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Mild Cognitive Impairment clinical trials

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NCT ID: NCT03347084 Active, not recruiting - Alzheimer Disease Clinical Trials

Deep Brain Stimulation With LIFUP for Mild Cognitive Impairment and Mild Alzheimer's Disease

LIFUP
Start date: November 10, 2018
Phase: N/A
Study type: Interventional

The purpose of the proposed study is to determine the feasibility of brief brain stimulation, using a device called Low Intensity Focused Ultrasound Pulsation (LIFUP), for persons with mild cognitive impairment (MCI) or mild (early-stage) Alzheimer's disease (AD). As a secondary aim, the investigators will explore whether this brief intervention is associated with improvements in cognitive functioning immediately and one week following the intervention. Subjects will be randomly assigned to one of two experimental groups: either the LIFUP administration will be designed to increase the activity of neurons in a certain part of the brain or decrease the activity of neurons. The investigators will study up to 8 subjects with MCI or mild AD. Initially, subjects will undergo a screening assessment with a study physician to determine medical and psychiatric history, establish AD diagnosis, and undergo a blood draw, if standard recent labs for dementia and EKG are unavailable. Subjects that meet criteria and agree to participate in the study will undergo a follow-up visit. In the baseline measurement visit, participants will first undergo neuropsychological testing. Participants will be randomly assigned to one of two LIFUP pulsing paradigms. Participants will then be administered four successive LIFUP treatments while the participants are in a functional magnetic resonance imaging (MRI). Sixty minutes following the administration, participants will undergo a second neuropsychological test. A final follow-up assessment will be administered at one week.

NCT ID: NCT03330587 Active, not recruiting - Alzheimer Disease Clinical Trials

Living Alone in Old Age With Cognitive Impairment

Start date: March 1, 2016
Phase:
Study type: Observational

The purpose of this study is to better understand the experience of living alone in older age with cognitive impairment. We recruit adults 55+ living alone with cognitive impairment such as Alzheimer's disease or mild cognitive impairment. This study investigates the priorities and concerns of older adults living alone with cognitive impairment. Participants are interviewed 5 times for one hour in their homes within 3 months at a time that works for them.

NCT ID: NCT03263247 Active, not recruiting - Clinical trials for Mild Cognitive Impairment

Cognitive Training in Patients With MCI Using fMRI

Start date: January 2, 2017
Phase: N/A
Study type: Interventional

The current project aims to investigate the efficacy of the visual imaging training (VIT) and alphabet search training in comparison to an active control intervention, namely psychoeducation information (PI) using fMRI in patients with amnestic mild cognitive impairment (MCI) and healthy elderly controls (HE). MCI patients will be grouped according to biomarkers (PET PIB, PET FDG and liquor).

NCT ID: NCT03234686 Active, not recruiting - Clinical trials for Mild Cognitive Impairment

Deferiprone to Delay Dementia (The 3D Study)

Start date: January 19, 2018
Phase: Phase 2
Study type: Interventional

This study is a phase 2, randomised, placebo-controlled, multicentre study to investigate the safety and efficacy of Deferiprone in participants with Prodromal Alzheimer's Disease (pAD) and Mild Alzheimer's Disease (mAD). In this phase 2 study, the investigators aim to determine whether Deferiprone (15 mg/kg BID orally) slows cognitive decline in Alzheimer's patients. As secondary outcomes, safety and iron levels in the brain will be evaluated.

