Mild Cognitive ImpairmentNCT05704270
Computerized Cognitive Training to Protect Cognitive Function Among Hypertension Patients
A study testing Multi-domain adaptive cognitive training and Basic cognitive training with no difficulty change in people with Mild Cognitive Impairment and Hypertension, run by Beijing Anzhen Hospital at 2 sites in China.
Trial summary
Hypertension is an risk factor for cognitive impairment. The primary objective of this study is to evaluate the efficacy of 12-week computerized cognitive training in people with hypertension and mild cognitive impairment. Read more about this study
- Who is it for?
- Ages 60 years and older
- Conditions the study is for
- Mild Cognitive Impairment, Hypertension
- What is being tested?
- Multi-domain adaptive cognitive training and Basic cognitive training with no difficulty change
- Type of treatment
- Pill or oral medicine, Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 200 participants
- Where
- 2 sitesChina
- Study dates
- 1 Feb 2023to 30 Mar 2025
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Older than 60 years;
- Completed 6 or more years of education;
- Untreated or under treatment hypertension;
- Complaint of memory decline within 1 year;
- Global cognitive score measured by the Montreal Cognitive Assessment is below 26;
- Agree to receive cognitive function evaluation, randomization, and follow-up investigation as required;
Who cannot join
- Unable to complete cognitive function evaluation due to vision, hearing, and other problems;
- Have been diagnosed of dementia or MMSE score ≤ 20;
- Unable to use the cognitive training equipment after 2 times instructions;
- Alcohol abuse or taking drugs that could affect cognitive function (antihistamines, antipsychotics);
- Diabetes patients;
- Moderate to severe decrease in glomerular filtration rate (eGFR<30 ml/min /1.73m2);
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- Systolic blood pressure ≥180 mmHg or/and diastolic blood pressure ≥110 mmHg; or orthostatic hypotension (defined as the third standing SBP<100mmHg);
- History of cardiovascular events or hospitalization due to cardiovascular diseases in the last 3 months;
- Planned to receive coronary intervention, atrial fibrillation ablation or cardiac surgery within 6 months; or have received these intervention strategies in the last 3 months;
- Symptomatic heart failure or left ventricular ejection fraction <50%;
- Atrial fibrillation confirmed by ECG with marked and severe onset of symptoms;
- A history of stroke, or head injury in the last 6 months; past history of brain tumor or neurosurgery;
- Past history of Parkinson's disease, Alzheimer's disease, schizophrenia, and epilepsy;
- Have Ever undergone surgery under general anesthesia in the last three months;
- Severe hepatic impairment or in critical condition patients with very poor prognosis whose expected survival is less than 6 months; or diagnosed of malignant tumor other than non-melanoma skin cancer in the last 2 years;
- Contradictions for MRI examination: such as metal implantation, claustrophobia, etc.;
- Unable to obtain an informed consent or currently taking part in other clinical trials
Trial locations and contacts
2 sites in 1 country.
China2 sites
Beijing Anzhen Hospital
Beijing
Yu Kong
Ruijing Hospital, Shanghai Jiaotong University School of Medicine
Shanghai
Qianhui Guo
About this study
Official title: The Efficacy of Computerized Cognitive Training in Patients With Hypertension and Cognitive Impairment, no Dementia: a Randomized Controlled Trial
Hypertension is an risk factor for cognitive impairment. The primary objective of this study is to evaluate the efficacy of 12-week computerized cognitive training in people with hypertension and mild cognitive impairment. The researchers will further investigate the long-term effects of cognitive training by prolonging the intervention for 24 weeks among a randomly selected sub-group.
Read the detailed description
This study is a double-blinded, randomized controlled trial. A total of 200 hypertension patients with mild cognitive impairment will be recruited to participate in this study after screening. These patients will be randomized to two arms under masking. The intervention arm will receive multi-domain adaptive cognitive training using a tablet. The control arm will receive an active control treatment and use the same tablet to receive the cognitive training tasks with weak difficulty change. Both arms will receive the same intervention dosage for 12 weeks, 5 times a week, and 30 minutes per time. After the 12-week intervention, the intervention arm will be re-randomized into two groups. One group will stop their intervention at 12 weeks; the other group will continue to receive the multi-domain adaptive cognitive training till the 24-week follow-up assessment.
