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Mild Cognitive ImpairmentPhase 2MINDNCT02720445

Memory Improvement Through Nicotine Dosing (MIND) Study

A Phase 2 study testing Nicotine Transdermal Patch in people with Mild Cognitive Impairment, run by University of Southern California at 36 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of the study is to see if daily transdermal nicotine is able to produce a significant cognitive, clinical and functional improvement in participants with MCI. Neuronal nicotinic receptors have long been known to play a critical role in memory function in preclinical studies, with nicotine improving… Read more about this study

Who is it for?
Ages 55 to 90 years
Conditions the study is for
Mild Cognitive Impairment
What is being tested?
Nicotine Transdermal Patch
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
348 participants
Where
36 sitesUnited States
Study dates
22 Feb 2017to 16 Sep 2025
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 55 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participant must have a subjective memory concern as reported by participant, study partner, or clinician
  • Abnormal memory function documented by scoring within the education adjusted ranges on the Logical Memory II subscale (Delayed Paragraph Recall) from the Wechsler Memory Scale - Revised:
  • less than or equal to 11 for 16 or more years of education
  • less than or equal to 9 for 8 - 15 years of education
  • less than or equal to 6 for 0 - 7 years of education
  • Mini-Mental State Exam score between 24 and 30, inclusive
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  • Clinical Dementia Rating (CDR) Global = 0.5. Memory Box score must be at least 0.5
  • General cognition and functional performance sufficiently preserved such that a diagnosis of Alzheimer's disease dementia cannot be made by the site physician at the time of the screening visit
  • Age 55-90 (inclusive)
  • Stable permitted medications for 4 weeks or longer as specified in Section 6, including:
  • Memantine and cholinesterase inhibitors are allowable if stable for 12 weeks prior to screen
  • Geriatric Depression Scale score of less than or equal to 14
  • Study Partner is available who has frequent contact with the participant (e.g. an average of 10 hours per week or more), and can accompany the participant to most visits to answer questions about the participant
  • Adequate visual and auditory acuity to allow neuropsychological testing
  • Good general health with no additional diseases/disorders expected to interfere with the study
  • Participant is not pregnant, lactating, or of childbearing potential (i.e. women must be two years post-menopausal or surgically sterile)
  • Completed six grades of education or has a good work history
  • Fluent in English or Spanish

Who cannot join

  • Regular use of tobacco products within the past year, such as smoking (cigarettes, pipes, cigars, etc.) or use of other nicotine products (chewing tobacco, e-cigarettes, nicotine patches, gum, sprays, etc.).
  • Any significant neurologic disease such as Alzheimer's disease dementia, Parkinson's disease, multi-infarct dementia, Huntington's disease, normal pressure hydrocephalus, brain tumor, progressive supranuclear palsy, seizure disorder, subdural hematoma, multiple sclerosis, or history of significant head trauma followed by persistent neurologic deficits or known structural brain abnormalities.
  • Major depression, bipolar disorder as described in DSM-V within the past 1 year or psychotic features, agitation or behavioral problems within 3 months, which could lead to difficulty complying with the protocol
  • History of schizophrenia (DSM V criteria)
  • History of alcohol or substance abuse or dependence within the past 2 years (DSM V criteria)
  • Clinically significant or unstable medical condition, including uncontrolled hypertension, uncontrolled diabetes, or significant cardiac, pulmonary, renal, hepatic, endocrine, or other systemic disease in the opinion of the Investigator, may either put the participant at risk because of participation in the study, or influence the results, or the participant's ability to participate in the study.
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  • Has had a history within the last 5 years of a primary or recurrent malignant disease with the exception of non-melanoma skin cancers, resected cutaneous squamous cell carcinoma in situ, basal cell carcinoma, cervical carcinoma in situ, or in situ prostate cancer with normal prostate-specific antigen post-treatment
  • Clinically significant abnormalities in B12 or TFTs (Thyroid Function Tests) that might interfere with the study. A low B12 is exclusionary, unless the required follow-up labs (homocysteine (HC) and methylmalonic acid (MMA)) indicate that it is not physiologically significant.
  • Clinically significant abnormalities in screening laboratories or ECG.
  • Residence in skilled nursing facility.
  • Use of any excluded medication as described in the protocol, including:
  • Use of centrally acting anti-cholinergic drugs
  • Use of any investigational drugs within 30 days or 5 half-lives, whichever is longer, prior to screening.
  • For CSF sub-study participants, a current blood clotting or bleeding disorder, or significantly abnormal PT or PTT (partial thromboplastin time) at screening
  • For MRI sub-study participants, contraindications for MRI studies, including claustrophobia, the presence of metal (ferromagnetic) implants, or cardiac pacemaker.
  • Patients whom the Site PI deems to be otherwise ineligible.

Trial locations and contacts

36 sites in 1 country.

