Targeting Cognition in Early Alzheimer's Disease by Improving Sleep With Trazodone

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age55+
SponsorJohns Hopkins University

About this trial

To investigate the effect of trazodone on sleep, hippocampal-dependent memory and hippocampal excitability. The investigators hypothesize that trazodone will improve total sleep time and proportion of time in Slow Wave Sleep (SWS).

Eligibility criteria

Qualifiers

Mild Cognitive Impairment (MCI) as defined by Albert et al.2 including subjective memory complaint and/or objective evidence of memory problems;

Clinical Dementia Rating (CDR) of 0.5 with a Memory Box score of >=0.5;

Evidence of sleep complaints with Pittsburgh Sleep Quality Index score of >5 (a well-validated cutoff observed in >40% of older persons);

Memory performance > 1.5 Standard Deviation (SD) below age-and education-matched control subjects on the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) List Recall;

Disqualifiers

Less than 55 years of age to reduce likelihood of including individuals with frontotemporal dementia or non-dementia MCI;

Too frail or medically unstable to undergo study procedures;

Prior diagnosis of Obstructive Sleep Apnea (OSA) or evidence of moderate-to-severe OSA on baseline Home Sleep Test (HST) as evidenced by an apnea/hypopnea index of >15;

Dementia;

Trial design

Treatments tested in this trial

  • Trazodone
  • Placebo

Treatment groups

100 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Johns Hopkins University

Lead sponsor

National Institute on Aging (NIA)

Collaborator