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Ritalin, Memory and Attention in MCI: a Behaviour-EEG Study

Primary Purpose

Mild Cognitive Impairment

Status
Unknown status
Phase
Phase 4
Locations
Netherlands
Study Type
Interventional
Intervention
Methylphenidate
Sponsored by
Maastricht University Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mild Cognitive Impairment focused on measuring Memory, Attention, MCI, Ritalin

Eligibility Criteria

60 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • The participant has been diagnosed with Mild Cognitive Impairment, either of the amnestic or the non-amnestic type.
  • In the opinion of the investigator, the participant is capable of understanding and complying with protocol requirements.
  • The participant signs and dates a written informed consent form.
  • The volunteer is male or female.
  • The participant is aged 60 to 80 years, inclusive, at the time of informed consent.
  • The participant has a body mass index of 18.5-30, inclusive, at medical screening.
  • The volunteer is healthy, i.e. absence of all exclusion criteria and has normal static binocular acuity (corrected or uncorrected) as well as normal hearing (using a whisper test during medical screening).

Exclusion Criteria:

  • The subject has uncontrolled, clinically significant neurologic, cardiovascular, pulmonary, hepatic, renal, metabolic, gastrointestinal, or endocrine disease or other abnormality which may impact the ability of the subject to participate or potentially confound the study results.
  • The volunteer has uncontrolled existing major psychiatric symptoms.
  • The subject has uncontrolled hypertension.
  • The volunteer has hyperthyroidism.
  • The participant has known hypersensitivity to any component of the formulation of MPH or related compounds.
  • The participant has glaucoma.
  • The subject has a history of drug abuse (defined as any illicit drug use) or a history of alcohol abuse within 1 year prior to the first visit or is unwilling to agree to abstrain from alcohol from 24 hours prior to each test day and/or drugs throughout the study.
  • The participant has any sensory or motor deficits which could reasonably be expected to affect test performance.

Sites / Locations

  • Orbis Medical CentreRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Ritalin

Placebo

Arm Description

Methylphenidate, capsule, 20 mg, single oral administration

Placebo, capsule, single oral administration

Outcomes

Primary Outcome Measures

Verbal Learning Test Immediate Recall
Verbal Learning Test Delayed Recall
Verbal Learning Test Recognition
Accuracy and reaction time
Amplitude of the N400 and P600 event-related potential (ERP) components
during encoding and recognition of words of VLT, measured with EEG

Secondary Outcome Measures

Performance on visual and auditory N-back test
Performance on a sustained attention to response task (SART)
Performance on a motor task
Amplitude of ERP components during the visual and auditory N-back test
Amplitude of ERP components during SART

Full Information

First Posted
December 22, 2014
Last Updated
December 24, 2014
Sponsor
Maastricht University Medical Center
Collaborators
Orbis Medical Centre
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1. Study Identification

Unique Protocol Identification Number
NCT02326038
Brief Title
Ritalin, Memory and Attention in MCI: a Behaviour-EEG Study
Official Title
Can Methylphenidate (Ritalin) Improve Memory and Attention in Mild Cognitive Impairment? A Combined Behaviour-EEG Study
Study Type
Interventional

2. Study Status

Record Verification Date
December 2014
Overall Recruitment Status
Unknown status
Study Start Date
November 2014 (undefined)
Primary Completion Date
December 2015 (Anticipated)
Study Completion Date
December 2015 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Maastricht University Medical Center
Collaborators
Orbis Medical Centre

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Traditionally, memory impairments in the elderly population are treated using cholinesterase inhibitors, although impairments remain after treatment. Dopamine (DA) is also involved in cognition and is especially of interest in healthy ageing because of the role in processing speed and cognitive control. To what extent dopamine treatment improves memory and attention in older impaired individuals is unknown. However, such an effect is conceivable because of the close relationship between memory and attention in aging and since improved processing speed and cognitive control may lead to improved memory. The investigators aim to examine, in the impaired older population, whether a treatment using methylphenidate, a DA re-uptake inhibitor that enhances DA, improves attention and memory. The study will be conducted according to a cross-sectional, double-blind, placebo-controlled, 2-way cross-over design. 20 male and female patients with Mild Cognitive Impairment (MCI), amnestic type, aged above 60 years of age; 20 male and female patients with MCI, non-amnestic type, will be recruited from the Orbis Medical Centre. Participants will be treated once with 20 mg methylphenidate (MPH) and once with placebo. All medications will be administered orally with a capsule. The treatment order will be established by counterbalancing.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mild Cognitive Impairment
Keywords
Memory, Attention, MCI, Ritalin

