A Pivotal Study of Sensory Stimulation in Alzheimer's Disease (Hope Study, CA-0011)

NCT ID: NCT05637801

Last Updated: 2025-07-15

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

670 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-13

Study Completion Date

2026-07-31

Brief Summary

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This is a randomized, double-blind, sham-controlled, adaptive-design pivotal study of sensory stimulation in subjects with mild to moderate Alzheimer's disease. Up to approximately 670 subjects will be randomized to 12 months of daily treatment with either Active or Sham Sensory Stimulation Systems. Efficacy will be measured using the Alzheimer's Disease Cooperative Study- Activities of Daily Living (ADCS-ADL) assessment and a combined statistical test (CST) of the ADCS-ADL and the Mini-Mental State Exam (MMSE).

Detailed Description

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This is a multicenter, randomized, double-blind, sham-controlled, adaptive design pivotal study.

The objective of the study will be to assess efficacy of gamma sensory stimulation (visual and audio) in slowing disease progression versus Sham for subjects with mild to moderate AD as measured functionally by the Alzheimer's Disease Cooperative Study - Activities of Daily Living (ADCS-ADL) assessment and a combined statistical test (CST) for ADCS-ADL and the Mini-Mental State Exam (MMSE). Secondary objectives will include measures of cognition and neuroanatomical change.

Up to approximately six hundred and seventy (670) Mild to Moderate Alzheimer's disease subjects (MMSE 15-28) will be recruited at up to 70 clinical sites in the United States and randomized in a 1:1 ratio (Treatment: Control). In the Treatment Group, subjects will be treated with the Active Sensory Stimulation System once daily. In the Control Group, subjects are treated with a Sham Sensory Stimulation System once daily. Daily treatment is planned for up to 12 months.

Subjects will attend study visits for informed consent, screening and baseline, then at 3-Months, 6-Months, 9-Months (by phone), 12 Months and 13 Months (for safety follow-up).

Some clinical sites will be included in a substudy evaluating additional fluid biomarkers. Select participants enrolled at these sites will undergo a lumbar puncture to collect cerebrospinal fluid (CSF) at Baseline, 3 Months, and 12 Months.

Conditions

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Alzheimer Disease Alzheimer Disease 1 Alzheimer Disease 2 Alzheimer Disease 3 Alzheimer Disease, Early Onset Alzheimer Disease, Late Onset Alzheimer Disease 9 Alzheimer Disease 4 Alzheimer Disease 7 Alzheimer Disease 17 Alzheimer's Dementia Late Onset Alzheimer Disease 5 Alzheimer Disease 6 Alzheimer Disease 8 Alzheimer Disease 10 Alzheimer Disease 11 Alzheimer Disease 12 Alzheimer Disease 13 Alzheimer Disease 14 Alzheimer Disease 15 Alzheimer Disease 16 Alzheimer Disease 18 Alzheimer Disease 19 Dementia Dementia Alzheimers Dementia, Mild Dementia of Alzheimer Type Dementia Moderate Dementia Senile Mild Cognitive Impairment Mild Dementia MCI Cognitive Impairment Cognitive Decline Cognitive Impairment, Mild

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized, Double-blind, Sham-controlled, Adaptive-Design Pivotal Study of Sensory Stimulation in Subjects with Alzheimer's Disease
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
This is a double-blind study; the investigator, the subject and study partner, and all other study personnel involved with subject assessments will remain blinded to the actual treatment assignment of the subjects. The Sponsor and their delegates involved in the study will be blinded to actual treatment assignment with the exception of technicians who are necessarily unblinded to assign and maintain the Investigational Devices and data analysis personnel as indicated in the Statistical Analysis Plan (SAP). Technicians and customer service agents who interact with subjects, their study partners and clinical sites will be specially trained to not reveal the study assignment (Active or Sham).

Study Groups

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Active

Treatment Group: Subjects are treated with the Active Sensory Stimulation System at home for 60 minutes daily for up to12 months.

Group Type EXPERIMENTAL

Sensory Stimulation System (GS120) - Active

Intervention Type DEVICE

Sensory Stimulation System (GS120) - Active settings

Control

Control Group: Subjects are treated with a Sham Sensory Stimulation System at home for 60 minutes daily for up to 12 months.