The neuro-psychological assessment will be administered at baseline, 12-week, and 24-week assessments for all participants. The structural and functional MRI will be administered at baseline, 12 weeks, and 24 weeks to evaluate the effect of cognitive training on brain structure and function.
- Conditions
- Mild Cognitive Impairment, Hypertension
- Being tested
- Multi-domain adaptive cognitive training, Basic cognitive training with no difficulty change
- Keywords
- Cognitive training, Digital health, Hypertension
- Medical subject headings
- Cognitive Dysfunction, Hypertension
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Multi-domain adaptive cognitive trainingBehavioural
The multi-domain adaptive cognitive training covers seven aspects of fundamental cognitive function, including sensory perception, cognitive flexibility, attention, memory, language, logic calculation, and emotion recognition and management. A self-adaptive algorithm is embedded in the tablet-based cognitive training platform, which will help deliver suitable tasks at the right difficulty level for each participant according to their personal profile and real-time performance. The intervention dosage is 30 minutes per time, 5 times a week.
Basic cognitive training with no difficulty changeBehavioural
The basic cognitive training for the control arm will also be delivered via a tablet. The training tasks will be fixed at a primary difficulty level without adaptive algorithm. The intervention dosage is also 30 minutes per time, 5 times a week.
| Study group | Role | What they receive |
|---|---|---|
| Adaptive cognitive training | Experimental | This arm is the intervention arm. Participants randomized to this arm will use a tablet to receive the multi-domain adaptive cognitive training, which will be delivered 30 minutes at least 5 times a week for 12 weeks. Receives: Behavioral: Multi-domain adaptive cognitive training |
| Active control | Active comparator | This arm is the control arm. Participants randomized to this arm will use the same tablet to receive the cognitive training of low difficulty level with no adaptive change. The intervention dosage will be the same, which is 30 minutes each time, at least 5 times a week for 12 weeks. Receives: Behavioral: Basic cognitive training with no difficulty change |
What is being measured
The primary outcome is the main question the study is designed to answer.
Global cognitive function change measured by BCAT in 12 weeks
The proportion of patients whose global cognitive function improves 0.67SD compared to the baseline cognitive function measured by Basic Cognitive Ability Test (BCAT). BCAT is a set of neuropsychological battery tests which was designed to measure global cognitive fucntion and cognitive function of sub-domains. Higher scores of BCAT means a better global cognitive function.
Measured: 12 weeks after randomization
Secondary outcomes (7)
Global cognitive function change measured by BCAT in 24 weeks
The proportion of patients whose global cognitive function improves 0.67SD compared to the baseline cognitive function at 24 weeks measured by Basic Cognitive Ability Test(BCAT).
Measured: 24 weeks after randomization
Sub-domain cognitive function improvement including memory, attention, and execution memory
The proportion of patients whose sub-domain cognitive function, including attention, memory, execution function improves measured by the individual capability test in BCAT.
Measured: 12 weeks, 24 weeks after randomization
Cognitive score change
Mean change from baseline in global cognitive function score measured by basic cognitive ability test (BCAT) at 12 weeks and 24 weeks.
Measured: 12 weeks, 24 weeks after randomization
Self-efficacy score
Mean change from baseline in self-efficacy score measured by the General Self-Efficacy Scale at 12 weeks, and 24 weeks
Measured: 12 weeks, 24 weeks after randomization
Quality of life score
Mean change from baseline in the patient's quality of life score measured by EQ-5D-3L at 12 weeks and 24 weeks.
Measured: 12 weeks, 24 weeks after randomization
Anxiety score
Mean change from baseline in the patient's anxiety score at 12 weeks and 24 weeks. Anxiety status will be measured by GAD-7 questionnaire. Higher score of GAD-7 scale represents more anxiety status.
Measured: 12 weeks, 24 weeks after randomization
Depression score
Mean change from baseline in the patient's depression score at 12 weeks and 24 weeks. Depression status will be measured by PHQ-9 questionnaire. Higher score of PHQ-9 scale represents more depression status.