36 sites in 1 country

United States36 sites
  • LeHigh Valley Hospital

    Allentown, Pennsylvania, 18105

  • JEM Research Institute

    Atlantis, Florida, 33462

  • Augusta University Movement and Memory Disorders

    Augusta, Georgia, 30912

  • University at Buffalo (UBMD)

    Buffalo, New York, 14203

  • Ralph H. Johnson VA Health Care System

    Charleston, South Carolina, 294011113

  • Northwestern University

    Chicago, Illinois, 606113010

  • Ohio State University

    Columbus, Ohio, 43210

  • Neurology Clinic, P.C.

    Cordova, Tennessee, 38018

  • Nuvance Health Medical Practice Ct, Inc.; Associated Neurologists, PC

    Danbury, Connecticut, 06810

  • Brain Matters Research

    Delray Beach, Florida, 33445

  • USC Rancho Los Amigos

    Downey, California, 90242

  • Velocity Clinical Research - Syracuse

    East Syracuse, New York, 13057

  • Penn State Hershey Medical Center

    Hershey, Pennsylvania, 17033

  • Houston Methodist Neurological Institute

    Houston, Texas, 77030

  • University of Iowa

    Iowa City, Iowa, 52242

  • University of Wisconsin

    Madison, Wisconsin, 53706

  • Velocity Clinical Research - Boise

    Meridian, Idaho, 83642

  • Miami Jewish Health Systems

    Miami, Florida, 33137

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37212

  • New York University Medical Center

    New York, New York, 100166055

  • Mount Sinai School of Medicine

    New York, New York, 100296552

  • Integrative Clinical Trials

    New York, New York, 11229

  • Central Arkansas Veterans Healthcare System

    North Little Rock, Arkansas, 72205

  • Headlands Eastern MA LLC

    Plymouth, Massachusetts, 02360

  • Providence Brain and Spine Institute

    Portland, Oregon, 97225

  • Glenn Biggs Institute at the University of Texas Health

    San Antonio, Texas, 78229

  • Sharp Neurocognitive Research Center

    San Diego, California, 92123

  • Syrentis Clinical Research

    Santa Ana, California, 92705

  • Perseverance Research Center

    Scottsdale, Arizona, 85254

  • University of Washington Memory and Brain Wellness Center

    Seattle, Washington, 98195

  • Kingfisher Cooperative, LLC

    Spokane, Washington, 99202

  • Brain Matters Research

    Stuart, Florida, 34997

  • SUNY Upstate Medical University

    Syracuse, New York, 13210

  • Central States Research (formerly Tulsa Clinical Research)

    Tulsa, Oklahoma, 74104

  • Georgetown University

    Washington D.C., District of Columbia, 200072145

  • Wake Forest University Health Sciences

    Winston-Salem, North Carolina, 27157

Other trials in United States

About this study

Official title: Long-Term Nicotine Treatment of Mild Cognitive Impairment

The purpose of the study is to see if daily transdermal nicotine is able to produce a significant cognitive, clinical and functional improvement in participants with MCI. Neuronal nicotinic receptors have long been known to play a critical role in memory function in preclinical studies, with nicotine improving attention, learning, and memory function.

The study will enroll 380 participants for a 2 year period. Participants will be randomized (50:50) to either the transdermal nicotine, beginning at 7mg/day, and increasing to 21mg/day, or placebo skin patch.

Being tested
Nicotine Transdermal Patch, Placebo Patch
Keywords
Alzheimer's Disease, Nicotine, Transdermal Patch
Medical subject headings
Cognitive Dysfunction, Alzheimer Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Nicotine Transdermal PatchDrug

    21mg Nicotine transdermal patches worn during waking hours. Active dose will titrate up from 3.5mg to 21mg in the first 5 weeks of treatment, remain at 21mg up to month 24, and then taper down for three weeks.

  • Placebo PatchDrug

    Matching placebo patches worn during waking hours.

Study groups in NCT02720445
Study groupRoleWhat they receive
Nicotine Transdermal PatchExperimentalParticipants will wear nicotine transdermal patches during waking hours. Active dose will titrate up from 3.5mg to 21mg in the first 5 weeks of treatment, remain at 21mg up to 24 month, and then taper down for 3 weeks.
Receives: Drug: Nicotine Transdermal Patch
Placebo PatchPlacebo comparatorParticipants will wear matching placebo patches during waking hours.
Receives: Drug: Placebo Patch

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Cogstate Battery International Shopping List Test - Total Immediate Recall (ISLT-TIR)

    The ISLT - TIR represents the number of correct responses made when remembering the twelve word shopping list on three consecutive trials. The unit of the variable is correct responses count and higher score is better performance. Scores range from 0 to 36.

    Measured: From Baseline to month 24

Secondary outcomes (11)
  1. Change From Baseline in Mild Cognitive Impairment - Clinical Global Impression of Change (MCI-CGIC) to Month 24

    The MCI-CGIC is the MCI version of the clinician's global impression of change. In this trial it will measure change in the participant's condition between the baseline visit and subsequent visits.

