Mild Cognitive ImpairmentACESNCT02237560
The Aerobic & Cognitive Exercise Study
A study testing Cybercycle-Game, Cybercyle-Tour and Game Only in people with Mild Cognitive Impairment and Healthy, run by Union College, New York at 12 sites in United States.
Trial summary
The purpose of this study is to clarify the benefits to brain health and thinking processes that result from different forms of exercise. This study will examine the effectiveness of cybercycling (virtual reality enhanced stationary cycling) for persons at risk for and with MCI, and compare this with the individual… Read more about this study
- Who is it for?
- Ages 50 years and olderHealthy volunteers can take part
- Conditions the study is for
- Mild Cognitive Impairment, Healthy
- What is being tested?
- Cybercycle-Game, Cybercyle-Tour and Game Only
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 111 participants
- Where
- 12 sitesUnited States
- Study dates
- Sep 2014to Jul 2017
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- age 50+
- able to pedal recumbent stationary bicycle
- available for regular exercise participation 3-5x/week for at least 6 months
- physician permission to exercise
Who cannot join
- unstable heart condition or other significant cardiovascular history (e.g,. stroke)
- meets criteria for Alzheimer's or other dementia
- significant history of other neurological disease (e.g., seizures, Parkinson's, etc.)
- physician denial to exercise
Trial locations and contacts
12 sites in 1 country.
12 sites in 1 country
United States12 sites
Albany Medical Center
Albany, New York, 12208
Sidney Albert Albany Jewish Community Center
Albany, New York, 12208
Stratton VA Medical Center
Albany, New York, 12208
Hawthorne Ridge
East Greenbush, New York, 12061
Guilderland YMCA
Guilderland, New York, 12084
Glen Eddy
Niskayuna, New York, 12309
Coburg Village
Rexford, New York, 12148
Prestwick Chase
Saratoga Springs, New York, 12866
Kingsway Parkland GardenApartments
Schenectady, New York, 12304
Schaffer Heights
Schenectady, New York, 12308
Sunnyview Rehabilitation Center
Schenectady, New York, 12308
Beverwyck
Slingerlands, New York, 12159
About this study
Official title: The Cognitive Benefits of Interactive Mental and Physical Exercise for Older Adults at Risk for or With Mild Cognitive Impairment (MCI)
The purpose of this study is to clarify the benefits to brain health and thinking processes that result from different forms of exercise. This study will examine the effectiveness of cybercycling (virtual reality enhanced stationary cycling) for persons at risk for and with MCI, and compare this with the individual cognitive, behavioral, and physiological effects of physical and mental exercise alone. The Investigators hypothesis that cognitive benefit will be greatest for combined aerobic and cognitive exercise compared to physical and mental exercise alone.
Read the detailed description
This is a multi-site, randomized controlled trial. Participants will be randomized into one of three conditions for six months: cybercycle-tour, cybercycle-game, or videogame alone. Comprehensive evaluations will include: neuropsychological (e.g., executive function and memory), behavioral (e.g., compliance and effort/watts), physiological (e.g., cardiorespiratory fitness), biomarker (e.g., BDNF), and an expanded neuroimaging pilot. After the six-month intervention period, participants choose whether or not to continue exercising, using any of the three conditions.
- Conditions
- Mild Cognitive Impairment, Healthy
- Being tested
- Cybercycle-Game, Cybercyle-Tour, Game Only
- Keywords
- MCI, Exergaming, Cognition, Exercise, Older Adults
- Medical subject headings
- Cognitive Dysfunction, Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Cybercycle-GameBehavioural
Also called Expresso, Dragon Chase
Exercising on a virtual-reality enhanced stationary recumbent bicycle while playing interactive 3D video-game for 6 months, 3-5x/week.
Cybercyle-TourBehavioural
Also called Expresso
Exercising on virtual-reality enhanced stationary recumbent bicycle and pedaling through interactive 3D scenic bike tours for 6 months, 3-5x/week.
