Auditory Sleep Stimulation or Sham in People With Parkinson Disease Mild Cognitive Impairment During Cognitive Training

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Zurich

About this trial

People with Parkinson's disease are at higher risk of cognitive decline, and current treatments cannot fully prevent this. This study explores non-drug ways to support brain function.

Intervention: Participants will complete a 5-week cognitive training program at home ("brain fitness"). In addition, they will use a sleep device at night that plays soft sounds to improve deep sleep; Half of the participants will actually receive these sounds (auditory stimulation), while the other half will receive a sham (placebo) version - neither the participants nor the researchers will know the group assignment.

Assessments will take place before and after the intervention, and again three months later, including one overnight stay at University Hospital Zurich per assessment.

The goal is to find out whether improving deep sleep can boost the benefits of cognitive training and help slow cognitive decline in Parkinson's disease.

Eligibility criteria

Qualifiers

clinical diagnosis of PD along the MDS criteria (Postuma et al., 2015)

- cognitive decline: Gradual decline, in the context of established PD, in cognitive ability reported by either the patient or informant, or observed by the clinician, AND

- MoCA ≤ 26 and ≥ 18 (Hoops et al., 2009)

stable home situation (e.g. long-term place to live) that allows for reliable application of intervention for the duration of the study

Disqualifiers

clinical diagnosis of dementia (cognitive impairment sufficient to interfere with independence in everyday activities, i.e. "major neurocognitive disorder", DSM-5)

known presence of neurologic (other than PD) or psychiatric disorder

Parkinsonism without response to levodopa; atypical Parkinsonian syndromes as assessed from medical history and clinical examination

severe medical conditions (for example, renal insufficiency, liver failure, or congestive heart failure) as assessed in the semi-structured screening interview

Trial design

Treatments tested in this trial

  • Phase-Targeted Auditory Stimulation (PTAS)
  • Digital Cognitive Training (CogT)

Treatment groups

50 Participants
are divided into 2 treatment groups

Sponsors and collaborators

University of Zurich

Lead sponsor

University Hospital, Zürich

Collaborator