Low Intensity Focused Ultrasound for Mild Cognitive Impairment

(MCI Trial)

Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Virginia Polytechnic Institute and State University
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 tests a new method called low intensity focused ultrasound, a non-invasive therapy, to determine its effectiveness for people with mild cognitive impairment (MCI), a condition affecting memory and thinking skills. The researchers aim to assess whether this treatment is safe, comfortable, and improves brain function. The trial includes two groups: one receives the actual ultrasound treatment, while the other receives a sham treatment for comparison. Suitable participants have mild cognitive problems but can still make decisions about their care and do not have certain medical conditions like claustrophobia or a history of serious head injuries. As an unphased trial, this study offers a unique opportunity to contribute to groundbreaking research that could lead to new treatments for cognitive impairment.

What prior data suggests that this low-intensity focused ultrasound is safe for patients with mild cognitive impairment?

A previous study found low-intensity focused ultrasound (LIFU) safe for people with mild memory problems. Research shows participants experienced slight improvements in memory and thinking skills, with no harmful effects reported. Another study found that LIFU could enhance brain connections and thinking abilities, again without major safety concerns. These findings suggest that LIFU is generally safe and well-tolerated for similar conditions.12345

Why are researchers excited about this trial?

Unlike the standard of care for mild cognitive impairment, which often includes medications like cholinesterase inhibitors or lifestyle changes, low intensity focused ultrasound (LIFU) offers a non-invasive treatment option. This technique uses sound waves to target specific brain regions, potentially enhancing brain function without the need for drugs. Researchers are excited because LIFU could provide a safer and more direct way to improve cognitive performance, offering hope for those who may not respond well to traditional therapies. Additionally, the sham LIFU arm helps ensure that any observed effects are due to the ultrasound itself, increasing the reliability of results.

What evidence suggests that low intensity focused ultrasound is effective for mild cognitive impairment?

Research has shown that low-intensity focused ultrasound (LIFU) might enhance brain function in people with mild cognitive impairment (MCI). Early results suggest LIFU is safe and could improve cognitive abilities in those with amyloid-positive MCI. In one study, 62.5% of participants showed better thinking scores, and 87% had stable or improved movement skills. Another study found memory improvements in 9 out of 10 participants after LIFU treatment. This trial will compare Real LIFU, which actively applies LIFU, with Sham LIFU, where the energy is blocked. These encouraging results suggest LIFU could effectively support memory and thinking skills.23567

Are You a Good Fit for This Trial?

This trial is for people diagnosed with mild cognitive impairment (MCI), which means they have noticeable memory or thinking problems but not dementia. Participants should generally be in stable health and able to take part in study visits.

Inclusion Criteria

I am able to make decisions about my own medical care.
Montreal Cognitive Assessment (MoCA) scores between 18-23 inclusive

Exclusion Criteria

Claustrophobia
CT contraindications including pregnancy
MRI contraindications including pacemaker, aneurysm clips, neurostimulators, cochlear implants, metal in eyes, or other implants
See 6 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive LIFU neuromodulation or sham treatment, along with MRI and CT scans, cognitive assessments, and questionnaires

6 months
6 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment, including symptom assessments and cognitive function evaluations

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Low intensity focused ultrasound

Trial Overview

The study compares low-intensity focused ultrasound, a non-invasive brain stimulation technique, to a sham (fake) treatment. The goal is to see if the ultrasound is safe and can help improve thinking abilities in people with MCI.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Placebo Group

Group I: Real LIFUExperimental Treatment1 Intervention
Group II: Sham LIFUPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Virginia Polytechnic Institute and State University

Lead Sponsor

Trials
162
Recruited
26,900+

Citations

Repeated neuromodulation with low-intensity focused ...

Functional connectivity increased in all patients, while memory performance improved in 9 out of 10 patients.

Low 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 ...

Low 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 in memory will have ...

NCT05417555 | Low Intensity Focused Ultrasound for Mild ...

The goal of this study is to investigate whether Low Intensity Focused Ultrasound Pulsation (LIFUP) targeting a part of the brain involved in memory will ...

Exploring Low‐Intensity Focused‐ultrasound ... - PMC

Conclusions. These preliminary findings suggest that LIFU neuromodulation is safe and may offer cognitive benefits for individuals with amyloid‐positive MCI.

Low-Intensity Focused Ultrasound (LIFU) Neuromodulation

This study is a prospective, single-center, single-arm early feasibility study, to establish safety and tolerability of LIFU for neuromodulation ...

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.