Deep rTMS for Mild Neurocognitive Disorder in Older Adults

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age60-90
SponsorSt. Joseph's Healthcare Hamilton

About this trial

This study aims to: (1) assess the feasibility and tolerability of three deep transcranial magnetic stimulation (dTMS) coils H1, H4, and H7 in older adults with mild neurocognitive disorder (mild NCD); and (2) evaluate changes in cognition through neuropsychological testing, brain activity through EEG, and mood and sleep through self-report questionnaires. Participants will be assigned to one of three arms: H1- coil vs. H4-coil vs. H7-coil, and all participants will complete assessments examining dTMS side effects, mental health symptoms, and cognition. EEG, questionnaires, and CNS vital signs will be measured at baseline, midpoint (after 10th session- before dTMS treatment on visit 11), and end point, as well as follow up. Collectively, the study will address the absolute and differential feasibility and tolerability of the H1, H4 and H7 coils to provide preliminary data for a future randomized controlled trial comparing this novel intervention to a sham stimulation (placebo) control.

Eligibility criteria

Qualifiers

60 - 90 years old

Able to provide informed consent to participate in the study

Subjective concern of mild decline in cognitive function over the past year

Mild impairment in cognitive performance

Disqualifiers

Currently receiving treatment or subjective need for treatment for bipolar I or II disorder; psychotic disorder

Active suicidal behavior

Severe depression and/or anxiety

Other neurological or psychiatric disorders accounting for the cognitive deficits

Trial design

Treatments tested in this trial

  • Brainsway H1-Coil Deep TMS System
  • Brainsway H4-Coil Deep TMS System
  • Brainsway H7-Coil Deep TMS System

Treatment groups

30 Participants
are divided into 3 treatment groups