Alzheimer's DiseaseATC-P001NCT06088121
Study to Evaluate the Efficacy and Safety of ATNC-MDD V1(TMS With Cognitive Training) in Mild Alzheimer's Dementia
A study testing ATNC MDD-V1 (Real TMS + Real Cog), ATNC BN-V1 and ATNC BN-V2 in people with Alzheimer's Disease and Dementia, run by Advanced Technology & Communications at 11 sites in South Korea.
Trial summary
The study tests the effect of the ATNC MDD-V1 on Alzheimer patients' cognitive function. The ATNC MDD-V1 uses non-invasive stimulation of both magnetic and cognitive training. Read more about this study
- Who is it for?
- Ages 60 to 85 years
- Conditions the study is for
- Alzheimer's Disease, Dementia, Brain Diseases
- What is being tested?
- ATNC MDD-V1 (Real TMS + Real Cog), ATNC BN-V1 and ATNC BN-V2
- Type of treatment
- Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 180 participants
- Where
- 11 sitesSouth Korea
- Study dates
- 15 May 2023to 30 Jun 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 60 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients who started drug treatment with an acetylcholinesterase inhibitor at least 2 months before participating in the clinical trial and can participate in the clinical trial without changing the dose during the trial period.
- Male or female age 60-85 years.
- Patients diagnosed with mild stage of Alzheimer's Disease, according to the NIA-AA (2011) diagnosis.
- A patient whose dementia was confirmed to be due to Alzheimer's disease by amyloid PET-CT.
- MMSE score 21 to 26.
- CDR 1 or GDS 3.
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- ※ For subjects who are excluded from screening based on criteria 5 or 6, if the investigator judges that the subject is likely to be eligible, one repeat screening may be performed.
- A patient who is deemed physically eligible for the clinical trial based on medical records and physical examination.
- A patient who is unable to provide voluntary informed consent for the clinical trial due to impaired decision-making capacity, for whom a legally authorized representative provides consent for participation, and who can attend follow-up visits with a caregiver.
- Patients who agreed to participate in all 24-week clinical trials.
- Patients with normal ability to see and hear letters.
- Patients who speak Korean as their mother tongue
Who cannot join
- Patients with central nervous system (CNS) disorders that may affect cognitive function (such as cerebrovascular diseases including vascular dementia, subdural hematoma, normal pressure hydrocephalus, brain tumors, CNS infections like HIV or syphilis, head trauma, Huntington's disease, Parkinson's disease, etc.) where cognitive decline may be explained by other causes, or in whom dementia types other than Alzheimer's disease are suspected.
- Patients who have been unconscious due to brain surgery or concussion, or who have signs or symptoms of cranial pressure elevation on neurologic examination.
- History of Epileptic Seizures or Epilepsy.
- Patients with a history of drug abuse, including alcohol, in the past 5 years from the time of screening.
- Patients with schizophrenia, schizoaffective disorder, bipolar disorder, current major depressive episode, psychosis, panic, post-traumatic stress, severe anxiety, mental retardation, DSM-V disorder.
- Patients with abnormal vitamin B12, folic acid deficiency, or thyroid stimulating hormone (TSH) test results that were considered by the investigator to affect or are caused by the severity of dementia.
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- Patients with metal implants in the head, (i.e. cochlear implants, implanted brain stimulators and neurostimulators, aneurysm clips) with the exception of metal implants.
- Cardiac pacemakers.
- Implanted medication pumps.
- Intracardiac lines.
- Patients who are currently taking medications that lower the convulsive seizure threshold.
- Significant heart disease.
- Patients with severe renal or hepatic impairment※, referring to conditions that significantly affect daily living (e.g., stage 4 chronic kidney disease), with the assessment based on the investigator's judgment.
- Contraindication for performing MRI scanning.
- Contraindication for performing amyloid PET-CT scanning.
- Patients who do not consent to TMS treatment and participation in this clinical trial.
- Patients who participated in other clinical trials 3 months before participating in this clinical trial.
- ※ Subjects who participate in non-interventional studies (such as observational studies) that do not affect the subject's disease or symptoms may be enrolled in the study.
- Patients with a history of TMS treatment within the last 2 years before participating in this clinical trial.
