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The Efficacy and Safety of tDCS in Patients With Mild Dementia

Primary Purpose

Mild Dementia

Status
Recruiting
Phase
Not Applicable
Locations
Korea, Republic of
Study Type
Interventional
Intervention
YMS-201B (Device: Mind STIM)
Sham stimulation using YMS-201B
Sponsored by
Ybrain Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mild Dementia

Eligibility Criteria

55 Years - 90 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Men and women aged 55 to 90 years old.
  • Those diagnosed with dementia (major neurocognitive disorder, neurocognitive disorder) according to the criteria of Diagnostic and Statistical Manual (DSM-V) or The International Statistical Classification of Diseases and Related Health Provisions (ICD-10).
  • Patients with mild dementia with a MMSE (Mini Mental State Examination) score of 18 points or more and less than 26 points) and less than 26 points.
  • Person who has a clinical dementia rating (CDR) global score of 0.5 or 1.0, while CDR-SOB (Sum of Boxes) score satisfies 0.5 to 4.0 points 2)
  • Acetylcholinease inhibitors (ACEI) and NMDA receptor inhibitors are those with the same usage and capacity for at least 3 months from the date of screening.

    * Patients who are taking drugs for cognitive functional treatment (e.g., pregabalin, gabapentincholinephocerate, etc.) other than acetylcholine inhibitor and NMDA receptor antagonist, and drugs for chronic diseases including hypertension, diabetes, hyperlipidemia, thyroid disease, etc.

  • A person who can read and understand the subject's explanation and consent form, and who can speak at the level of ability to respond to questionnaires.
  • A person who can be accompanied by a guardian when visiting a research institute during the clinical trial process, and who can help the guardian to proceed with the clinical trial process normally.
  • A person who voluntarily decided to participate in this clinical trial and agreed in writing to the subject's written consent, who can participate in the pre-clinical trial period.

Exclusion Criteria:

  • A person with a history of uniaxial psychiatric diseases including intellectual disability, schizophrenia, alcoholism, and bipolar disorder in the past.
  • A person who has a history of convulsions within 5 years of screening.
  • Those who have been diagnosed with severe cerebrovascular stenosis, subdural hemorrhage, brain tumor, and brain abscess through transient ischemic attack, stroke or MRI within one year from the screening date and are considered inappropriate for participation in this test.
  • A person who has cerebral damage due to trauma, ischemia, hypoxia, etc.
  • A person who has been hospitalized for mental or emotional problems within 5 years of screening.
  • A person who abused drugs within 5 years of screening.
  • A person who received treatment for alcoholism within 5 years of screening.
  • A person who can't read even with glasses on due to poor eyesight.
  • A person who can't understand a conversation because of hearing impairment even when wearing a hearing aid.
  • A person who has difficulty breathing when sitting still.
  • A person who attempted suicide within 6 months from the screening date.
  • A person who is judged to have a problem with brain waves and direct current stimulation electrodes due to deformities, inflammatory reactions, or other dermatological problems in the scalp.
  • A person who is judged to have other reasons for prohibition of use of tDCS medical devices (e.g., when a metal plate is inserted into the head, etc.).
  • Those who participated in other clinical trials within 30 days of screening.
  • Among female subjects who are likely to be pregnant, those who disagree with contraception* in a medically permitted manner during this clinical trial period.

    *Medically permitted contraceptive methods: condoms, oral contraceptives that last at least 3 months, injections or insertion contraceptives, etc. are used, and intrauterine contraceptives are installed, etc.

  • Pregnant women or lactating women.
  • In addition to the above, a person in charge of the test or a person in charge has a clinical significance that is medically judged and deemed inappropriate for this test.

Sites / Locations

  • The Catholic University of Korea at incheonRecruiting
  • Korea UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Sham Comparator

Experimental

Arm Label

Sham Stimulation

Real Stimulation (Active)

Arm Description

Sham Stimulation

transcranial Direct Current Stimulation (tDCS) application 5 ~7 days a week for 26 weeks

Outcomes

Primary Outcome Measures

Changes in K-MMSE (Mini Mental State Examination)
Changes in K-MMSE after 26 weeks form pretreatment (min value : 0 / max value: 30 / Higher scores mean a better outcome)

