Focused Ultrasound for Mild Cognitive Impairment
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?
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
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Baseline
Participants complete baseline visits including blood draw, cognitive and functional assessment, safety assessments, and an MRI
Treatment
Participants undergo 10 nap sessions over 2 weeks with focused or unfocused ultrasound, with continuous EEG monitoring and home sleep monitoring
Post-Treatment
Participants return for a final visit to repeat baseline tests including cognitive testing, neurological exam, blood draw, and an MRI
Follow-up
Optional follow-up visit 3 months later to assess durability of effects with repeated measures
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
Participants will receive low-intensity focused ultrasound (LIFU) stimulation targeted to the centromedian nucleus of the thalamus (CMN), delivered by the head-worn ATTN201 device. Targeting is individualized for each participant's brain and skull anatomy using a spatial-mapping MRI acquired at baseline.
Participants will receive unfocused ultrasound from the same head-worn ATTN201 device on the same schedule. Unfocused ultrasound mimics the auditory and peripheral sensations of focused stimulation but does not generate substantive acoustic pressure at the CMN target relative to surrounding tissue.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of California, San Francisco
Lead Sponsor
Attune Neurosciences Inc
Industry Sponsor
Gates Ventures
Collaborator
Citations
Low-Intensity Focused Ultrasound
Primary outcomes are blood flow and functional connectivity after sonication. Secondary outcomes include tests of visual memory and verbal ...
2.
centerwatch.com
centerwatch.com/clinical-trials/listings/NCT05417555/low-intensity-focused-ultrasound-for-mild-cognitive-impairment-and-mild-alzheimers-diseaseLow Intensity Focused Ultrasound for Mild Cognitive ...
The goal of this study is to investigate whether Low Intensity Focused Ultrasound Pulsation (LIFUP) targeting a part of the brain involved ...
Repeated neuromodulation with low-intensity focused ...
LIFU may have the therapeutic potential to enhance both brain network connectivity and memory functions in AD patients.
4.
clinicaltrial.be
clinicaltrial.be/en/details/428?only_active=0&only_eligible=0&only_recruiting=0&per_page=20Low Intensity Focused Ultrasound for Mild Cognitive Impai...
Primary outcomes for proof of mechanism that may be depicted in the fMRI scans may include changes in BOLD-related functional connectivity ...
A pilot clinical study of low-intensity transcranial focused ...
Patients demonstrated mild improvement in measures of memory, executive, and global cognitive function following tFUS. No adverse events were reported.
Low Intensity Focused Ultrasound for Mild Cognitive ...
The study will evaluate safety, tolerability, and effects on cognitive function.
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