Actively Recruiting
Prevention of Alzheimer's Disease Using Gamma Entrainment A Study of GENUS Light and Sound Stimulation to Prevent Dementia in People at Risk for Alzheimer's
Led by Massachusetts General Hospital · Updated on 2025-01-10
200
Participants Needed
2
Research Sites
120 weeks
Total Duration
On this page
Sponsors
M
Massachusetts General Hospital
Lead Sponsor
M
Massachusetts Institute of Technology
Collaborating Sponsor
AI-Summary
What this Trial Is About
Alzheimer's disease (AD) causes significant memory loss and buildup of harmful proteins called amyloid and tau in the brain. This condition also affects brain waves called gamma waves, which are important for memory. Researchers found that increasing gamma waves at 40Hz using light and sound helped reduce these harmful proteins and improved memory in mouse models. The study aims to test if a similar light and sound device can prevent dementia in people at risk for Alzheimer's disease, particularly those aged 55 and older with a family history of AD and normal memory. Participants who qualify will use the GENUS device at home, which delivers light and sound stimulation at 40Hz for 60 minutes daily over 12 months. The study will enroll 200 participants, with 50 who have amyloid deposits in the brain continuing in the study. Neither participants nor researchers will know who receives the active or sham stimulation. Participants will visit Massachusetts General Hospital 4-6 times during the study for tests including PET scans, MRI, EEG, blood draws, memory assessments, and questionnaires. Optionally, some may provide cerebral spinal fluid samples. Throughout the study, participants will wear a watch to track sleep and activity. During the visits, researchers will measure changes in brain amyloid levels using PET scans and monitor memory and brain activity. Blood tests and imaging will track progress and safety. The entire participation lasts about 13 months, including baseline assessments and follow-up visits at 6 and 12 months. The study evaluates whether regular stimulation at 40Hz can reduce Alzheimer's disease pathology and help prevent dementia in at-risk individuals.
CONDITIONS
Official Title
Gamma Light and Sound Stimulation to Prevent Dementia in Cognitively Normal People At Risk for Alzheimer's Disease
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Between 55 and 90 years of age, inclusive
- Immediate family history of Alzheimer's disease
- Mini-Mental State Exam score of 27 or higher or expected normal range adjusted for education
- Clinical Dementia Rating Global Score of 0 at baseline
- Delayed Recall score on Logical Memory IIa of 8 to 15 or expected normal range adjusted for education
- Low serum amyloid levels at baseline
- Elevated fibrillar amyloid on 11C PiB PET scan between 20 and 70 CL
- Willing and able to undergo MRI and PET brain scans
- Adequate vision and hearing to complete neuropsychological testing
- Able to comply with neuropsychological tests and study procedures
- Willing and able to complete baseline assessments and participate in the 13-month study
- Willing to provide blood samples and consider providing cerebrospinal fluid samples if asked
You will not qualify if you...
- MRI contraindications like pacemakers, aneurysm clips, artificial heart valves, ear implants, metal fragments, or foreign objects in the body or eyes
- High myopia less than -7 diopters or untreated cataracts affecting vision
- Significant systemic illness or unstable medical condition affecting study compliance
- History of bleeding disorders or low platelet levels if agreeing to lumbar puncture
- Current treatment with NMDA antagonists
- Use of warfarin or similar anti-coagulants if undergoing lumbar puncture
- History of seizures or epilepsy
- Pregnant or breastfeeding females
- History of severe allergic or anaphylactic reactions
- Long history (over 10 years) of alcohol or substance abuse up to symptom development
- Neurodegenerative disorders causing cognitive impairment
- Kidney disease
- MRI findings such as severe leukoencephalopathy, structural brain abnormalities, or cerebral amyloid angiopathy that affect data analysis
- Laboratory findings suggestive of systemic illness like kidney disease
- Investigator's judgment that participant cannot complete key study procedures
AI-Screening
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Trial Site Locations
Total: 2 locations
1
Massachusetts General Hospital
Boston, Massachusetts, United States, 02114
Actively Recruiting
2
Massachusetts Institute of Technology
Cambridge, Massachusetts, United States, 02139
Actively Recruiting
Research Team
M
MJ Quay, MA
G
Gabrielle de Weck, BS
How is the study designed?
Study Type
INTERVENTIONAL
Masking
QUADRUPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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