About this trial
This study aims to evaluate the efficacy of community-based early detection and targeted interventions, including stem cell therapy and wearable non-invasive brain-computer interface (BCI) devices, for Mild Cognitive Impairment (MCI) in adults aged 55 years and older residing in U.S. urban and suburban communities. Primary objectives include assessing improvements in MCI detection rates, cognitive outcomes, and progression delay compared to standard care.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
None
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Structured wellness care
BehavioralParticipants engage in structured wellness programs, including cognitive training exercises (e.g., memory games, problem-solving tasks) and lifestyle counseling focused on diet, physical exercise, sleep hygiene, and stress management. Sham elements may be included for blinding consistency.
Wearable brain-computer interface devices
DeviceParticipants use an active non-invasive brain-computer interface (BCI) device for neurofeedback training, designed to enhance cognitive function through real-time brain activity monitoring and modulation. Sham (non-functional) devices are provided to other arms for blinding.
Stem Cell Therapy - Experimental
Biological/VaccineParticipants receive administration of autologous or allogeneic stem cells through intravenous or targeted delivery methods aimed at neuroregeneration. Placebo saline infusions are used in other arms to preserve blinding.
Control - Placebo Comparator
Other interventionParticipants receive no active treatment. To maintain blinding, they undergo placebo procedures, such as saline infusions mimicking stem cell therapy or sham (non-functional) devices simulating BCI therapy.
Treatment groups
Trial outcomes
Primary outcomes
Change in Cognitive Function as Measured by MoCA Score
The primary endpoint is the mean change from baseline in Montreal Cognitive Assessment (MoCA) total score, assessing domains such as memory, attention, language, and executive function. A clinically meaningful improvement is defined as an increase of ≥3 points, while decline indicates progression. This measure evaluates the efficacy of interventions in stabilizing or enhancing cognitive performance.
Rate of Progression to Dementia
Proportion of participants progressing from MCI to dementia (e.g., Alzheimer's disease or other forms), diagnosed via DSM-5 criteria and confirmed by neuropsychological evaluation. This assesses intervention effectiveness in delaying or preventing cognitive decline.
Secondary outcomes
Improvement in Neuropsychological Battery Scores
Changes in composite scores from a standardized neuropsychological test battery (e.g., including Rey Auditory Verbal Learning Test for memory, Trail Making Test for executive function, and Boston Naming Test for language). This provides detailed insights into specific cognitive domain improvements.
Change in Quality of Life
Assessed using the Short Form-36 (SF-36) questionnaire, focusing on physical and mental health components. This evaluates the broader impact of interventions on daily functioning and well-being.
Early Detection Rate via Community Screening
Proportion of MCI cases identified through community-based MoCA screening compared to historical rates from standard clinical practices in similar populations.
Other outcomes
Epidemiological Characteristics of MCI
Descriptive analysis of MCI prevalence, distribution patterns (e.g., by age, sex, urban/suburban residence, comorbidities), and risk factors in the screened cohort. This informs public health strategies.
Safety and Tolerability
Incidence and severity of adverse events (e.g., infusion reactions for stem cell therapy, device-related discomfort for BCI), graded per Common Terminology Criteria for Adverse Events (CTCAE).
Adherence to Interventions
Percentage of completed sessions or device usage compliance, tracked via logs or electronic monitoring, to assess feasibility in real-world settings.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
This trial is not recruiting at the moment. You can still explore other options: