Transdermal Trigeminal Electrical Neuromodulation on Mild Cognitive Impairment With Insomnia

NCT ID: NCT05200897

Last Updated: 2023-11-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-03

Study Completion Date

2023-11-30

Brief Summary

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This study aims to validate the safety and impact of transdermal trigeminal electrical neuromodulation(Cefaly) on mild cognitive impairment patients with insomnia on brain functional and structural connectivity as well as sleep parameters evidenced by polysomnography and sleep surveys, with consideration for amyloid positivity and brain-derived neurotrophic factor .

Detailed Description

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This study aims to validate the safety and impact of transdermal trigeminal electrical neuromodulation(Cefaly) on mild cognitive impairment patients with insomnia on brain functional and structural connectivity as well as sleep parameters evidenced by polysomnography and sleep surveys, with consideration for amyloid positivity and brain-derived neurotrophic factor . A 3-month intervention with transdermal trigeminal electrical neuromodulation will be implemented and sleep surveys, polysomnography and brain MRI will be attained both at baseline and post-intervention.

Conditions

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Insomnia Alzheimer Disease Mild Cognitive Impairment Amyloid

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Amyloid positive mild cognitive impairment+ BDNF met carrier

Transdermal trigeminal electrical modulation for 3 months

Group Type EXPERIMENTAL

Transdermal trigeminal electrical neuromodulation(Cefaly)

Intervention Type DEVICE

The Cefaly device delivers electrical micro-impulses through a self-adhesive electrode which is placed over the participant's forehead, where the supratrochlear and supraorbital branches of the ophthalmic division of the trigeminal nerve are located. Rectangular, biphasic impulses with an electrical mean equal to zero are transmitted. The impulse width is 250μs, frequency is 60Hz, and the maximum intensity of 16mA is over 14 minutes

Amyloid positive mild cognitive impairment+ BDNF Val/Val

Transdermal trigeminal electrical modulation for 3 months

Group Type EXPERIMENTAL

Transdermal trigeminal electrical neuromodulation(Cefaly)

Intervention Type DEVICE

The Cefaly device delivers electrical micro-impulses through a self-adhesive electrode which is placed over the participant's forehead, where the supratrochlear and supraorbital branches of the ophthalmic division of the trigeminal nerve are located. Rectangular, biphasic impulses with an electrical mean equal to zero are transmitted. The impulse width is 250μs, frequency is 60Hz, and the maximum intensity of 16mA is over 14 minutes

Amyloid negative mild cognitive impairment+ BDNF met carrier

Transdermal trigeminal electrical modulation for 3 months

Group Type EXPERIMENTAL

Transdermal trigeminal electrical neuromodulation(Cefaly)

Intervention Type DEVICE

The Cefaly device delivers electrical micro-impulses through a self-adhesive electrode which is placed over the participant's forehead, where the supratrochlear and supraorbital branches of the ophthalmic division of the trigeminal nerve are located. Rectangular, biphasic impulses with an electrical mean equal to zero are transmitted. The impulse width is 250μs, frequency is 60Hz, and the maximum intensity of 16mA is over 14 minutes

Amyloid negative mild cognitive impairment+ BDNF Val/Val

Transdermal trigeminal electrical modulation for 3 months

Group Type EXPERIMENTAL

Transdermal trigeminal electrical neuromodulation(Cefaly)

Intervention Type DEVICE

The Cefaly device delivers electrical micro-impulses through a self-adhesive electrode which is placed over the participant's forehead, where the supratrochlear and supraorbital branches of the ophthalmic division of the trigeminal nerve are located. Rectangular, biphasic impulses with an electrical mean equal to zero are transmitted. The impulse width is 250μs, frequency is 60Hz, and the maximum intensity of 16mA is over 14 minutes

Interventions

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Transdermal trigeminal electrical neuromodulation(Cefaly)

The Cefaly device delivers electrical micro-impulses through a self-adhesive electrode which is placed over the participant's forehead, where the supratrochlear and supraorbital branches of the ophthalmic division of the trigeminal nerve are located. Rectangular, biphasic impulses with an electrical mean equal to zero are transmitted. The impulse width is 250μs, frequency is 60Hz, and the maximum intensity of 16mA is over 14 minutes

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Diagnosed with mild cognitive impairment by modified Peterson's criteria
* Identified as amyloid positive by amyloid PET result
* Insomnia severity index of more than 15 or diagnosed with insomnia disorder by Diagnostic Statistical Manual-5

Exclusion Criteria

* Subjects with active psychiatric or neurological disorders
* Unstable medical conditions (Myocardial infarction, cerebral infarction, congestive heart failures etc.)
* Moderate to severe obstructive sleep apnea (apnea hypopnea index of more than 15), rapid eye movement disorder, narcolepsy
* On regular hypnotic medication (can enroll if there was 2-week wash out period)
* Currently receiving or having a past history of cognitive behavioral therapy for insomnia
* Patients who received transcranial magnetic stimulation (TMS), transcranial direct current stimulation, within 2 weeks before enrollment
* Who are on cognitive enhancers (choline alfoscerate, acetylcarnitine, acetylcholinesterase inhibitors, NMDA receptor antagonist)
* History of cerebral infarction or Parkinson's disease
* History of facial or brain trauma
* A subject with allergy to acrylic acid
* A subject who is sensitive to electrical devices
* A subject who are uncooperative to MRI process
Minimum Eligible Age

60 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Saint Vincent's Hospital, Korea

OTHER

Sponsor Role lead

Responsible Party

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Yoo Hyun Um

Clinical Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yoo Hyun Um

Role: PRINCIPAL_INVESTIGATOR

St.Vincent's Hospital, College of Medicine, Catholic University of Korea

Locations

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St.Vincent's Hospital, the Catholic University of Korea

Suwon, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Yoo Hyun Um

Role: CONTACT

+821063759332

Facility Contacts

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Se-Min Choung

Role: primary

82-31-249-8459

Other Identifiers

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VC21DNSI0029

Identifier Type: -

Identifier Source: org_study_id