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Mild Cognitive ImpairmentCOPENCT04546451

Countervail Cognitive and Cerebral Decline in Mild Cognitive Impairment Patients Using Non-medical Interventions

A study testing Music practice and Psychomotor therapy in people with Mild Cognitive Impairment, run by School of Health Sciences Geneva at 2 sites in Switzerland.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Cognitive decline represents a major threat among the deleterious effects of population aging. The investigators propose to conduct an RCT (randomized controlled trial) on the subpopulation of MCI patients, and examine whether intensive musical or psychomotor group interventions can improve their cognitive and… Read more about this study

Who is it for?
Ages 60 to 80 years
Conditions the study is for
Mild Cognitive Impairment
What is being tested?
Music practice and Psychomotor therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
48 participants
Where
2 sitesSwitzerland
Study dates
1 Jan 2021to 27 May 2023
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 60 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • MCI diagnosis by experts at the memory clinics
  • MMSE score (Mini-Mental State Examination) > 22 or MoCA (Montreal Cognitive Assessment) > 18
  • Hospital Anxiety and Depression Scale (HADS) < 14 (< 7/21 for anxiety and < 7/21 for depression)
  • Age between 60 and 80 years
  • Right-handedness
  • Fluent in French
  • Able to give informed consent as documented by signature

Who cannot join

  • Serious motor deficits
  • Impaired/not-corrected hearing
  • Serious physical and mental comorbidities
  • Participation in physical or cognitive training over the last 12 months
  • Maximum 5 years of official music education over the lifespan outside the school curriculum or during the last 3 years
  • Intensive physical activity over the last 12 months (sports or body-mind exercises)
Show all 9Show fewer
  • Left-handed or ambidextrous
  • MRI incompatibility (claustrophobia, cardiac stimulator, implants…)
  • Nota bene: for brain organizational reasons exclusively right-handed participants will be included. Right-handed persons represent more than 90% of the population (Isaacs, Barr, Nelson, \& Devinsky, 2006., doi:10.1212/01.wnl.0000219623.28769.74.)

Trial locations and contacts

2 sites in 1 country.

Switzerland2 sites
  • School of Health Sciences Geneva HES-SO

    Geneva, 1206

  • CHUV: Centre Leenaards Memory Center

    Lausanne, Canton of Vaud, 1011

Other trials in Switzerland

About this study

Official title: Musical and Psychomotor Interventions for Cognitive, Sensorimotor, and Cerebral Decline in Patients With Mild Cognitive Impairment (COPE): a Study Protocol for a Multicentric Randomized Controlled Study

Cognitive decline represents a major threat among the deleterious effects of population aging. The investigators propose to conduct an RCT (randomized controlled trial) on the subpopulation of MCI patients, and examine whether intensive musical or psychomotor group interventions can improve their cognitive and sensorimotor functioning, as well as induce brain plasticity, compared to a passive healthy control group, matched for age, gender and education level. The 2 training regimens will take place twice a week over 6 months and will be provided by professionals in each field.

Read the detailed description

Background Regular cognitive training can boost or maintain cognitive and brain functions known to decline with age. Most studies administered such cognitive training on a computer and in a lab setting. However, everyday life activities, like musical practice or physical exercise that are complex and variable, could be more successful at inducing transfer effects to different cognitive domains and maintaining motivation. "Body-mind exercises", like Tai Chi or psychomotor exercise, may also positively affect cognitive functioning in the elderly. We will investigate the influence of active music practice and psychomotor training over 6 months in Mild Cognitive Impairment patients from university hospital memory clinics on cognitive and sensorimotor performance and brain plasticity.

Methods We aim to conduct a randomized controlled (RCT) multicenter intervention study on 32 Mild Cognitive Impairment (MCI) patients (60-80 years), divided over 2 experimental groups: 1) Music practice; 2) Psychomotor treatment. Controls will consist of a passive test-retest group of 16 age, gender and education level matched healthy volunteers.

The training regimens take place twice a week for 45 minutes over 6 months in small groups, provided by professionals, and patients should exercise daily at home. Data collection takes place at baseline (before the interventions), 3, and 6 months after training onset, on cognitive and sensorimotor capacities, subjective well-being, daily living activities, and via functional and structural neuroimaging. Considering the current constraints of the ongoing COVID-19 (COronaVIrus Disease of 2019) pandemic, recruitment and data collection takes place in 2 waves.

Discussion We will investigate whether musical practice or psychomotor exercise in small groups can improve cognitive, sensorimotor and brain functioning in MCI patients, and therefore provoke benefits for their daily life functioning and well-being.

