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Exercise + tDCS for Alzheimer's Disease (EXACT Trial)
N/A
Recruiting
Research Sponsored by Sunnybrook Health Sciences Centre
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Meeting DSM-5 criteria for major or mild neurocognitive disorder due to AD or mixed AD/vascular disease
Males or females ≥50 years of age
Must not have
Current use of benzodiazepines
Presence of significant neurological conditions (e.g. epilepsy, Parkinson's disease, multiple sclerosis)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up change over 2 weeks baseline to endpoint
Awards & highlights
No Placebo-Only Group
Summary
This trial looks at whether combining exercise with transcranial direct current stimulation, a type of brain stimulation, can help improve memory in people with mild cognitive impairment or Alzheimer's disease.
Who is the study for?
This trial is for individuals over 50 with mild Alzheimer's or cognitive impairment who can communicate in English and have an MMSE score of at least 19. It's not suitable for those recently changing medication, using benzodiazepines, having metal implants like pacemakers, other significant neurological conditions, psychiatric disorders, substance use disorder, or medical reasons preventing exercise.
What is being tested?
The study tests if brain stimulation (tDCS) combined with exercise improves memory in people with Mild Cognitive Impairment or Alzheimer's. Participants will receive either real tDCS while exercising or a sham treatment without active stimulation alongside exercise education.
What are the potential side effects?
Potential side effects from tDCS may include discomfort at the electrode site on the head, itching, tingling during the procedure and headache. Exercise might cause typical physical exertion-related issues such as muscle soreness.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I have been diagnosed with Alzheimer's or a mix of Alzheimer's and vascular cognitive impairment.
Select...
I am 50 years old or older.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I am currently taking benzodiazepines.
Select...
I have a significant neurological condition like epilepsy or Parkinson's.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ change over 2 weeks baseline to endpoint
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~change over 2 weeks baseline to endpoint
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Change in cognition: The Word Recognition Task from the Alzheimer's Disease Assessment Scale Cog (ADAS-Cog)
Secondary study objectives
Change in cognition: The Word Recall Task from the Alzheimer's Disease Assessment Scale-Cog (ADAS-Cog)
Change in cognition: n-back reaction time
Change in global cognitive function: The Montreal Cognitive Assessment (MoCA) Total Scores
+1 moreOther study objectives
Changes in concentration of blood biomarkers of brain plasticity
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
3Treatment groups
Experimental Treatment
Group I: Exercise and tDCSExperimental Treatment2 Interventions
Patients randomized to this group will attend Toronto Rehabilitation Institute - University Health Network (TRI-UHN) for an individualized exercise program and active tDCS intervention.
Group II: Exercise and Sham tDCSExperimental Treatment2 Interventions
Patients randomized to this group will attend TRI-UHN for an individualized exercise program and sham tDCS intervention.
Group III: Exercise Education and tDCSExperimental Treatment2 Interventions
Patients randomized to this group will undergo treatment as usual, receiving routine advice about physical activity and active tDCS intervention.
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Who is running the clinical trial?
Sunnybrook Health Sciences CentreLead Sponsor
674 Previous Clinical Trials
1,565,795 Total Patients Enrolled
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Eligibility Criteria:
This trial includes the following eligibility criteria:- I haven't changed my dementia medication in the last 3 months.I am currently taking benzodiazepines.I haven't changed my seizure or mood medications in the last month.I have been diagnosed with Alzheimer's or a mix of Alzheimer's and vascular cognitive impairment.I am 50 years old or older.I have a significant neurological condition like epilepsy or Parkinson's.
Research Study Groups:
This trial has the following groups:- Group 1: Exercise and tDCS
- Group 2: Exercise Education and tDCS
- Group 3: Exercise and Sham tDCS
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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