NCT ID: NCT03225482 Active, not recruiting - Clinical trials for Mild Cognitive Impairment

Cognitive Rehabilitation Therapy for Mild Cognitive Impairment

Start date: July 11, 2018
Phase: N/A
Study type: Interventional

The number of older Veterans with Mild Cognitive Impairment (MCI) seeking care within the Veterans Affairs (VA) health care system is increasing and is expected to increase more rapidly as Vietnam era Veterans age. The cognitive effects of MCI and subsequent neurodegenerative disorders can adversely affect a Veteran's ability to function independently and failure to provide appropriate intervention can result in an increased need for healthcare services and VA benefits in the future. The VA currently spends over $19,000 annually per patient to care for Veterans with dementia (Zhu et al., 2009), and delaying the onset of dementia even by one to two years will result in substantial financial savings to the VA and quality of life gains for the Veteran. Since present pharmacological interventions have demonstrated limited efficacy, alternative treatments are needed. Therefore, an evidence-based cognitive training intervention that optimally addresses the needs of older Veterans with MCI is of critical importance to the VA patient care mission.

NCT ID: NCT03205709 Active, not recruiting - Clinical trials for Mild Cognitive Impairment

Cognitive Training and Neuroplasticity in Mild Cognitive Impairment

CogTraining
Start date: November 29, 2017
Phase: N/A
Study type: Interventional

The purpose of this study is to evaluate if systematic cognitive training can improve cognitive performance in participants (55 and older) with memory loss. This study will evaluate the effects of Computerized Cognitive Training (CCT) for improvement in everyday cognitive and function status, in addition to long-term changes in brain networks over an 18-month period. Although there is no distribution of medication for this study, participants are required to have an at-home computer.

NCT ID: NCT03185208 Active, not recruiting - Clinical trials for Mild Cognitive Impairment

Lithium As a Treatment to Prevent Impairment of Cognition in Elders

LATTICE
Start date: September 1, 2017
Phase: Phase 4
Study type: Interventional

Alzheimer's disease (AD) is the most common cause of dementia in adults 65 years and older. AD leads to a complete loss of memory and independent function, and presently there is no cure. Many studies suggest that lithium treatment may delay dementia onset or slow its progression. However, more research is needed to understand the extent of its anti-dementia properties if it will be deployed broadly in the general population. This study will examine whether lithium has anti-dementia properties in older adults who have mild cognitive impairment and are at risk of becoming demented.

NCT ID: NCT03167840 Active, not recruiting - Clinical trials for Mild Cognitive Impairment

Falls Prevention Through Physical And Cognitive Training in Mild Cognitive Impairment

FallsPACT
Start date: September 6, 2017
Phase: N/A
Study type: Interventional

This randomised controlled trial aims to determine the effectiveness of combined physical and cognitive training in preventing falls and decreasing risks of falls among community-dwelling older persons with mild cognitive impairment (MCI).

NCT ID: NCT03162081 Active, not recruiting - Clinical trials for Mild Cognitive Impairment

Medication Misuse and Dependence Among Elderly

Start date: May 3, 2017
Phase:
Study type: Observational [Patient Registry]

The project focuses on investigating problematic medication use, especially overuse of potentially addictive drugs among the elderly. The investigators aim firstly to develop and validate instruments for detecting and describing behavioral aspects and consequences of dependence on, and misuse of, prescription medication among elderly. In addition to evaluating diagnostic utility of screening instruments, the investigators aim to identify and report characteristics, risk factors and consequences of medication misuse and dependence among the elderly.

NCT ID: NCT03147937 Active, not recruiting - Inflammation Clinical Trials

Cognitive Changes After Major Joint Replacement - Full Trial (Cognigram 2)

Start date: May 1, 2017
Phase:
Study type: Observational

Patients assume that cognitive performance rapidly returns to baseline after anesthesia and surgery. Several studies have shown that one week after major non-cardiac surgery about 27% of patients have postoperative cognitive dysfunction (POCD) and 10% of patients at 3 months. Very few studies have assessed the incidence of POCD beyond 3 months. POCD significantly reduces quality of life. Identifying risk factors for POCD is important because it is associated with prolonged hospital stay, loss of independence, and premature retirement. There is an urgent need to measure and document the level of cognitive change associated with surgery with an easy to use tool, both prior to admission and after discharge. This information can be used to plan appropriate care paths and to identify or test the efficacy of potential new treatments to alter the negative trajectory.