Being tested
Music practice, Psychomotor therapy
Keywords
Mild Cognitive Impairment, Randomized Controlled Trial, Non-medical interventions, Cognitive performance, Sensorimotor performance, Experience induced brain plasticity, Music Practice, Psychomotor training, Passive Control Group, Multivariate data-driven analyses
Medical subject headings
Cognitive Dysfunction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Music practiceBehavioural

    Patients will be trained to play a simple instrument (tongue-drum) in a group setting using different musical styles.

  • Psychomotor therapyBehavioural

    Patients will be trained in body awareness and a wide range of of movement activities.

Study groups in NCT04546451
Study groupRoleWhat they receive
Music practiceExperimentalPatients will receive Music Practice interventions of 45 minutes twice a week over 6 months, provided by a professional musician
Receives: Behavioral: Music practice
Psychomotor therapyExperimentalPatients will receive Psychomotor interventions of 45 minutes twice a week over 6 months, provided by a professional psychomotor therapist
Receives: Behavioral: Psychomotor therapy
Passive control groupNo interventionHealthy passive controls will pass all measurements without any intervention. The control group participants must adhere to the same inclusion and exclusion criteria as the experimental groups, except for an MCI diagnosis. Control participants will be matched to the experimental groups for age, gender and education level.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Cognitive Telephone Screening Instrument (COGTEL)

    This test can be applied by telephone or face-to-face (in this study we will apply the face-to-face method). The outcome consists of increase or less decrease (experimental group 1 or 2 vs. the control group) of the total weighted score at the COGTEL test directly after the 6 months interventions as compared to directly before the interventions.

    The COGTEL test provides a main weighted score of core cognitive function, it comprises 6 subtests covering prospective memory, short- and long-term verbal memory, working memory (digit span), verbal fluency and inductive reasoning.

    COGTEL main weighted score: COGTEL Total score = 7.2 x Prospective Memory score + 1.0 x Verbal Short-Term Memory score + 0.9 x Verbal Long-Term Memory score + 0.8 x Working Memory score + 0.2 x Verbal Fluency score + 1.7 x Inductive Reasoning score

    (Kliegel, Martin, \& Jager, 2007, doi:10.3200/JRLP.141.2.147-172) (lhle et al., 2017, doi:10.1159/000479680)

    Measured: 6 months

Secondary outcomes (14)
  1. Individual subtests of the COGTEL (Cognitive Telephone Screening Instrument)

    Individual subtests of the COGTEL: prospective memory, short- and long-term verbal memory, working memory (digit span), verbal fluency, and inductive reasoning; the outcome consists of increase or less decrease (experimental group 1 or 2 vs. the control group) of each subtest score directly after the 6 months interventions as compared to directly before the interventions.

    Measured: 6 months

  2. D2-R test

    D2-R test (attention, processing speed): correct responses/hits minus errors/omissions; the outcome consists of increase or less decrease (experimental group 1 or 2 vs. the control group) of the total score directly after the 6 months interventions as compared to directly before the interventions.

    Measured: 6 months

  3. Trail making test

    Trail making test A (visual processing speed) \& B (visual processing speed \& cognitive flexibility): time to complete the test A and B; the outcome consists in decrease or less increase in time to complete the tests (experimental group 1 or 2 vs. the control group) directly after the 6 months interventions as compared to directly before the interventions.

    Measured: 6 months

  4. Go/No-Go

    Go/No-Go (inhibition): number of errors ; the outcome consists of decrease or less increase (experimental group 1 or 2 vs. the control group) of the total score directly after the 6 months interventions as compared to directly before the interventions.

    Measured: 6 months

  5. International Matrix Test (Oldenburg)

    Speech-in-noise perception test. The outcome is a score of Speech Reception Threshold (SRT), measured for both ears and each ear separately (Kollmeier et al., 2105, doi: 10.3109/14992027.2015.1020971).

    Measured: 6 months

  6. fMRI visual working memory task

    fMRI letter n-back visual working memory task (Migo et al., 2015, doi.org/10.1080/13825585.2014.894958): correct responses; the outcome consists of increase or less decrease (experimental group 1 or 2 vs. the control group) of the total score directly after the 6 months interventions as compared to directly before the interventions.

    Measured: 6 months

  7. Sensorimotor function

    Higher total score of the following sensorimotor tests in the 2 experimental intervention groups as compared to the active control group directly after the 6 months interventions as compared to directly before the interventions.