Secondary Outcome Measures

Changes in K-IADL(Korean-Isturemental Activities of Daily Living)
Changes in K-IADL after 26 weeks from pretreatment (min value : 0 / max value: 33 / Higher scores mean a worse outcome)
Changes in CDR(Clinical Dementia rating)
Changes in CDR after 26 weeks from pretreatment (min value : 0 / max value: 3 / Higher scores mean a worse outcome)
Changes in MoCA-K (Korean version of Montreal Cognitive Assessment)
Changes in MoCA-K after 26 weeks from pretreatment (min value : 0 / max value: 30 / Higher scores mean a better outcome)
Changes in NPI (Neuropsychiatric Inventory)
Changes in NPI after 26 weeks from pretreatment (min value : 0 / max value: 144 / Higher scores mean a worse outcome)
Changes in QoL-AD(Quality of life-ADL-AD)
Changes in QoL-AD after 26 weeks from pretreatment (min value : 13 / max value: 52 / Higher scores mean a better outcome)
Changes in FQoL-AD (Family's Quality of life-ADL-AD)
Changes in FQoL-AD after 26 weeks from pretreatment (min value : 13 / max value: 52 / Higher scores mean a better outcome)
Changes in ADAS-Cog 11 (Alzheimer's Disease Assessment Scale-Cog 11)
Changes in ADAS-Cog 11 after 26 weeks from pretreatment (min value : 0 / max value: 70 / Higher scores mean a worse outcome)

Full Information

First Posted
January 19, 2022
Last Updated
September 25, 2022
Sponsor
Ybrain Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05495113
Brief Title
The Efficacy and Safety of tDCS in Patients With Mild Dementia
Official Title
In a Patient With Mild Dementia, Improvement of Cognitive Function Using YMS-201B, To Evaluate the Effectiveness and Safety, Randomized, Double-blinded, Sham Control Comparison, Confirmatory
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Recruiting
Study Start Date
December 1, 2019 (Actual)
Primary Completion Date
September 30, 2022 (Anticipated)
Study Completion Date
December 30, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ybrain Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This study evaluated the effectiveness and safety of improving Mild Dementia by applying tDCS for 26 weeks to patients with Mild Dementia.
Detailed Description
Patients received tDCS for 30 minutes with an intensity of 1.5 to 2 mA. tDCS was applied over the left (anode) and right (cathode) dorsolateral prefrontal cortex (DLPFC) 5~7 times a week and they were evaluated every 26weeks through questionnaires.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mild Dementia

