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iTBS in MCI and Mild AD

No phase Interventional Mild Cognitive Impairment (MCI) Mild Alzheimer Disease

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Active rTMS, Sham rTMS.
Who it may be relevant to
Registry conditions: Mild Cognitive Impairment (MCI), Mild Alzheimer Disease. Basic parameters: 50 years — 85 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Taiwan
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

The Effects of Intermittent Theta-burst Stimulation on Cognitive Function in Patients With Mild Cognitive Impairment and Mild Alzheimer's Disease and the Role of Brain-Derived Neurotrophic Factor

Overview

This study aims to examine the effects of iTBS on cognitive function in individuals with MCI or mild AD, with a secondary objective of exploring prefrontal TBS mechanisms for cognitive function and the effect of iTBS on BDNF.

Interventions

  • Device Active rTMS
    iTBS targeting the left dorsolateral prefrontal cortex (DLPFC) per session, total10 sessions
  • Device Sham rTMS
    sham iTBS targeting the left dorsolateral prefrontal cortex (DLPFC) per session, total 10 sessions

Primary outcome measures

  • Changes in neurocognitive function test scores (Mini-Mental State Examination;MMSE) between T1 (Day 1) and T2 (Day 14), and the differences between the experimental and control groups. [Time frame: MMSE will be controlled at baseline before active or sham rTMS, 2 weeks after active and sham rTMS, 3 months after the last treatment]
Secondary outcome measures (3)
  • Changes in neurocognitive function test scores (Mini-Mental State Examination;MMSE) between T1(Day 1) and T3 (98 ± 14), and the differences between the experimental and control groups. [Time frame: MMSE will be controlled at baseline (T1: Day 1) before active or sham rTMS, 2 weeks after active and sham rTMS (T2: Day 17 ± 5), 3 months after the last treatment (T3: Day 98 ± 14).]
  • Changes in blood BDNF concentration levels before and after active rTMS and after sham rTMS, as well as the differences between the experimental group and the control group [Time frame: BDNF will be controlled at baseline ( Day 1) before active or sham rTMS, 2 weeks after active and sham rTMS (Day 17 ± 5).]
  • Side effects between the two groups. [Time frame: Side effects will be monitored during 2 groups (active and sham) through study completion, an average of 3-4 months.]

Eligibility criteria

Inclusion criteria

  • Clinical diagnosis of MCI (overall Clinical Dementia Rating of 0.5)
  • Clinical diagnosis of mild Alzheimer's Disease (overall Clinical Dementia Rating of 0.5 or 1)

Exclusion criteria

  • History of stroke
  • History of uncontrol seizure
  • History of significant head trauma followed by persistent neurologic deficit or known structural brain abnormality
  • Mental illness
  • Drug abuse

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Crossover
Masking
Single blind
Primary purpose
Treatment

Study locations

Taiwan · 1 center
  • Tri-Service General Hospital — Taipei

Publications

  • Daskalakis ZJ. Theta-burst transcranial magnetic stimulation in depression: when less may be more. Brain. 2014 Jul;137(Pt 7):1860-2. doi: 10.1093/brain/awu123. Epub 2014 May 15. No abstract available. PMID 24833712
  • Huang YZ, Edwards MJ, Rounis E, Bhatia KP, Rothwell JC. Theta burst stimulation of the human motor cortex. Neuron. 2005 Jan 20;45(2):201-6. doi: 10.1016/j.neuron.2004.12.033. PMID 15664172

Identifiers

NCT: NCT06670820 · A202305164

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