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A Study of HD-tDCS and Cognitive Training to Improve Cognitive Function in MCI

Primary Purpose

Mild Cognitive Impairment, Memory Disorders, Memory Loss

Status
Enrolling by invitation
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
HD-tDCS combined with CT
sham HD-tDCS combined with CT
Sponsored by
Medical College of Wisconsin
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mild Cognitive Impairment

Eligibility Criteria

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

Inclusion Criteria:

  1. Age ≥50-90 years
  2. Right handed
  3. Willing and able to undergo all procedures
  4. Retains decisional capacity at initial visit
  5. Meets criteria for MCI, amnestic type (Petersen, 2004).

Exclusion Criteria:

  1. Left handed patients
  2. Significant kidney injury requiring hemodialysis
  3. Automatic Internal Cardiac Defibrillator (AICD) or Pacemaker
  4. Significant congestive heart failure
  5. History of clinically significant ischemic or hemorrhagic stroke, or lacune or infarct considered by radiologist likely to cause or contribute significantly to cognitive symptoms
  6. History of thalamic lacunar stroke
  7. Modified Hachinski Ischemia Score >4 points
  8. History of seizure disorder requiring medication
  9. History of brain surgery (for seizure disorder, aneurysms, or benign/malignant tumor)
  10. History of HIV/AIDS
  11. Severe untreated obstructive sleep apnea
  12. Greater than three servings alcohol daily or illicit drug use
  13. Major neurologic disorders other than dementia (e.g., MS, ALS)
  14. Schizophrenia, bipolar disorder, other serious mental illnesses
  15. Other significant medical conditions at investigators' discretion
  16. Pregnancy

Sites / Locations

  • The Medical College of Wisconsin

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Sham Comparator

Arm Label

HD-tDCS combined with CT

sham HD-tDCS combined with CT

Arm Description

HD-tDCS combined with CT, administered to participants with amnestic MCI (aMCI) in blocks of 5 daily treatments for a total of 15 sessions. There will be one treatment block/month for a total of 3 months

sham HD-tDCS combined with CT, administered to participants with amnestic MCI (aMCI) in blocks of 5 daily treatments for a total of 15 sessions. There will be one treatment block/month for a total of 3 months

Outcomes

Primary Outcome Measures

Treatment completion rates
This pilot study would prove the feasibility of the proposed approach. Treatment completion rates of less than 75% could be reasonably excluded if all 8 patients are observed to complete the 6 month treatment.

Secondary Outcome Measures

Recruitment rate
Recruiting and consenting 8 patients over a period of 3 months would support the feasibility of conducting a larger-scale, 2-site, phase II trial with 120 MCI patients over a span of 5 years (i.e. approximately 32 patients/year

Full Information

First Posted
January 27, 2020
Last Updated
November 17, 2021
Sponsor
Medical College of Wisconsin
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1. Study Identification

Unique Protocol Identification Number
NCT04246164
Brief Title
A Study of HD-tDCS and Cognitive Training to Improve Cognitive Function in MCI
Official Title
A Randomized, Double-Blinded, Placebo Controlled Pilot Trial of the Feasibility of High Definition Transcranial Direct Current Stimulation and Cognitive Training in Patients With Mild Cognitive Impairment.
Study Type
Interventional

2. Study Status

Record Verification Date
November 2021
Overall Recruitment Status
Enrolling by invitation
Study Start Date
January 25, 2021 (Actual)
Primary Completion Date
August 2022 (Anticipated)
Study Completion Date
August 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Medical College of Wisconsin

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of this project is to assess the feasibility of multi-field, extended HD-tDCS (MFE-HD-tDCS) with simultaneous computerized CT as a viable intervention to improve cognitive function in patients with MCI. This double-blinded, randomized pilot clinical trial of repetitive daily HD-tDCS/sham HD-tDCS, administered in combination with CT to subjects with MCI in 3 monthly blocks of 5 daily sessions for a total of 15 sessions will enroll 8 participants.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mild Cognitive Impairment, Memory Disorders, Memory Loss

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
placebo controlled
Masking
ParticipantInvestigatorOutcomes Assessor
Masking Description
double-blinded
Allocation
Randomized
Enrollment
8 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
HD-tDCS combined with CT
Arm Type
Active Comparator
Arm Description
HD-tDCS combined with CT, administered to participants with amnestic MCI (aMCI) in blocks of 5 daily treatments for a total of 15 sessions. There will be one treatment block/month for a total of 3 months
Arm Title
sham HD-tDCS combined with CT
Arm Type
Sham Comparator
Arm Description
sham HD-tDCS combined with CT, administered to participants with amnestic MCI (aMCI) in blocks of 5 daily treatments for a total of 15 sessions. There will be one treatment block/month for a total of 3 months
Intervention Type
Device
Intervention Name(s)
HD-tDCS combined with CT
Intervention Description
HD-tDCS treatments will be administered during a cognitive training session.
Intervention Type
Device
Intervention Name(s)
sham HD-tDCS combined with CT
Intervention Description
sham-HD-tDCS treatments will be administered during a cognitive training session.
Primary Outcome Measure Information:
Title
Treatment completion rates
Description
This pilot study would prove the feasibility of the proposed approach. Treatment completion rates of less than 75% could be reasonably excluded if all 8 patients are observed to complete the 6 month treatment.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Recruitment rate
Description
Recruiting and consenting 8 patients over a period of 3 months would support the feasibility of conducting a larger-scale, 2-site, phase II trial with 120 MCI patients over a span of 5 years (i.e. approximately 32 patients/year
Time Frame
3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age ≥50-90 years Right handed Willing and able to undergo all procedures Retains decisional capacity at initial visit Meets criteria for MCI, amnestic type (Petersen, 2004). Exclusion Criteria: Left handed patients Significant kidney injury requiring hemodialysis Automatic Internal Cardiac Defibrillator (AICD) or Pacemaker Significant congestive heart failure History of clinically significant ischemic or hemorrhagic stroke, or lacune or infarct considered by radiologist likely to cause or contribute significantly to cognitive symptoms History of thalamic lacunar stroke Modified Hachinski Ischemia Score >4 points History of seizure disorder requiring medication History of brain surgery (for seizure disorder, aneurysms, or benign/malignant tumor) History of HIV/AIDS Severe untreated obstructive sleep apnea Greater than three servings alcohol daily or illicit drug use Major neurologic disorders other than dementia (e.g., MS, ALS) Schizophrenia, bipolar disorder, other serious mental illnesses Other significant medical conditions at investigators' discretion Pregnancy
Facility Information:
Facility Name
The Medical College of Wisconsin
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study of HD-tDCS and Cognitive Training to Improve Cognitive Function in MCI

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