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Ritalin
Arm Type
Experimental
Arm Description
Methylphenidate, capsule, 20 mg, single oral administration
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo, capsule, single oral administration
Intervention Type
Drug
Intervention Name(s)
Methylphenidate
Other Intervention Name(s)
Ritalin
Intervention Description
single oral administration of 20 mg tablet
Primary Outcome Measure Information:
Title
Verbal Learning Test Immediate Recall
Time Frame
140 min after drug intake
Title
Verbal Learning Test Delayed Recall
Time Frame
175 min after drug intake
Title
Verbal Learning Test Recognition
Description
Accuracy and reaction time
Time Frame
180 min after drug intake
Title
Amplitude of the N400 and P600 event-related potential (ERP) components
Description
during encoding and recognition of words of VLT, measured with EEG
Time Frame
140-190 min after drug intake
Secondary Outcome Measure Information:
Title
Performance on visual and auditory N-back test
Time Frame
150 minutes after drug intake
Title
Performance on a sustained attention to response task (SART)
Time Frame
165 minutes after drug intake
Title
Performance on a motor task
Time Frame
170 minutes after drug intake
Title
Amplitude of ERP components during the visual and auditory N-back test
Time Frame
150-165 minutes after drug intake
Title
Amplitude of ERP components during SART
Time Frame
165 - 170 minutes after drug intake

10. Eligibility

Sex
All
Minimum Age & Unit of Time
60 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The participant has been diagnosed with Mild Cognitive Impairment, either of the amnestic or the non-amnestic type. In the opinion of the investigator, the participant is capable of understanding and complying with protocol requirements. The participant signs and dates a written informed consent form. The volunteer is male or female. The participant is aged 60 to 80 years, inclusive, at the time of informed consent. The participant has a body mass index of 18.5-30, inclusive, at medical screening. The volunteer is healthy, i.e. absence of all exclusion criteria and has normal static binocular acuity (corrected or uncorrected) as well as normal hearing (using a whisper test during medical screening). Exclusion Criteria: The subject has uncontrolled, clinically significant neurologic, cardiovascular, pulmonary, hepatic, renal, metabolic, gastrointestinal, or endocrine disease or other abnormality which may impact the ability of the subject to participate or potentially confound the study results. The volunteer has uncontrolled existing major psychiatric symptoms. The subject has uncontrolled hypertension. The volunteer has hyperthyroidism. The participant has known hypersensitivity to any component of the formulation of MPH or related compounds. The participant has glaucoma. The subject has a history of drug abuse (defined as any illicit drug use) or a history of alcohol abuse within 1 year prior to the first visit or is unwilling to agree to abstrain from alcohol from 24 hours prior to each test day and/or drugs throughout the study. The participant has any sensory or motor deficits which could reasonably be expected to affect test performance.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Anke Sambeth, Dr.
Phone
0031 43 3881757
Email
anke.sambeth@maastrichtuniversity.nl
First Name & Middle Initial & Last Name or Official Title & Degree
Walther Sipers, M.D.
Phone
0031 88 4597783
Email
w.sipers@orbisconcern.nl
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anke Sambeth, Dr.
Organizational Affiliation
Maastricht University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Orbis Medical Centre
City
Sittard-Geleen
State/Province
Limburg
ZIP/Postal Code
6162BG
Country
Netherlands
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Walther Sipers, M.D.
Phone
0031 884597783
Email
w.sipers@orbisconcern.nl

12. IPD Sharing Statement

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Ritalin, Memory and Attention in MCI: a Behaviour-EEG Study

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