Mild Cognitive ImpairmentNCT03983655
Effect of High Frequency/Low Intensity Transcranial Magnetic Stimulation in Cognitive Traits of an Elderly Population of Subjects With Mild Cognitive Impairment and Mild Dementia.
A study testing High Frequency Low Intensity TMS in people with Mild Cognitive Impairment and Mild Dementia, run by Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran at 1 site in Mexico.
Trial summary
There are no pharmacological interventions that delay or prevent the transition of mild cognitive impairment to dementia. Several studies have shown that transcranial magnetic stimulation (TMS) could be useful in increasing cognitive traits in dementia. Read more about this study
- Who is it for?
- Ages 65 years and older
- Conditions the study is for
- Mild Cognitive Impairment, Mild Dementia
- What is being tested?
- High Frequency Low Intensity TMS
- Type of treatment
- Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 37 participants
- Where
- 1 siteMexico
- Study dates
- 17 May 2019to 1 Aug 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 65 years and older
- All sexes
- No healthy volunteers
- Older adult
Who may be able to join
None listed.
Who cannot join
- ( - ) Other neurodegenerative disorder different than mild cognitive impairment or mild dementia ( - ) Metabolic disease without medical care ( - ) Epilepsy ( - ) Deep brain stimulator ( - ) Metalic prosthethics in the skulls ( - ) Major depressive disorder ( - ) Previous utilization of other neuromodulation technique ( - ) Signs or symptoms of increased intracraneal pressure
Trial locations and contacts
1 site in 1 country.
Mexico1 site
Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
Mexico City, 14080
About this study
Official title: Effect of High Frequency/Low Intensity Transcranial Magnetic Stimulation in Cognitive Traits of an Elderly Population of Subjects With Mild Cognitive Impairment and Mild Dementia: A Randomized, Double Blind, Parallel Group, Sham Controlled Clinical Trial
There are no pharmacological interventions that delay or prevent the transition of mild cognitive impairment to dementia. Several studies have shown that transcranial magnetic stimulation (TMS) could be useful in increasing cognitive traits in dementia.
As TMS is performed in a clinical setting, transportation, mobility and high costs of treatment, limit the number of TMS sessions dementia patients can receive. Most of the trials do not apply more than 20 TMS sessions
Here, a randomized, sham controlled, paralallel group, clinical trial will be performed in order to asess the efficacy at improving cognitive traits of a novel TMS device that uses high frequency and low intensity pulses. As the device is portable and can be used from home without clinical supervision, the stimulation will be applied two times per day for a period of 6 months.
- Conditions
- Mild Cognitive Impairment, Mild Dementia
- Being tested
- High Frequency Low Intensity TMS
- Medical subject headings
- Cognitive Dysfunction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
High Frequency Low Intensity TMSDevice
125 hz, 10 gauss, 2 times daily for 6 monts
| Study group | Role | What they receive |
|---|---|---|
| Real High Frequency Low Intensity TMS | Experimental | Two sessions of transcranial magnetic stimulation each day for 6 monts. The coil of the device emits a pulsed magnetic field at an aproximate frequency of 125 hz and an intensity of 10 gauss. Receives: Device: High Frequency Low Intensity TMS |
| Sham High Frequency Low Intensity TMS | Sham comparator | Two sessions of transcranial magnetic stimulation each day for 6 monts. The coil of the device does not emit a magnetic field. Receives: Device: High Frequency Low Intensity TMS |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of patients suffering any kind of adverse effect
Measured: 6 months
Secondary outcomes (11)
Change from baseline of total Katz Index of Independence in Activities of Daily Living at 3 months
Measured: 3 months
Change from baseline of total Katz Index of Independence in Activities of Daily Living at 6 months
Measured: 6 months
Change from baseline of total Lawton Instrumental Activities of Daily Living Scale at 3 months
Measured: 3 months
Change from baseline of total Lawton Instrumental Activities of Daily Living Scale at 6 months
Measured: 6 months
Change from baseline of total Geriatric Depression Scale at 3 months
Measured: 3 months
Change from baseline of total Geriatric Depression Scale at 6 months
Measured: 6 months
Change from baseline of total Montreal Cognitive Assessment at 3 months
Measured: 3 months
Change from baseline of total Montreal Cognitive Assessment at 6 monts
Measured: 6 months
Change from baseline of total Frontal Asessment Battery at 3 monts
Measured: 3 months
Change from baseline Frontal Asessment Battery at 6 monts
Measured: 6 months
Change from baseline ADAS-COG at 6 monts
Alzheimer´s Disease Assessment Scale-Cognitive
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jun 2019
- Study start17 May 2019
- Primary completion17 May 2020
- Study completion1 Aug 2020
Why it stopped: COVID-19 pandemic
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Mild Cognitive ImpairmentStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 N/A
- Primary purpose
- Device feasibility
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 37 participants (actual)
Sponsor and investigators
- Lead sponsor
- Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
- Sponsor type
- University, hospital or other
- Collaborators
- Actipulse Neuroscience
- Responsible party
- Principal investigator, Alberto José Mimenza Alvarado, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03983655
- Sponsor's protocol ID
- GER-2962-19-20-1
- Status last verified
- Aug 2021
- First submitted
- 21 May 2019
- Last updated
- 12 Aug 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Mimenza-Alvarado AJ, Aguilar-Navarro SG, Martinez-Carrillo FM, Rios-Ponce AE, Villafuerte G. Use of Fast Gamma Magnetic Stimulation Over the Left Prefrontal Dorsolateral Cortex for the Treatment of MCI and Mild Alzheimer's Disease: A Double-Blind, Randomized, Sham-Controlled, Pilot Study. Front Neurol. 2021 Sep 9;12:729872. doi: 10.3389/fneur.2021.729872. eCollection 2021.