Group Type SHAM_COMPARATOR

Sensory Stimulation System (GS120) - Sham

Intervention Type DEVICE

Sensory Stimulation System (GS120) - Sham settings

Interventions

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Sensory Stimulation System (GS120) - Active

Sensory Stimulation System (GS120) - Active settings

Intervention Type DEVICE

Sensory Stimulation System (GS120) - Sham

Sensory Stimulation System (GS120) - Sham settings

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Men and Women age 50-90
* Alzheimer's disease diagnosis with at least 6-month decline in cognitive function
* Non-childbearing potential or using adequate birth control
* Mini-Mental State Exam (MMSE) 15-28
* Available/consenting Study Partner
* Able to identify a Legally Authorized Representative (LAR)
* Stable chronic conditions at least 30 days
* Formal education of 8 or more years
* Adequate vision (Able to detect light) and hearing
* Mobility sufficient for compliance with testing procedures (ambulatory or aided-ambulatory, i.e. cane or walker)
* Amyloid or phosphorylated Tau positivity

Exclusion Criteria

* Seizure disorder
* Hospitalization in previous 30 days
* Living in continuous care nursing home (assisted living permitted)
* Inability to have an MRI or significant abnormality on MRI screening
* Geriatric Depression Scale (GDS) \>6
* Suicidality (current or previous 6 months)
* Serious neurological diseases affecting the Central Nervous System, including:

1. other primary degenerative dementias (Lewy-body dementia, fronto-temporal dementia, Huntington's disease, Creutzfeldt-Jakob disease, Down syndrome, mixed dementia, etc),
2. neurodegenerative conditions (Parkinson's disease, amyotrophic lateral sclerosis, multiple sclerosis, etc),
3. serious infection of the brain (meningitis/encephalitis), or
4. history of multiple concussions.
* Metabolic or systemic diseases affecting the central nervous system (syphilis, B12 or folate deficiency, etc)
* Schizophrenia or bipolar disorder
* Heart disease, chronic liver, kidney, or respiratory disease, or uncontrolled diabetes or thyroid disease
* Cancer history within previous 2 years (except resolved non-melanoma skin or stable prostate)
* Nootropic drugs except stable acetylcholinesterase inhibitors
* Drug or Alcohol abuse in previous 12 months
* Previous exposure to Anti-amyloid-beta vaccines
* Past Exposure to Immunomodulators or passive immunotherapies for AD (ie, monoclonal antibodies)
* Exposure to BACE (β-Site amyloid precursor protein cleaving enzyme) inhibitors within the 6 months prior to consent
* Involved in a previous Cognito study or gamma therapy study
* Active treatment with Memantine (Namenda or Namzaric) within previous 30 days
* Life expectancy \< 24 months

Participants involved in the Fluid Biomarker substudy also must not have contraindications to lumbar puncture.

For more information visit: https://www.hopestudyforad.com/
Minimum Eligible Age

50 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cognito Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ralph Kern, MD

Role: PRINCIPAL_INVESTIGATOR

Cognito Therapeutics

Locations

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CCT Research - Gilbert Neurology Partners

Gilbert, Arizona, United States

Site Status

Barrow Neurological Institute

Phoenix, Arizona, United States

Site Status

CCT Research - Foothills Research Center

Phoenix, Arizona, United States

Site Status

Banner Sun Health Research Institute

Sun City, Arizona, United States

Site Status

Advanced Research Center, Inc

Anaheim, California, United States

Site Status

ATP Clinical Research, Inc.

Costa Mesa, California, United States

Site Status

Neurology Center of North Orange County

Fullerton, California, United States

Site Status

Syrentis Clinical Research

Santa Ana, California, United States

Site Status

Office of Elizabeth Zarate-Rowell, MD

Seal Beach, California, United States

Site Status

Mile High Research Center

Denver, Colorado, United States

Site Status

JEM Research Institute

Atlantis, Florida, United States

Site Status

Visionary Investigators Network- Aventura

Aventura, Florida, United States

Site Status

South Lake Pain Institute

Clermont, Florida, United States

Site Status

Arrow Clinical Trials

Daytona Beach, Florida, United States

Site Status

Brain Matters Research

Delray Beach, Florida, United States

Site Status

Neuropsychiatric Research Center of Southwest Florida

Fort Myers, Florida, United States

Site Status

Alphab Global Research

Jupiter, Florida, United States

Site Status

Charter Research - Lady Lake

Lady Lake, Florida, United States

Site Status

Multi-Specialty Research Associates, Inc.