    Measured: From Baseline to month 24

  2. International Shopping List Test - Delayed Recall (ISRL)

    This battery will be used for the purpose of assessing the cognitive status of the participants and will assist in documenting multiple domains of cognitive impairment.

    Measured: From Baseline to month 24

  3. Identification Task

    The IDN evaluates attention and is assessed in speed of performance. Lower score is better performance.

    Measured: From Baseline to month 24

  4. One Card Learning Task (OCL)

    The OCL evaluates visual learning and is assessed in accuracy of performance; performance; arcsine square root proportion correct. Higher score is better performance. Ranges from 0 to 1.5708

    Measured: From Baseline to month 24

  5. Detection Task

    The DET evaluates Psychomotor Function and is assessed in speed of performance; mean of the log10 transformed reaction times for correct responses. Lower score is better performance, ranges from 2.001 to 6.

    Measured: From Baseline to month 24

  6. One Back Task (ONB)

    The ONB evaluates working memory and is assessed in speed of performance; mean of the log10 transformed reaction times for correct responses. Lower score is better performance, ranges from ranges from 2.001 to 6.

    Measured: From Baseline to month 24

  7. NYU Immediate Recall (NYU-Immediate)

    The NYU-Immediate recall evaluates immediate verbal recall. Higher is better performance

    Measured: From Baseline to month 24

  8. NYU Delayed Recall (NYU-DELAY)

    The NY-DELAY evaluates delayed verbal recall. Higher is better performance

    Measured: From Baseline to month 24

  9. Clinical Dementia Rating Scale (CDR) - Sum of Boxes (SOB)

    The is a clinical scale that rates the severity of dementia as absent, questionable, mild, moderate, or severe.

    Measured: From Baseline to month 24

  10. Geriatric Depression Scale (GDS)

    The Geriatric Depression Scale (GDS) is a 30-item self-report assessment used to identify depression in the elderly. The grid sets a range of 0-9 as "normal", 10-19 as "mildly depressed", and 20-30 as "severely depressed".

    Measured: Month 24

  11. Alzheimer's Disease Cooperative Study - Activities of Daily Living Inventory (ADCS-ADL)

    This scale is an inventory developed to assess functional performance in participantss with Alzheimer's disease.

    Measured: From Baseline to month 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Mar 2016 (estimated)
  2. Study start22 Feb 2017
  3. Primary completion25 Aug 2025
  4. Study completion16 Sep 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
348 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02720445
Sponsor's protocol ID
ATRI-002-NIC
Other IDs
R01AG047992, 131918
Acronym
MIND
Status last verified
Sep 2026
First submitted
22 Mar 2016
Last updated
17 Sep 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes

Publications

  • Newhouse PA, Potter A, Corwin J, Lenox R. Age-related effects of the nicotinic antagonist mecamylamine on cognition and behavior. Neuropsychopharmacology. 1994 Apr;10(2):93-107. doi: 10.1038/npp.1994.11.

    PubMed 8024677
  • Newhouse P, Kellar K, Aisen P, White H, Wesnes K, Coderre E, Pfaff A, Wilkins H, Howard D, Levin ED. Nicotine treatment of mild cognitive impairment: a 6-month double-blind pilot clinical trial. Neurology. 2012 Jan 10;78(2):91-101. doi: 10.1212/WNL.0b013e31823efcbb.

    PubMed 22232050
  • Dumas J, Hancur-Bucci C, Naylor M, Sites C, Newhouse P. Estrogen treatment effects on anticholinergic-induced cognitive dysfunction in normal postmenopausal women. Neuropsychopharmacology. 2006 Sep;31(9):2065-78. doi: 10.1038/sj.npp.1301042. Epub 2006 Feb 15.

    PubMed 16482084
  • Newhouse PA, Dumas J, Hancur-Bucci C, Naylor M, Sites CK, Benkelfat C, Young SN. Estrogen administration negatively alters mood following monoaminergic depletion and psychosocial stress in postmenopausal women. Neuropsychopharmacology. 2008 Jun;33(7):1514-27. doi: 10.1038/sj.npp.1301530. Epub 2007 Aug 15.

    PubMed 17700646
  • Newhouse PA, Sunderland T, Tariot PN, Blumhardt CL, Weingartner H, Mellow A, Murphy DL. Intravenous nicotine in Alzheimer's disease: a pilot study. Psychopharmacology (Berl). 1988;95(2):171-5. doi: 10.1007/BF00174504.

    PubMed 3137593
  • Joe E, Ringman JM. Cognitive symptoms of Alzheimer's disease: clinical management and prevention. BMJ. 2019 Dec 6;367:l6217. doi: 10.1136/bmj.l6217.

    PubMed 31810978

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Nicotine Transdermal Patch in people with Mild Cognitive Impairment, run by University of Southern California at 36 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 18 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 17 Sep 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cogstate Battery International Shopping List Test - Total Immediate Recall (ISLT-TIR) (time frame: From Baseline to month 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02720445, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Sep 2026.

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MIND Clinical Trial NCT02720445 | AzTrials