About this trial
This phase I clinical trial will examine the safety and efficacy of intermittent hypoxia training (IHT) for up to 12 weeks to treat subjects with mild cognitive impairment (MCI).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult men and women ages 55 to 79 years old who have been diagnosed with MCI.
Must be willing to be assigned to either group: treatment or sham-treatment control.
Able to pay multiple visits to the lab for the proposed assessments.
Able to breathe moderately hypoxic air via an air-cushioned, disposable facemask.
Disqualifiers
Unwilling to sign a written consent to participate in this double-blinded placebo-controlled phase I trial.
Diagnosed with AD-dementia or have impaired independent daily functioning; with MMSE <20 and/or CDR ≥1.
Unable to visit the lab independently.
Claustrophobic to facemask and hyper-reactive to hypoxia exposure.
Trial design
Parallel
Treatments tested in this trial
IHT Treatment
DeviceIHT Treatment: IH exposure to 10% O2 for up to 5 min, interspersed with breathing room air recovery for up to 5 min, with up to 8 cycles/session, 3 sessions/week, for up to 12 weeks.
Sham-IHT Control
Other interventionSham-IHT Control: Exposure to 21% O2 for up to 5 min, interspersed with breathing room air recovery for up to 5 min, with up to 8 cycles/session, 3 sessions/week, for up to 12 weeks.
Treatment groups
Trial outcomes
Primary outcomes
Overall Cognitive Function
Change in scores or points (from 0 to 30) in Mini-mental State Examination. Higher scores indicate better testing performance or function.
Attention and Short-term Memory
Change in scores or points in California-Verbal Learning Test - 2nd edition (CVLT-II), and Brief Visuospatial Memory Test - Revised (BVMT-R). Immediate Free-Recall (FR) and delay FR for word-verbal memory and visuospatial memory.
Cognitive Function in digit-verbal memory
Change in scores or points in Digit-Span test - Forward, backward and sequence. Digit-Span recalls test attention and short-term memory. More correct recalls indicate better testing performance and function in digit-verbal memory.
Visual Orientation and Executive Function
Change in time to complete Trail-making tests. Less time (in sec) to complete the tests indicates better performance and function in executive function, attention and processing speed.
Secondary outcomes
Brain Morphology
Cortical volume assessed by brain MRI scans. Increased cerebral cortical gray matter indicates a better outcome.
Sponsors and contacts
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University of North Texas Health Science Center
Lead sponsor
University of Texas Southwestern Medical Center
Collaborator
National Institute on Aging (NIA)
Collaborator