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
118 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Sham Stimulation
Arm Type
Sham Comparator
Arm Description
Sham Stimulation
Arm Title
Real Stimulation (Active)
Arm Type
Experimental
Arm Description
transcranial Direct Current Stimulation (tDCS) application 5 ~7 days a week for 26 weeks
Intervention Type
Device
Intervention Name(s)
YMS-201B (Device: Mind STIM)
Intervention Description
transcranial Direct Current Stimulation (tDCS) 2mA for 30 min; 30 sec of ramp-up and -down; left (anode) and right (cathode) Dorsolateral prefrontal cortex (DLPFC)
Intervention Type
Device
Intervention Name(s)
Sham stimulation using YMS-201B
Intervention Description
Sham stimulation; only 30 sec of ramp-up and -down; left (anode) and right (cathode) Dorsolateral prefrontal cortex (DLPFC)
Primary Outcome Measure Information:
Title
Changes in K-MMSE (Mini Mental State Examination)
Description
Changes in K-MMSE after 26 weeks form pretreatment (min value : 0 / max value: 30 / Higher scores mean a better outcome)
Time Frame
After 26 weeks after treatment
Secondary Outcome Measure Information:
Title
Changes in K-IADL(Korean-Isturemental Activities of Daily Living)
Description
Changes in K-IADL after 26 weeks from pretreatment (min value : 0 / max value: 33 / Higher scores mean a worse outcome)
Time Frame
After 26 weeks after treatment
Title
Changes in CDR(Clinical Dementia rating)
Description
Changes in CDR after 26 weeks from pretreatment (min value : 0 / max value: 3 / Higher scores mean a worse outcome)
Time Frame
After 26 weeks after treatment
Title
Changes in MoCA-K (Korean version of Montreal Cognitive Assessment)
Description
Changes in MoCA-K after 26 weeks from pretreatment (min value : 0 / max value: 30 / Higher scores mean a better outcome)
Time Frame
After 26 weeks after treatment
Title
Changes in NPI (Neuropsychiatric Inventory)
Description
Changes in NPI after 26 weeks from pretreatment (min value : 0 / max value: 144 / Higher scores mean a worse outcome)
Time Frame
After 26 weeks after treatment
Title
Changes in QoL-AD(Quality of life-ADL-AD)
Description
Changes in QoL-AD after 26 weeks from pretreatment (min value : 13 / max value: 52 / Higher scores mean a better outcome)
Time Frame
After 26 weeks after treatment
Title
Changes in FQoL-AD (Family's Quality of life-ADL-AD)
Description
Changes in FQoL-AD after 26 weeks from pretreatment (min value : 13 / max value: 52 / Higher scores mean a better outcome)
Time Frame
After 26 weeks after treatment
Title
Changes in ADAS-Cog 11 (Alzheimer's Disease Assessment Scale-Cog 11)
Description
Changes in ADAS-Cog 11 after 26 weeks from pretreatment (min value : 0 / max value: 70 / Higher scores mean a worse outcome)
Time Frame
After 26 weeks after treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
55 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men and women aged 55 to 90 years old. Those diagnosed with dementia (major neurocognitive disorder, neurocognitive disorder) according to the criteria of Diagnostic and Statistical Manual (DSM-V) or The International Statistical Classification of Diseases and Related Health Provisions (ICD-10). Patients with mild dementia with a MMSE (Mini Mental State Examination) score of 18 points or more and less than 26 points) and less than 26 points. Person who has a clinical dementia rating (CDR) global score of 0.5 or 1.0, while CDR-SOB (Sum of Boxes) score satisfies 0.5 to 4.0 points 2) Acetylcholinease inhibitors (ACEI) and NMDA receptor inhibitors are those with the same usage and capacity for at least 3 months from the date of screening. * Patients who are taking drugs for cognitive functional treatment (e.g., pregabalin, gabapentincholinephocerate, etc.) other than acetylcholine inhibitor and NMDA receptor antagonist, and drugs for chronic diseases including hypertension, diabetes, hyperlipidemia, thyroid disease, etc. A person who can read and understand the subject's explanation and consent form, and who can speak at the level of ability to respond to questionnaires. A person who can be accompanied by a guardian when visiting a research institute during the clinical trial process, and who can help the guardian to proceed with the clinical trial process normally. A person who voluntarily decided to participate in this clinical trial and agreed in writing to the subject's written consent, who can participate in the pre-clinical trial period. Exclusion Criteria: A person with a history of uniaxial psychiatric diseases including intellectual disability, schizophrenia, alcoholism, and bipolar disorder in the past. A person who has a history of convulsions within 5 years of screening. Those who have been diagnosed with severe cerebrovascular stenosis, subdural hemorrhage, brain tumor, and brain abscess through transient ischemic attack, stroke or MRI within one year from the screening date and are considered inappropriate for participation in this test. A person who has cerebral damage due to trauma, ischemia, hypoxia, etc. A person who has been hospitalized for mental or emotional problems within 5 years of screening. A person who abused drugs within 5 years of screening. A person who received treatment for alcoholism within 5 years of screening. A person who can't read even with glasses on due to poor eyesight. A person who can't understand a conversation because of hearing impairment even when wearing a hearing aid. A person who has difficulty breathing when sitting still. A person who attempted suicide within 6 months from the screening date. A person who is judged to have a problem with brain waves and direct current stimulation electrodes due to deformities, inflammatory reactions, or other dermatological problems in the scalp. A person who is judged to have other reasons for prohibition of use of tDCS medical devices (e.g., when a metal plate is inserted into the head, etc.). Those who participated in other clinical trials within 30 days of screening. Among female subjects who are likely to be pregnant, those who disagree with contraception* in a medically permitted manner during this clinical trial period. *Medically permitted contraceptive methods: condoms, oral contraceptives that last at least 3 months, injections or insertion contraceptives, etc. are used, and intrauterine contraceptives are installed, etc. Pregnant women or lactating women. In addition to the above, a person in charge of the test or a person in charge has a clinical significance that is medically judged and deemed inappropriate for this test.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Kiwon Lee, PhD
Phone
+82-10-3911-3010
Email
kwanghyuk.lee@ybrain.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
jung yong an, MD
Organizational Affiliation
Incheon St.Mary's Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Catholic University of Korea at incheon
City
Incheon
ZIP/Postal Code
06591
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
yongan jung, Professor
Phone
+82-032-1544-9004
Email
nucmedkr@gmail.com
Facility Name
Korea University
City
Seoul
ZIP/Postal Code
02841
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
kunwoo park, Professor
Phone
+82-02-920-5347
Email
kunu@korea.ac.kr

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
to be determine

Learn more about this trial

The Efficacy and Safety of tDCS in Patients With Mild Dementia

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