Game OnlyBehavioural
Also called Dragon Chase
While seated on a stationary recumbent seat play interactive 3D video-game for 6 months, 3-5x/week (no pedaling).
| Study group | Role | What they receive |
|---|---|---|
| Cybercycle-Game | Experimental | Combined aerobic \& cognitive exercise for 6 months, 3-5x/week. Receives: Behavioral: Cybercycle-Game |
| Cybercyle-Tour | Active comparator | Aerobic exercise only for 6 months, 3-5x/week. Receives: Behavioral: Cybercyle-Tour |
| Game Only | Active comparator | Cognitive exercise only 6 months, 3-5x/week. Receives: Behavioral: Game Only |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline in executive function at 6-months
Change in executive function from baseline at 6-months will be assessed by using a composite executive function score obtained from scores on Digit Span Backwards, Stroop, and Color Trails.
Measured: Baseline and 6-months
Secondary outcomes (4)
Change in weight
Weight and other physiological factors will be assessed at baseline, 3-months, 6-months, and 1-year follow-up
Measured: Baseline, 3-months, 6-months, 1-year
Change in mood
Behavioral outcomes (e.g., mood) will be assessed using the Brunel Mood Scale and exercise induced feeling inventory.
Measured: Baseline, 3-months, 6-months, 1-year follow-up
Change from baseline in executive function at 3-months
Change from baseline in executive function will be assessed using composite executive function score obtained from scores on Digit Span Backwards, Stroop, and Color Trails.
Measured: Baseline and 3-months
Change from baseline in executive function at 1-year follow-up
Change from baseline in executive function will be assessed using composite executive function score obtained from scores on Digit Span Backwards, Stroop, and Color Trails.
Measured: Baseline and 1-year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Sep 2014 (estimated)
- Study startSep 2014
- Primary completionJul 2017
- Study completionJul 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Mild Cognitive ImpairmentStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 111 participants (actual)
Sponsor and investigators
- Lead sponsor
- Union College, New York
- Sponsor type
- University, hospital or other
- Collaborators
- National Institute on Aging (NIA)
- Responsible party
- Principal investigator, Cay Anderson-Hanley, PhD, Union College, New York
- Investigators
- Cay Anderson-Hanley, PhD, Principal investigator, Union College
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02237560
- Sponsor's protocol ID
- HS13083
- Other IDs
- R15AG042109-01A1
- Acronym
- ACES
- Status last verified
- Apr 2018
- First submitted
- 4 Sep 2014
- Last updated
- 3 May 2018
- Results posted
- No
- Data monitoring committee
- Yes
- Individual data sharing
- No
Publications
Anderson-Hanley C, Barcelos NM, Zimmerman EA, Gillen RW, Dunnam M, Cohen BD, Yerokhin V, Miller KE, Hayes DJ, Arciero PJ, Maloney M, Kramer AF. The Aerobic and Cognitive Exercise Study (ACES) for Community-Dwelling Older Adults With or At-Risk for Mild Cognitive Impairment (MCI): Neuropsychological, Neurobiological and Neuroimaging Outcomes of a Randomized Clinical Trial. Front Aging Neurosci. 2018 May 4;10:76. doi: 10.3389/fnagi.2018.00076. eCollection 2018.
PubMed 29780318
Study at a glance
From the registry record, last updated by the sponsor on 3 May 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Cognitive Benefits of Interactive Mental and Physical Exercise for Older Adults at Risk for or With Mild Cognitive Impairment (MCI)
- ClinicalTrials.gov ID
- NCT02237560
- Acronym / sponsor ID
- ACES / HS13083
- Conditions
- Mild Cognitive Impairment, Healthy
- Keywords
- MCI, Exergaming, Cognition, Exercise, Older Adults
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 111 participants (actual)
- Lead sponsor
- Union College, New YorkUniversity, hospital or other
- Collaborators
- National Institute on Aging (NIA)
- Study start
- Sep 2014
- Primary completion
- Jul 2017 (actual)
- Study completion
- Jul 2017 (actual)
- First posted
- 11 Sep 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to clarify the benefits to brain health and thinking processes that result from different forms of exercise. This study will examine the effectiveness of cybercycling (virtual reality enhanced stationary cycling) for persons at risk for and with MCI, and compare this with the individual cognitive, behavioral, and physiological effects of physical and mental exercise alone. The Investigators hypothesis that cognitive benefit will be greatest for combined aerobic and cognitive exercise compared to physical and mental exercise alone.
