Actively Recruiting

Phase Not Applicable
Age: 60Years - 85Years
All Genders
NCT05992831

Transcranial Magnetic Stimulation for MCI

Led by Medical University of South Carolina · Updated on 2026-04-02

60

Participants Needed

1

Research Sites

201 weeks

Total Duration

On this page

Sponsors

M

Medical University of South Carolina

Lead Sponsor

N

National Institute on Aging (NIA)

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this phase II study is to establish the dose-response curves of a safe and clinically feasible non-invasive brain stimulation technique (accelerated Transcranial Magnetic Stimulation (TMS)) to improve both depression and cognitive function in Mild Cognitive Impairment (MCI) patients with comorbid depression. It is known that TMS can effectively treat depression. Identifying the right dose of accelerated TMS in MCI patients is necessary prior to designing subsequent trials to determine efficacy. These results will inform future clinical trials of accelerated TMS for MCI, with the long-term goal of developing an efficacious treatment to prevent dementia.

CONDITIONS

Official Title

Transcranial Magnetic Stimulation for MCI

Who Can Participate

Age: 60Years - 85Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 60 to 85 years inclusive
  • English as a first or primary language
  • Adequate sensorimotor and verbal abilities to complete assessments
  • Have a co-participant with at least weekly in-person contact willing to participate as a collateral informant
  • On a stable medication regimen for at least 4 weeks prior to enrollment, including cholinesterase inhibitors, NMDA receptor antagonists, or antidepressants
  • Prior anti-amyloid monoclonal antibody therapy allowed if last infusion was at least 8 weeks before enrollment
  • Prior TMS treatment allowed if last session was at least 24 weeks before enrollment
  • Documented diagnosis of Mild Cognitive Impairment per NIA-AA or Mild Neurocognitive Disorder per DSM-5 within the past 2 years, with possible or probable Alzheimer's disease or chronic cerebrovascular disease
  • Meet neuropsychological criteria for MCI within the past 2 years with specified impaired scores
  • History of any lifetime depression defined by current or past Major Depressive Disorder per DSM-5
Not Eligible

You will not qualify if you...

  • A TICS score of 19 or less indicating possible dementia
  • Prior diagnosis of Dementia (NIA-AA) or Major Neurocognitive Disorder (DSM-5)
  • Daily or weekly use of anticholinergic or sedative medications; stimulants may be allowed after review
  • Significant or unstable medical conditions impacting cognition such as heart failure, infections, metabolic diseases, cancer affecting cognition, developmental disorders, or neurologic diseases
  • Current or planned treatment with monoclonal antibody therapy for AD/MCI within three months of enrollment
  • Current use of any implanted brain stimulation device
  • Participation in another clinical trial or use of investigational medication/device within the last 30 days
  • MRI contraindications such as ferromagnetic implants or claustrophobia
  • TMS contraindications including ferromagnetic implants or conditions lowering seizure threshold
  • Current alcohol or substance use disorder, bipolar disorder, schizophrenia spectrum or psychotic disorders, recent suicidal or homicidal intent, or suicide attempts within the past year

AI-Screening

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Trial Site Locations

Total: 1 location

1

Medical University of South Carolina

Charleston, South Carolina, United States, 29425

Actively Recruiting

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Research Team

A

Andreana Benitez, PhD

CONTACT

K

Katrina Madden, MBA

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

6

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