    1. Clock drawing test (assessing apraxia) (Aprahamian, Martinelli, Neri, \& Yassuda, 2009, doi: 10.1590/S1980-57642009DN30200002)
    2. Purdue Pegboard (assessing manual dexterity) (Tiffin \& Asher, 1948, doi: 10.1037/h0061266)
    3. Unipedal balance test (Bohannon \& Tudini, 2018; doi:10.1016/j.physio.2018.04.001)
    4. Laterality test (assessing left/right judgements) (Williams et al., 2019, doi: 10.1016/j.msksp.2019.01.010)

    Measured: 6 months

  8. Short Version of the Amsterdam Instrumental Activity of the Daily Living Questionnaire (A-IADL-Q(SV))

    Daily living activities: improved daily living activities as measured by the A-IADL-Q(SV; Short Version of the Amsterdam Instrumental Activity of the Daily Living Questionnaire) in the 2 experimental intervention groups as compared to the control group directly after the 6 months interventions as compared to directly before the interventions (Jutten et al., 2017, doi:10.1016/j.dadm.2017.03.002).

    Measured: 6 months

  9. World Health Organization Quality of Life Instruments - short Version WHOQOL-BREF (abbreviated World Health Organization Quality of Life; WHO 1996)

    Subjective well-being: improved subjective well-being in both intervention groups as measured by the WHOQOL-BREF (1996) directly after the 6 months interventions as compared to directly before the interventions. (Organization, W. H. (1996). WHOQOL-BREF: introduction, administration, scoring and generic version of the assessment: field trial version, December 1996.)

    Measured: 6 months

  10. Emotional regulation questionnaire (ERQ)

    Emotional regulation: improved emotional regulation in the experimental groups as compared to the control group directly after the 6 months interventions as compared to directly before the interventions (Christophe et al., 2009 doi: 10.1016/j.erap.2008.07.001).

    Measured: 6 months

  11. Magnetization Prepared 2 Rapid Gradient Echo (MP2RAGE)

    MP2RAGE is an extension of the conventional MPRAGE pulse sequence widely used in clinical studies. It involves gray matter volume assessment, allowing to evaluate gray matter changes following learning of new skills (Marques \& Gruetter, 2013, doi:10.1371/journal.pone.0069294).

    Measured: 6 months

  12. Functional MRI (fMRI)

    Letter N-back visual working memory task (Migo et al., 2015, doi.org/10.1080/13825585.2014.894958). Allows evaluating visual working memory performance following learning of new skills.

    Measured: 6 months

  13. Resting state functional MRI (RS-fMRI)

    RS-fMRI assesses activity in the Default Mode Network (DMN) reflecting global functional connectivity of the brain (Leonardi et al., 2013, doi: 10.1016/j.neuroimage.2013.07.019). Allows evaluating functional connectivity changes following learning of new skills.

    Measured: 6 months

  14. Diffusion Tensor Imaging (DTI)

    DTI allows computing i.a. Fractional Anisotropy for evaluating white matter integrity reflecting structural connectivity (Bosch et al., 2012, doi: 10.1016/j.neurobiolaging.2010.02.004). Allows evaluating structural connectivity changes following learning of new skills.

    Measured: 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Sep 2020
  2. Study start1 Jan 2021
  3. Primary completion27 Mar 2023
  4. Study completion27 May 2023

Resources

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
2 experimental conditions (Music practice vs. Psychomotor training) and 1 passive control condition
Masking
None (open label)
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04546451
Sponsor's protocol ID
99861
Acronym
COPE
Status last verified
Nov 2022
First submitted
29 Aug 2020
Last updated
1 Jun 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: As soon as the data collection will be completed, all data and all other documents will be stored at YARETA, a FAIR (FAIR data are data which meet principles of findability, accessibility, interoperability, and reusability) digital solution for long-term preservation of research data for all Geneva Universities (https://yareta.unige.ch). The Geneva School of HEalth Sciences already possesses an organizational unit on the YARETA platform. The datasets generated during the current study will not publicly available during data collection and analyses. After data collection and analyses completion, they will be published by our research team first, but they will be available in the future from the corresponding author on reasonable request.

Publications

  • James CE, Stucker C, Junker-Tschopp C, Fernandes AM, Revol A, Mili ID, Kliegel M, Frisoni GB, Brioschi Guevara A, Marie D. Musical and psychomotor interventions for cognitive, sensorimotor, and cerebral decline in patients with Mild Cognitive Impairment (COPE): a study protocol for a multicentric randomized controlled study. BMC Geriatr. 2023 Feb 6;23(1):76. doi: 10.1186/s12877-022-03678-0.

    PubMed 36747142

Questions about this trial

What is this clinical trial studying?

A study testing Music practice and Psychomotor therapy in people with Mild Cognitive Impairment, run by School of Health Sciences Geneva at 2 sites in Switzerland.

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 7 inclusion and 9 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 1 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Switzerland. 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?

Cognitive Telephone Screening Instrument (COGTEL) (time frame: 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 NCT04546451, 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 1 Jun 2023.

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