- Patients judged by the investigator to be unsuitable for participation in clinical trials for other reasons.
- ※ If the test subject is unable to visit according to the research plan due to unavoidable personal circumstances during the screening period, it will be treated as a screening dropout, and the patient can participate in the study after re-agreeing according to the future schedule.
- Patients with a history of malignant tumors within the last 5 years.
- Participation is possible if more than 5 years have elapsed without recurrence after the decision to be cured (The point of complete removal of the tumor through surgery or the end of chemotherapy, etc.).
- Patients who need to take medications suggested in concomitantly contraindicated drugs.
Trial locations and contacts
11 sites in 1 country. Contact the study team or a site near you to ask about taking part.
11 sites in 1 country
South Korea11 sites, 11 recruiting
- Recruiting
Dong-A University Hospital
Busan, Seo-gu, 49315
AT&C, +82-31-445-1565, hyunah.lee@atnci.com
Kyung Won MD Park, PhD
- Recruiting
Yeungnam University Medical Center
Daegu, Hyeonchung-ro, Nam-gu, 42415
AT&C, +82-31-445-1565, jinwoo.shin@atnci.com
Miyoung MD Park, Ph.D
- Recruiting
Chungnam National University Hospital
Daejeon, Jung-gu, 35015
AT&C, +82-31-445-1565, hyunah.lee@atnci.com
Ae Young MD LEE, PhD
- Recruiting
Chonnam National University Hopital
Gwangju, Dong-gu, 61469
AT&C, +82-31-445-1565, hyunah.lee@atnci.com
Goun MD Kim, Ph.D
- Recruiting
Chung-Ang University Gwangmyeong Hospital
Gwangmyeong, Deokan-ro 110, 14353
AT&C, +82-31-445-1565, hyunah.lee@atnci.com
Mincheol MD Park, Ph.D
- Recruiting
National Health Insurance Service Ilsan Hospital
Gyeonggi-do, Ilsan-ro, Ilsandong-gu, Goyang-si, 10444
AT&C, +82-31-445-1565, jinwoo.shin@atnci.com
Sohun MD Yoon, Ph.D
- Recruiting
Inje University Ilsan Paik Hospital
Gyeonggi-do, Juhwa-ro, Ilsanseo-gu, Goyang-si, 10380
AT&C, +82-31-445-1565, jinwoo.shin@atnci.com
Younggeon MD Lee, Ph.D
- Recruiting
Catholic university of Korea Incheon St. Mary's Hospital
Incheon, Bupyeong 6(yuk)-dong, Bupyeong-gu, 403-720
AT&C, +82-31-445-1565, jinwoo.shin@atnci.com
Inwook MD Song, Ph.D
- Recruiting
jeonbuk National University Hospital
Jeonju, Deokjin-gu, 54907
AT&C, +82-31-445-1565, hyunah.lee@atnci.com
Su-Hyun MD Jo, Ph.D
- Recruiting
Konkuk University Medical Center
Seoul, Neungdong-ro, Gwangjin-gu, 05030
AT&C, +82-31-445-1565, jinwoo.shin@atnci.com
Yeonsil MD Moon, PhD
- Recruiting
Korea University Anam Hospital
Seoul, Seongbuk-gu, 02841
AT&C, +82-31-445-1565, hyunah.lee@atnci.com
Kun Woo MD Park, PhD
About this study
Official title: Effects of a ATNC MDD-V1 (TMS With Cognitive Training), for the Treatment of Mild Alzheimer Disease: a Randomized, Double-blinded, Placebo-controlled Study
The study tests the effect of the ATNC MDD-V1 on Alzheimer patients' cognitive function. The ATNC MDD-V1 uses non-invasive stimulation of both magnetic and cognitive training.
Read the detailed description
The ATNC MDD-V1 system is a combined system of Transcranial Magnetic Stimulation and cognitive training and is a non-invasive therapeutic system for the improvement of Alzheimer patients' cognitive function.
A potential participant will undergo screening procedures to confirm eligibility to participate in the study, followed by randomization procedure to one of the study groups - treatment or sham (placebo) Patient will attend the clinic 5 times a week for 6 weeks, approximately an hour every day for treatment/sham. The patient will be required to return to the clinic for follow-up.