Lake City, Florida, United States

Site Status

Premier Clinical Research Institute Inc.

Miami, Florida, United States

Site Status

Visionary Investigators Network- Miami

Miami, Florida, United States

Site Status

Aqualane Clinical Research

Naples, Florida, United States

Site Status

Coastal Family Medicine - Orange Park

Orange Park, Florida, United States

Site Status

K2 Medical Research - Orlando

Orlando, Florida, United States

Site Status

Emerald Coast Neurology

Pensacola, Florida, United States

Site Status

Quantum Laboratories

Pompano Beach, Florida, United States

Site Status

Progressive Medical Research

Port Orange, Florida, United States

Site Status

Intercoastal Medical Group - Sarasota

Sarasota, Florida, United States

Site Status

Suncoast Neuroscience Associates

St. Petersburg, Florida, United States

Site Status

Brain Matters Research

Stuart, Florida, United States

Site Status

Axiom Clinical Research of Florida

Tampa, Florida, United States

Site Status

Conquest Research

Winter Park, Florida, United States

Site Status

Charter Research - Winter Park

Winter Park, Florida, United States

Site Status

Emory Alzheimer's Disease Research Center

Atlanta, Georgia, United States

Site Status

NeuroStudies

Decatur, Georgia, United States

Site Status

Great Lakes Clinical Trials- Flourish Research- Chicago

Chicago, Illinois, United States

Site Status

Great Lakes Clinical Trials- Flourish Research- Gurnee

Gurnee, Illinois, United States

Site Status

Josephson Wallack Munshower Neurology, PC

Indianapolis, Indiana, United States

Site Status

Northern Light Acadia Hospital

Bangor, Maine, United States

Site Status

Boston Clinical Trials, Inc.

Boston, Massachusetts, United States

Site Status

Boston Center for Memory

Newton, Massachusetts, United States

Site Status

Office of Donald S. Marks, M.D., P.C.

Plymouth, Massachusetts, United States

Site Status

Sisu BHR, LLC

Springfield, Massachusetts, United States

Site Status

QUEST Research Institute

Farmington, Michigan, United States

Site Status

Hattiesburg Clinic

Hattiesburg, Mississippi, United States

Site Status

Clinical Research Professionals

Chesterfield, Missouri, United States

Site Status

CCT Research - Papillion Research Center

Papillion, Nebraska, United States

Site Status

Las Vegas Medical Research

Las Vegas, Nevada, United States

Site Status

The Cognitive and Research Center of New Jersey

Springfield, New Jersey, United States

Site Status

Neurological Associates of Albany

Albany, New York, United States

Site Status

Integrative Clinical Trials, LLC

Brooklyn, New York, United States

Site Status

Velocity Clinical Research - Syracuse

East Syracuse, New York, United States

Site Status

Mid Hudson Medical Research

New Windsor, New York, United States

Site Status

Alzheimer's Memory Center - AMC Research

Matthews, North Carolina, United States

Site Status

Insight Clinical Trials, LLC

Beachwood, Ohio, United States

Site Status

Neuro-Behavioral Clinical Research

Canton, Ohio, United States

Site Status

The Ohio State University Wexner Medical Center

Columbus, Ohio, United States

Site Status

Center for Cognitive Health - Portland

Portland, Oregon, United States

Site Status

The Clinical Trial Center

Jenkintown, Pennsylvania, United States

Site Status

Prisma Health Neurology

Columbia, South Carolina, United States

Site Status

Coastal Neurology

Port Royal, South Carolina, United States

Site Status

University of Tennessee Medical Center

Knoxville, Tennessee, United States

Site Status

North Texas Clinical Trials

Fort Worth, Texas, United States

Site Status

UT Health San Antonio, Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases

San Antonio, Texas, United States

Site Status

TRS Health

Stafford, Texas, United States

Site Status

Mercury Clinical Research

Sugarland, Texas, United States

Site Status

Wasatch Clinical Research

Salt Lake City, Utah, United States

Site Status

ReCogniton Health

Fairfax, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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CA-0011

Identifier Type: -

Identifier Source: org_study_id

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