More than one race
2 Participants
n=171 Participants
4 Participants
n=23 Participants
6 Participants
n=306 Participants
Race/Ethnicity, Customized
Other
4 Participants
n=171 Participants
4 Participants
n=23 Participants
8 Participants
n=306 Participants
Race/Ethnicity, Customized
Prefer not to answer
1 Participants
n=171 Participants
0 Participants
n=23 Participants
1 Participants
n=306 Participants
Race/Ethnicity, Customized
Not reported/unknown
0 Participants
n=171 Participants
5 Participants
n=23 Participants
5 Participants
n=306 Participants
Region of Enrollment
United States
44 Participants
n=171 Participants
43 Participants
n=23 Participants
87 Participants
n=306 Participants

PRIMARY outcome

Timeframe: Baseline (within 2 weeks pre-intervention), post-intervention (within 2 weeks post-intervention, up to 10 weeks), and at 1 year follow up

Population: Participants with readable scans (i.e., low-movement, high quality) at the respective time point

Change in white matter mean diffusivity (MD) measured with diffusion MRI. MD quantifies the average magnitude of water diffusion within a given region of tissue. An increase in mean diffusivity (MD) suggests an increase in free water movement (corresponds to less white matter integrity), while a decrease in MD suggests restricted water diffusion, potentially from increased cellular density (corresponds to greater white matter integrity). Values typically range from approximately 0.5 to 1.5 × 10\^-3 mm²/s in healthy white matter.

Outcome measures

Outcome measures
Measure
Lindamood-Bell Seeing Stars
n=44 Participants
Subjects receive reading instruction Lindamood-Bell Seeing Stars that focuses on systematic training in the building blocks of skilled reading.
Control
n=37 Participants
Subjects are followed longitudinally but do not receive intervention
White Matter Plasticity - Left Arcuate Tract
baseline
0.837 mm^2/s
Standard Deviation 0.039
0.838 mm^2/s
Standard Deviation 0.033
White Matter Plasticity - Left Arcuate Tract
2 weeks post-intervention
0.842 mm^2/s
Standard Deviation 0.041
0.844 mm^2/s
Standard Deviation 0.038
White Matter Plasticity - Left Arcuate Tract
1 year follow-up
0.839 mm^2/s
Standard Deviation 0.038
0.830 mm^2/s
Standard Deviation 0.038

PRIMARY outcome

Timeframe: Baseline (within 2 weeks pre-intervention), post-intervention (within 2 weeks post-intervention, up to 10 weeks), and at 1 year follow up

Population: Participants with readable scans (i.e., low-movement, high quality) at the respective time point

Change in white matter mean diffusivity (MD) measured with diffusion MRI. MD quantifies the average magnitude of water diffusion within a given region of tissue. An increase in mean diffusivity (MD) suggests an increase in free water movement (corresponds to less white matter integrity), while a decrease in MD suggests restricted water diffusion, potentially from increased cellular density (corresponds to greater white matter integrity). Values typically range from approximately 0.5 to 1.5 × 10\^-3 mm²/s in healthy white matter.

Outcome measures

Outcome measures
Measure
Lindamood-Bell Seeing Stars
n=44 Participants
Subjects receive reading instruction Lindamood-Bell Seeing Stars that focuses on systematic training in the building blocks of skilled reading.
Control
n=37 Participants
Subjects are followed longitudinally but do not receive intervention
White Matter Plasticity - Inferior Longitudinal Tract
baseline
0.963 mm^2/s
Standard Deviation 0.036
0.957 mm^2/s
Standard Deviation 0.028
White Matter Plasticity - Inferior Longitudinal Tract
2 weeks post-intervention
0.963 mm^2/s
Standard Deviation 0.034
0.956 mm^2/s
Standard Deviation 0.035
White Matter Plasticity - Inferior Longitudinal Tract
1 year follow-up
0.957 mm^2/s
Standard Deviation 0.040
0.952 mm^2/s
Standard Deviation 0.039

PRIMARY outcome

Timeframe: Baseline (within 2 weeks pre-intervention), post-intervention (within 2 weeks post-intervention, up to 10 weeks), and at 1 year follow up

Population: Participants with readable scans (i.e., low-movement, high quality) at the respective time point

Visual Word Form Area (VWFA) refers to a region in the brain associated with the recognition of written words. VWFA size is calculated as the number of vertices in the cotrical surface. There are no definitive clinical relevant thresholds for the size of the VWFA that apply universally. Research indicates that variations in VWFA size and activation are associated with reading abilities and disorders.

Outcome measures

Outcome measures
Measure
Lindamood-Bell Seeing Stars
n=42 Participants
Subjects receive reading instruction Lindamood-Bell Seeing Stars that focuses on systematic training in the building blocks of skilled reading.
Control
n=42 Participants
Subjects are followed longitudinally but do not receive intervention
Visual Word Form Area (VWFA) Size
baseline
142.00 vertices
Standard Deviation 178.71
302.74 vertices
Standard Deviation 385.92
Visual Word Form Area (VWFA) Size
2 weeks post-intervention
146.69 vertices
Standard Deviation 179.47
282.40 vertices
Standard Deviation 372.00
Visual Word Form Area (VWFA) Size
1 year follow-up
375.53 vertices
Standard Deviation 363.50
337.20 vertices
Standard Deviation 333.21

PRIMARY outcome

Timeframe: Baseline (within 2 weeks pre-intervention), post-intervention (within 2 weeks post-intervention, up to 10 weeks), and at 1 year follow up

Population: Participants with available data at the respective time point

The Woodcock-Johnson Basic Reading Skills (WJ BRS) Assessment Battery results in a composite score across multiple assessments. Assessment scores are transformed to create an overall score range of 0 to 200. A score of 100 indicates average reading ability. Scores below 85 may indicate potential reading difficulties

Outcome measures

Outcome measures
Measure
Lindamood-Bell Seeing Stars
n=44 Participants
Subjects receive reading instruction Lindamood-Bell Seeing Stars that focuses on systematic training in the building blocks of skilled reading.
Control
n=43 Participants
Subjects are followed longitudinally but do not receive intervention
Woodcock-Johnson Basic Reading Skills (WJ BRS) Assessment Battery
baseline
80.75 score on a scale
Standard Deviation 10.52
96.85 score on a scale
Standard Deviation 17.30
Woodcock-Johnson Basic Reading Skills (WJ BRS) Assessment Battery
2 weeks post-intervention
88.33 score on a scale
Standard Deviation 9.90
96.02 score on a scale
Standard Deviation 19.20
Woodcock-Johnson Basic Reading Skills (WJ BRS) Assessment Battery
1 year follow-up
89.95 score on a scale
Standard Deviation 8.50
95.10 score on a scale
Standard Deviation 16.97

Adverse Events

Lindamood-Bell Seeing Stars

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Jason Yeatman, PhD

Stanford University

Phone: (650) 321-7553

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place