Up to 180 patients will be enrolled in up to 11 clinical sites in the Republic Korea.
- Conditions
- Alzheimer's Disease, Dementia, Brain Diseases, Central Nervous System Diseases, Nervous System Diseases, Neurodegenerative Diseases
- Being tested
- ATNC MDD-V1 (Real TMS + Real Cog), ATNC MDD-V1 (Sham TMS + Real Cog), ATNC BN-V1, ATNC BN-V2
- Keywords
- TMS, Cognitive Stimulation, ATNC MDD-V1, Dementia
- Medical subject headings
- Alzheimer Disease, Dementia, Brain Diseases, Central Nervous System Diseases, Nervous System Diseases, Neurodegenerative Diseases, Neurocognitive Disorders, Mental Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ATNC MDD-V1 (Real TMS + Real Cog)Device
Also called ATNC MDD-V1, Brain Sense & Brain Cog
Synchronized TMS and cognitive stimulation to 6 brain areas.
ATNC MDD-V1 (Sham TMS + Real Cog)Device
Also called sham
Sham device, has the same appearance and sound as the real device, combined with real cognitive exercises. Patients come for the same number of sessions, delivers no real stimulation or cognitive training.
ATNC BN-V1Device
Also called Brain Navigation System V1
The navigation system is used to determine the exact brain location to be stimulated (coordinates for the stimulation point).
ATNC BN-V2Device
Also called Brain Navigation System V2
The navigation system is used to determine the exact brain location to be stimulated (coordinates for the stimulation point).
| Study group | Role | What they receive |
|---|---|---|
| ATNC MDD-V1 | Active comparator | ATNC MDD-V1 treatment, synchronized TMS and cognitive training stimulation Receives: Device: ATNC MDD-V1 (Real TMS + Real Cog); Device: ATNC BN-V1; Device: ATNC BN-V2 |
| Sham TMS + Real Cog | Sham comparator | The Control arm subjects will receive daily treatments five days a week for 6 consecutive weeks of Sham treatment of TMS and real cognitive training which is similar to the real treatment in visit frequency and procedure. Receives: Device: ATNC MDD-V1 (Sham TMS + Real Cog); Device: ATNC BN-V1; Device: ATNC BN-V2 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Alzheimer's Disease Assessment Scale-Cognition Score (Efficacy)
Change from Baseline to 24 weeks in ADAS-Cog score. ADAS-Cog: Alzheimer's Disease Assessment Scale - Cognitive
Measured: Week 24
Secondary outcomes (6)
Alzheimer's Disease Assessment Scale-Cognitive(ADAS-cog) Score (Efficacy)
Change from Baseline to 7,12 weeks in ADAS-Cog score. ADAS-Cog: Alzheimer's Disease Assessment Scale - Cognitive
Measured: Week 7, 12
Korean-Mini Mental State Examination-2nd Edition(K-MMSE-2)(Efficacy)
Change from Baseline to 7, 12 and 24 weeks in K-MMSE-2. K-MMSE-2: Korean-Mini Mental State Examination-2nd Edition
Measured: Week 7, 12, 24
Clinical Dementia Rating(CDR)(Efficacy)
Change from Baseline to 7, 12 and 24 weeks in CDR. CDR: Clinical Dementia Rating
Measured: Week 7, 12, 24
Global Deterioration Scale(GDeps)(Efficacy)
Change from Baseline to 7, 12 and 24 weeks in GDeps. GDeps: Global Deterioration Scale
Measured: Week 7, 12, 24
Clinical Global Impression of Change(CGIC)(Efficacy)
Change from Baseline to 7, 12 and 24 weeks in CGIC CGIC: Clinical Global Impression of Change
Measured: Week 7, 12, 24
Korean-Instrumental Activities of Daily Living(K-IADL)(Efficacy)
Change from Baseline to 7, 12 and 24 weeks in K-IADL. K-IADL: Korean-Instrumental Activities of Daily Living
Measured: Week 7, 12, 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Oct 2023
- Study start15 May 2023
- Primary completion15 Jan 2027 (estimated)
- Study completion30 Jun 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Alzheimer's DiseaseStudies 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
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 180 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Advanced Technology & Communications
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Chungnam National University Hospital, Korea University Anam Hospital, Dong-A University Hospital, Chonnam National University Hospital, Chonbuk National University Hospital, Chung-Ang University Gwangmyeong Hospital, Yeungnam University Hospital, Inje University Ilsan Paik Hospital, National Health Insurance Service Ilsan Hospital, Konkuk University Medical Center