PubMed 34566873
Study at a glance
From the registry record, last updated by the sponsor on 12 Aug 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of High Frequency/Low Intensity Transcranial Magnetic Stimulation in Cognitive Traits of an Elderly Population of Subjects With Mild Cognitive Impairment and Mild Dementia: A Randomized, Double Blind, Parallel Group, Sham Controlled Clinical Trial
- ClinicalTrials.gov ID
- NCT03983655
- Acronym / sponsor ID
- GER-2962-19-20-1
- Conditions
- Mild Cognitive Impairment, Mild Dementia
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: COVID-19 pandemic
- Enrolment
- 37 participants (actual)
- Lead sponsor
- Instituto Nacional de Ciencias Medicas y Nutricion Salvador ZubiranUniversity, hospital or other
- Collaborators
- Actipulse Neuroscience
- Study start
- 17 May 2019 (actual)
- Primary completion
- 17 May 2020 (actual)
- Study completion
- 1 Aug 2020 (actual)
- First posted
- 12 Jun 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
There are no pharmacological interventions that delay or prevent the transition of mild cognitive impairment to dementia. Several studies have shown that transcranial magnetic stimulation (TMS) could be useful in increasing cognitive traits in dementia.
As TMS is performed in a clinical setting, transportation, mobility and high costs of treatment, limit the number of TMS sessions dementia patients can receive. Most of the trials do not apply more than 20 TMS sessions
Here, a randomized, sham controlled, paralallel group, clinical trial will be performed in order to asess the efficacy at improving cognitive traits of a novel TMS device that uses high frequency and low intensity pulses. As the device is portable and can be used from home without clinical supervision, the stimulation will be applied two times per day for a period of 6 months.
Study design
- Primary purpose
- Device feasibility
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Real High Frequency Low Intensity TMS | Experimental | Device: High Frequency Low Intensity TMSTwo sessions of transcranial magnetic stimulation each day for 6 monts. The coil of the device emits a pulsed magnetic field at an aproximate frequency of 125 hz and an intensity of 10 gauss. |
| Sham High Frequency Low Intensity TMS | Sham comparator | Device: High Frequency Low Intensity TMSTwo sessions of transcranial magnetic stimulation each day for 6 monts. The coil of the device does not emit a magnetic field. |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
Key inclusion criteria (0 listed)
Key exclusion criteria (1 listed)
- ( - ) Other neurodegenerative disorder different than mild cognitive impairment or mild dementia ( - ) Metabolic disease without medical care ( - ) Epilepsy ( - ) Deep brain stimulator ( - ) Metalic prosthethics in the skulls ( - ) Major depressive disorder ( - ) Previous utilization of other neuromodulation technique ( - ) Signs or symptoms of increased intracraneal pressure
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| High Frequency Low Intensity TMS125 hz, 10 gauss, 2 times daily for 6 monts | Device | Real High Frequency Low Intensity TMS, Sham High Frequency Low Intensity TMS |
Primary outcome
Proportion of patients suffering any kind of adverse effect
Time frame: 6 months
11 secondary outcomes
Change from baseline of total Katz Index of Independence in Activities of Daily Living at 3 months
Time frame: 3 months
Change from baseline of total Katz Index of Independence in Activities of Daily Living at 6 months
Time frame: 6 months
Change from baseline of total Lawton Instrumental Activities of Daily Living Scale at 3 months
Time frame: 3 months
Change from baseline of total Lawton Instrumental Activities of Daily Living Scale at 6 months
Time frame: 6 months
Change from baseline of total Geriatric Depression Scale at 3 months
Time frame: 3 months
Change from baseline of total Geriatric Depression Scale at 6 months
Time frame: 6 months
Change from baseline of total Montreal Cognitive Assessment at 3 months
Time frame: 3 months
Change from baseline of total Montreal Cognitive Assessment at 6 monts
Time frame: 6 months
Change from baseline of total Frontal Asessment Battery at 3 monts
Time frame: 3 months
Change from baseline Frontal Asessment Battery at 6 monts
Time frame: 6 months
Change from baseline ADAS-COG at 6 monts
Time frame: 6 months
Results and safety
The study was stopped early (reason given: COVID-19 pandemic). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Aug 2021.
- Derived from this study: PubMed 34566873Mimenza-Alvarado AJ, Aguilar-Navarro SG, Martinez-Carrillo FM, Rios-Ponce AE, Villafuerte G. Use of Fast Gamma Magnetic Stimulation Over the Left Prefrontal Dorsolateral Cortex for the Treatment of MCI and Mild Alzheimer's Disease: A Double-Blind, Randomized, Sham-Controlled, Pilot Study. Front Neurol. 2021 Sep 9;12:729872. doi: 10.3389/fneur.2021.729872. eCollection 2021.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing High Frequency Low Intensity TMS in people with Mild Cognitive Impairment and Mild Dementia, run by Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran at 1 site in Mexico.
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 0 inclusion and 1 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: stopped early, as of the sponsor's last update on 12 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Mexico. 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.
Are results available for this study?
The study was stopped early (reason given: COVID-19 pandemic). Results are not available in the source record.
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?
Proportion of patients suffering any kind of adverse effect (time frame: 6 months). 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 NCT03983655, which also lists 1 linked publication.
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 12 Aug 2021.