28 Participants NeededMy employer runs this trial

Focused Ultrasound for Mild Cognitive Impairment

AD
Overseen ByAndrew D Krystal, MD
Age: 65+
Sex: Any
Trial Phase: Academic
Sponsor: University of California, San Francisco
Must be taking: AD, sleep medications
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if a wearable ultrasound device, called ATTN201, can improve sleep and help clear brain waste linked to early Alzheimer's disease. It targets individuals with mild cognitive impairment (MCI) who have a buildup of amyloid protein in the brain. The trial compares focused ultrasound, which targets a specific brain area, to unfocused ultrasound, which does not. Participants must complete sleep assessments and memory tests and have a diagnosis of MCI and amyloid buildup. The trial investigates whether using the device is safe and if it affects memory and thinking abilities. As an unphased trial, this study offers a unique opportunity to contribute to groundbreaking research that could enhance future Alzheimer's treatments.

What prior data suggests that the ATTN201 device is safe for use in adults with mild cognitive impairment?

Research has shown that low-intensity focused ultrasound (LIFU) treatments, such as those tested with the ATTN201 device, are generally safe for individuals with mild memory problems. In earlier studies, participants reported no unwanted side effects. These studies targeted specific brain areas with ultrasound waves. Participants tolerated the focused ultrasound well, and researchers found it caused no harm. This makes it a promising option for improving brain function without significant risk.12345

Why are researchers excited about this trial?

Researchers are excited about focused ultrasound for mild cognitive impairment because it offers a non-invasive option that targets the brain directly. Unlike traditional medications that affect the entire body, this treatment uses a head-worn device to deliver low-intensity focused ultrasound specifically to the centromedian nucleus of the thalamus, potentially improving cognitive function more precisely. Additionally, because it doesn't rely on drugs, it may avoid some side effects associated with conventional treatments. The unfocused ultrasound acts as a control, ensuring the effects observed are due to the targeted stimulation, which helps validate this innovative approach.

What evidence suggests that the ATTN201 ultrasound device is effective for mild cognitive impairment?

Research has shown that focused ultrasound might help people with mild cognitive impairment (MCI). In studies, patients experienced slight improvements in memory and thinking skills after receiving low-intensity focused ultrasound treatment. This method is believed to strengthen connections in the brain and may help remove amyloid, a protein linked to Alzheimer's disease. In this trial, participants will receive either low-intensity focused ultrasound targeted to the centromedian nucleus of the thalamus (CMN) or unfocused ultrasound as a sham comparator. One study found that 62.5% of patients had better cognitive scores, and 87% had stable or improved movement skills. These findings suggest that focused ultrasound could be a promising treatment for MCI by targeting brain areas involved in memory and sleep.12346

Who Is on the Research Team?

AK

Andrew Krystal, MD

Principal Investigator

University of California, San Francisco

Are You a Good Fit for This Trial?

This trial is for adults age 65 and older who have mild memory or thinking problems (mild cognitive impairment) and a buildup of amyloid protein in the brain, which is linked to early Alzheimer's disease.

Inclusion Criteria

Amyloid positivity as assessed by either PET, CSF, or plasma
Be able to adhere to the stimulation protocol and visit schedules
I am medically stable based on my recent exams and lab results.
See 9 more

Exclusion Criteria

Has any contraindications for completing a brain MRI scan, including the subject's head must fit within the head coil
Has an uncontrolled medical condition which may impact study results
I was diagnosed with Alzheimer's disease before age 65.
See 8 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Baseline

Participants complete baseline visits including blood draw, cognitive and functional assessment, safety assessments, and an MRI

1 week
1 visit (in-person)

Treatment

Participants undergo 10 nap sessions over 2 weeks with focused or unfocused ultrasound, with continuous EEG monitoring and home sleep monitoring

2 weeks
10 sessions (in-person or at home)

Post-Treatment

Participants return for a final visit to repeat baseline tests including cognitive testing, neurological exam, blood draw, and an MRI

1 week
1 visit (in-person)

Follow-up

Optional follow-up visit 3 months later to assess durability of effects with repeated measures

3 months
1 optional visit (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • ATTN201 Focused Ultrasound to the CMN
  • ATTN201 Unfocused Ultrasound

Trial Overview

Researchers are testing a wearable device called ATTN201 that uses low-intensity ultrasound aimed at a deep brain area involved in sleep. Participants will be randomly assigned to receive either focused or unfocused ultrasound during nap sessions, to see if it improves sleep brain waves and helps clear amyloid.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Placebo Group

Group I: Low-Intensity Focused Ultrasound to the CMNExperimental Treatment1 Intervention
Group II: Unfocused UltrasoundPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of California, San Francisco

Lead Sponsor

Trials
2,636
Recruited
19,080,000+

Attune Neurosciences Inc

Industry Sponsor

Trials
1
Recruited
30+

Gates Ventures

Collaborator

Citations

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Patients demonstrated mild improvement in measures of memory, executive, and global cognitive function following tFUS. No adverse events were reported.

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The study will evaluate safety, tolerability, and effects on cognitive function.