- Responsible party
- Sponsor
- Investigators
- Ae Young MD LEE, PhD, Principal investigator, Chungnam National University HospitalKun Woo MD Park, PhD, Principal investigator, Korea University Anam HospitalDeye MD Yoon, PhD, Principal investigator, Dong-A University HospitalGoun MD Kim, PhD, Principal investigator, Chonbuk National University HospitalSu-Hyun MD Jo, PhD, Principal investigator, Chonnam National University HospitalMincheol MD Park, PhD, Principal investigator, Chung-Ang University Gwangmyeong HospitalInwook MD Song, PhD, Principal investigator, Incheon St.Mary's HospitalMiyoung MD Park, PhD, Principal investigator, Yeungnam University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06088121
- Sponsor's protocol ID
- CNUH 2023-03-027
- Acronym
- ATC-P001
- Status last verified
- Apr 2026
- First submitted
- 19 Sep 2023
- Last updated
- 23 Apr 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of a ATNC MDD-V1 (TMS With Cognitive Training), for the Treatment of Mild Alzheimer Disease: a Randomized, Double-blinded, Placebo-controlled Study
- ClinicalTrials.gov ID
- NCT06088121
- Acronym / sponsor ID
- ATC-P001 / CNUH 2023-03-027
- Conditions
- Alzheimer's Disease, Dementia, Brain Diseases, Central Nervous System Diseases, Nervous System Diseases, Neurodegenerative Diseases
- Keywords
- TMS, Cognitive Stimulation, ATNC MDD-V1, Dementia
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 180 participants (estimated)
- Lead sponsor
- Advanced Technology & CommunicationsIndustry (pharma, biotech, devices)
- Collaborators
- Chungnam National University Hospital, Korea University Anam Hospital, Dong-A University Hospital, Chonnam National University Hospital, Chonbuk National University Hospital, Chung-Ang University Gwangmyeong Hospital, Yeungnam University Hospital, Inje University Ilsan Paik Hospital, National Health Insurance Service Ilsan Hospital, Konkuk University Medical Center
- Study start
- 15 May 2023 (actual)
- Primary completion
- 15 Jan 2027 (estimated)
- Study completion
- 30 Jun 2027 (estimated)
- First posted
- 18 Oct 2023 (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.
The study tests the effect of the ATNC MDD-V1 on Alzheimer patients' cognitive function. The ATNC MDD-V1 uses non-invasive stimulation of both magnetic and cognitive training.
Detailed description
The ATNC MDD-V1 system is a combined system of Transcranial Magnetic Stimulation and cognitive training and is a non-invasive therapeutic system for the improvement of Alzheimer patients' cognitive function.
A potential participant will undergo screening procedures to confirm eligibility to participate in the study, followed by randomization procedure to one of the study groups - treatment or sham (placebo) Patient will attend the clinic 5 times a week for 6 weeks, approximately an hour every day for treatment/sham. The patient will be required to return to the clinic for follow-up.
Up to 180 patients will be enrolled in up to 11 clinical sites in the Republic Korea.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| ATNC MDD-V1 | Active comparator | Device: ATNC MDD-V1 (Real TMS + Real Cog), Device: ATNC BN-V1, Device: ATNC BN-V2ATNC MDD-V1 treatment, synchronized TMS and cognitive training stimulation |
| Sham TMS + Real Cog | Sham comparator | Device: ATNC MDD-V1 (Sham TMS + Real Cog), Device: ATNC BN-V1, Device: ATNC BN-V2The Control arm subjects will receive daily treatments five days a week for 6 consecutive weeks of Sham treatment of TMS and real cognitive training which is similar to the real treatment in visit frequency and procedure. |
Who may qualify
- Ages
- 60 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Patients who started drug treatment with an acetylcholinesterase inhibitor at least 2 months before participating in the clinical trial and can participate in the clinical trial without changing the dose during the trial period.
- Male or female age 60-85 years.