Detailed description
This is a multi-site, randomized controlled trial. Participants will be randomized into one of three conditions for six months: cybercycle-tour, cybercycle-game, or videogame alone. Comprehensive evaluations will include: neuropsychological (e.g., executive function and memory), behavioral (e.g., compliance and effort/watts), physiological (e.g., cardiorespiratory fitness), biomarker (e.g., BDNF), and an expanded neuroimaging pilot. After the six-month intervention period, participants choose whether or not to continue exercising, using any of the three conditions.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Cybercycle-Game | Experimental | Behavioral: Cybercycle-GameCombined aerobic \& cognitive exercise for 6 months, 3-5x/week. |
| Cybercyle-Tour | Active comparator | Behavioral: Cybercyle-TourAerobic exercise only for 6 months, 3-5x/week. |
| Game Only | Active comparator | Behavioral: Game OnlyCognitive exercise only 6 months, 3-5x/week. |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- age 50+
- able to pedal recumbent stationary bicycle
- available for regular exercise participation 3-5x/week for at least 6 months
- physician permission to exercise
Key exclusion criteria (4 listed)
- unstable heart condition or other significant cardiovascular history (e.g,. stroke)
- meets criteria for Alzheimer's or other dementia
- significant history of other neurological disease (e.g., seizures, Parkinson's, etc.)
- physician denial to exercise
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Cybercycle-GameAlso: Expresso, Dragon ChaseExercising on a virtual-reality enhanced stationary recumbent bicycle while playing interactive 3D video-game for 6 months, 3-5x/week. | Behavioural | Cybercycle-Game |
| Cybercyle-TourAlso: ExpressoExercising on virtual-reality enhanced stationary recumbent bicycle and pedaling through interactive 3D scenic bike tours for 6 months, 3-5x/week. | Behavioural | Cybercyle-Tour |
| Game OnlyAlso: Dragon ChaseWhile seated on a stationary recumbent seat play interactive 3D video-game for 6 months, 3-5x/week (no pedaling). | Behavioural | Game Only |
Primary outcome
Change from baseline in executive function at 6-months
Time frame: Baseline and 6-months
Change in executive function from baseline at 6-months will be assessed by using a composite executive function score obtained from scores on Digit Span Backwards, Stroop, and Color Trails.
4 secondary outcomes
Change in weight
Time frame: Baseline, 3-months, 6-months, 1-year
Change in mood
Time frame: Baseline, 3-months, 6-months, 1-year follow-up
Change from baseline in executive function at 3-months
Time frame: Baseline and 3-months
Change from baseline in executive function at 1-year follow-up
Time frame: Baseline and 1-year
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 May 2018.
- Derived from this study: PubMed 29780318Anderson-Hanley C, Barcelos NM, Zimmerman EA, Gillen RW, Dunnam M, Cohen BD, Yerokhin V, Miller KE, Hayes DJ, Arciero PJ, Maloney M, Kramer AF. The Aerobic and Cognitive Exercise Study (ACES) for Community-Dwelling Older Adults With or At-Risk for Mild Cognitive Impairment (MCI): Neuropsychological, Neurobiological and Neuroimaging Outcomes of a Randomized Clinical Trial. Front Aging Neurosci. 2018 May 4;10:76. doi: 10.3389/fnagi.2018.00076. eCollection 2018.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Cay Anderson-Hanley, PhD principal investigator
Union College
12 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Cybercycle-Game, Cybercyle-Tour and Game Only in people with Mild Cognitive Impairment and Healthy, run by Union College, New York at 12 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 May 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 12 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from baseline in executive function at 6-months (time frame: Baseline and 6-months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02237560, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 May 2018.