Table 2.
Active clinical trials of non-pharmacological neuromodulatory interventions in AD (clinicaltrials.gov as of February 10, 2021)
| Investigational technique/device | Study population | Targeted area | Clinical trial identifier |
|---|---|---|---|
| Invasive brain stimulation | |||
| Deep Brain Stimulation (DBS) - electrical, implantable device | mild AD mild to moderate AD |
Fornix Nucleus basalis of Meynert |
NCT03622905 NCT03959124 |
| Non-invasive brain stimulation | |||
| mild AD | DMN-precuneus (20 Hz) | NCT03778151 | |
| repetitive Transcranial Magnetic Stimulation (rTMS) - coil induced depolarizing magnetic field | Dorsolateral prefrontal cortex | NCT04263194 | |
| mild to moderate AD (with depression) | Dorsolateral prefrontal cortex unilateral (H1-coil) | NCT03665831 | |
| Lateral parietal areas | NCT04260724 | ||
| mild to moderate AD (with apathy) | Dorsolateral prefrontal cortex bilateral (H-coil) | NCT04562506 | |
| Dorsolateral prefrontal cortex (10 Hz) | NCT02190084 | ||
| prodromal AD (amnestic MCI) | DMN-angular gyrus (20 Hz) | NCT04045990 | |
| DMN-prespecified cortical areas | NCT04294888 | ||
| rTMS - intermittent Theta Burst (>5 Hz) Stimulation (iTBS) | MCI and mild AD | NCT04555941 | |
| Transcranial Electromagnetic Treatment (TEMT) | mild to moderate AD | MemorEM 1000 head device emitting electromagnetic waves in radiofrequency range |
NCT03927040 NCT04271163 |
| transcranial Alternating Current Stimulation (tACS) - sinusoidal low intensity electric current | mild to moderate AD | Areas with maximal tracer uptake on the amyloid PET (40 Hz) |
NCT03290326 NCT03412604 NCT03880240 NCT04515433 |
| Superior parietal cortex (40 Hz) | NCT03920826 | ||
| mild AD | Wide cortical
area (40 Hz, Nexalin device and conductive pads at forehead and mastoid
processes) Wide cortical area (4 Hz, Nexalin device and conductive pads at forehead and mastoid processes) |
NCT04088643 | |
| transcranial Direct Current Stimulation (tDCS) - direct low intensity electric current | mild
AD mild to moderate AD |
Dorsolateral prefrontal cortex |
NCT03288363 NCT04404153 |
| Sensory stimulation -GammaSense (audiovisual stimulation in gamma range) | MCI prodromal AD mild to moderate AD |
Visual and auditory brain areas (40 Hz light flickers and tone pulses) |
NCT03543878 NCT03556280 NCT03661034 |
| Photobiomodulation (PBM) - near-infrared light stimulation | mild to moderate AD | transcranial/intranasal delivery of near infrared light 40 Hz |
NCT03405662 NCT03160027 |
| subjects at risk of AD | pulses | NCT04018092 | |
| Low Intensity Focused Ultrasound Pulsation | MCI and mild AD | Hippocampus (50ms long bursts at 10 Hz) | NCT03347084 |