- Patients diagnosed with mild stage of Alzheimer's Disease, according to the NIA-AA (2011) diagnosis.
- A patient whose dementia was confirmed to be due to Alzheimer's disease by amyloid PET-CT.
- MMSE score 21 to 26.
Key exclusion criteria (24 listed)
- Patients with central nervous system (CNS) disorders that may affect cognitive function (such as cerebrovascular diseases including vascular dementia, subdural hematoma, normal pressure hydrocephalus, brain tumors, CNS infections like HIV or syphilis, head trauma, Huntington's disease, Parkinson's disease, etc.) where cognitive decline may be explained by other causes, or in whom dementia types other than Alzheimer's disease are suspected.
- Patients who have been unconscious due to brain surgery or concussion, or who have signs or symptoms of cranial pressure elevation on neurologic examination.
- History of Epileptic Seizures or Epilepsy.
- Patients with a history of drug abuse, including alcohol, in the past 5 years from the time of screening.
- Patients with schizophrenia, schizoaffective disorder, bipolar disorder, current major depressive episode, psychosis, panic, post-traumatic stress, severe anxiety, mental retardation, DSM-V disorder.
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 |
|---|---|---|
| ATNC MDD-V1 (Real TMS + Real Cog)Also: ATNC MDD-V1, Brain Sense & Brain CogSynchronized TMS and cognitive stimulation to 6 brain areas. | Device | ATNC MDD-V1 |
| ATNC MDD-V1 (Sham TMS + Real Cog)Also: shamSham device, has the same appearance and sound as the real device, combined with real cognitive exercises. Patients come for the same number of sessions, delivers no real stimulation or cognitive training. | Device | Sham TMS + Real Cog |
| ATNC BN-V1Also: Brain Navigation System V1The navigation system is used to determine the exact brain location to be stimulated (coordinates for the stimulation point). | Device | ATNC MDD-V1, Sham TMS + Real Cog |
| ATNC BN-V2Also: Brain Navigation System V2The navigation system is used to determine the exact brain location to be stimulated (coordinates for the stimulation point). | Device | ATNC MDD-V1, Sham TMS + Real Cog |
Primary outcome
Alzheimer's Disease Assessment Scale-Cognition Score (Efficacy)
Time frame: Week 24
Change from Baseline to 24 weeks in ADAS-Cog score. ADAS-Cog: Alzheimer's Disease Assessment Scale - Cognitive
6 secondary outcomes
Alzheimer's Disease Assessment Scale-Cognitive(ADAS-cog) Score (Efficacy)
Time frame: Week 7, 12
Korean-Mini Mental State Examination-2nd Edition(K-MMSE-2)(Efficacy)
Time frame: Week 7, 12, 24
Clinical Dementia Rating(CDR)(Efficacy)
Time frame: Week 7, 12, 24
Global Deterioration Scale(GDeps)(Efficacy)
Time frame: Week 7, 12, 24
Clinical Global Impression of Change(CGIC)(Efficacy)
Time frame: Week 7, 12, 24
Korean-Instrumental Activities of Daily Living(K-IADL)(Efficacy)
Time frame: Week 7, 12, 24
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Apr 2026.
- MedlinePlus Genetics related topics: Alzheimer diseaseLink provided by the sponsor.
- MedlinePlus related topics: Alzheimer diseaseLink provided by the sponsor.
- Other U.S. FDA ResourcesLink provided by the sponsor.
- Sponsor's webLink provided by the sponsor.
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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.
Ae Young MD LEE, PhD principal investigator
Chungnam National University Hospital
Kun Woo MD Park, PhD principal investigator
Korea University Anam Hospital
Deye MD Yoon, PhD principal investigator
Dong-A University Hospital
11 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing ATNC MDD-V1 (Real TMS + Real Cog), ATNC BN-V1 and ATNC BN-V2 in people with Alzheimer's Disease and Dementia, run by Advanced Technology & Communications at 11 sites in South Korea.
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 12 inclusion and 24 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: looking for participants now, as of the sponsor's last update on 23 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 11 sites in South Korea. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Shin Jinwoo (+82314450566, jinwoo.shin@atnci.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Alzheimer's Disease Assessment Scale-Cognition Score (Efficacy) (time frame: Week 24). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 23 Apr 2026.