Measured: 12 weeks, 24 weeks after randomization
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Jan 2023
- Study start1 Feb 2023 (estimated)
- Primary completion31 Dec 2024 (estimated)
- Study completion30 Mar 2025 (estimated)
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
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 200 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Beijing Anzhen Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- Beijing Wispirit Technology Co., Ltd
- Responsible party
- Principal investigator, Chang sheng Ma, Beijing Anzhen Hospital
- Investigators
- Chang sheng Ma, Principal investigator, Beijing Anzhen Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05704270
- Sponsor's protocol ID
- 2022BFAZ01
- Status last verified
- Jan 2023
- First submitted
- 9 Jan 2023
- Last updated
- 30 Jan 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Kong Y, Guo QH, Zhou L, He L, Zeng Y, Du X, Dong JZ, Jiang C, Wang JG, Ma CS. Digital computerised cognitive training for preventing cognitive decline among hypertensive patients: a study protocol for a multicentre randomised controlled trial (DELIGHT trial). BMJ Open. 2024 Feb 29;14(2):e079305. doi: 10.1136/bmjopen-2023-079305.
PubMed 38423771
Study at a glance
From the registry record, last updated by the sponsor on 30 Jan 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Efficacy of Computerized Cognitive Training in Patients With Hypertension and Cognitive Impairment, no Dementia: a Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT05704270
- Acronym / sponsor ID
- 2022BFAZ01
- Conditions
- Mild Cognitive Impairment, Hypertension
- Keywords
- Cognitive training, Digital health, Hypertension
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 200 participants (estimated)
- Lead sponsor
- Beijing Anzhen HospitalUniversity, hospital or other
- Collaborators
- Beijing Wispirit Technology Co., Ltd
- Study start
- 1 Feb 2023 (estimated)
- Primary completion
- 31 Dec 2024 (estimated)
- Study completion
- 30 Mar 2025 (estimated)
- First posted
- 30 Jan 2023 (actual)
- 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.
Hypertension is an risk factor for cognitive impairment. The primary objective of this study is to evaluate the efficacy of 12-week computerized cognitive training in people with hypertension and mild cognitive impairment. The researchers will further investigate the long-term effects of cognitive training by prolonging the intervention for 24 weeks among a randomly selected sub-group.
Detailed description
This study is a double-blinded, randomized controlled trial. A total of 200 hypertension patients with mild cognitive impairment will be recruited to participate in this study after screening. These patients will be randomized to two arms under masking. The intervention arm will receive multi-domain adaptive cognitive training using a tablet. The control arm will receive an active control treatment and use the same tablet to receive the cognitive training tasks with weak difficulty change. Both arms will receive the same intervention dosage for 12 weeks, 5 times a week, and 30 minutes per time. After the 12-week intervention, the intervention arm will be re-randomized into two groups. One group will stop their intervention at 12 weeks; the other group will continue to receive the multi-domain adaptive cognitive training till the 24-week follow-up assessment.
The neuro-psychological assessment will be administered at baseline, 12-week, and 24-week assessments for all participants. The structural and functional MRI will be administered at baseline, 12 weeks, and 24 weeks to evaluate the effect of cognitive training on brain structure and function.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Adaptive cognitive training | Experimental | Behavioral: Multi-domain adaptive cognitive trainingThis arm is the intervention arm. Participants randomized to this arm will use a tablet to receive the multi-domain adaptive cognitive training, which will be delivered 30 minutes at least 5 times a week for 12 weeks. |
| Active control | Active comparator | Behavioral: Basic cognitive training with no difficulty changeThis arm is the control arm. Participants randomized to this arm will use the same tablet to receive the cognitive training of low difficulty level with no adaptive change. The intervention dosage will be the same, which is 30 minutes each time, at least 5 times a week for 12 weeks. |
Who may qualify
- Ages
- 60 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Older than 60 years;
- Completed 6 or more years of education;
- Untreated or under treatment hypertension;
- Complaint of memory decline within 1 year;
- Global cognitive score measured by the Montreal Cognitive Assessment is below 26;
Key exclusion criteria (17 listed)
- Unable to complete cognitive function evaluation due to vision, hearing, and other problems;
- Have been diagnosed of dementia or MMSE score ≤ 20;
- Unable to use the cognitive training equipment after 2 times instructions;
- Alcohol abuse or taking drugs that could affect cognitive function (antihistamines, antipsychotics);
- Diabetes patients;
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 |
|---|---|---|
| Multi-domain adaptive cognitive trainingThe multi-domain adaptive cognitive training covers seven aspects of fundamental cognitive function, including sensory perception, cognitive flexibility, attention, memory, language, logic calculation, and emotion recognition and management. A self-adaptive algorithm is embedded in the tablet-based cognitive training platform, which will help deliver suitable tasks at the right difficulty level for each participant according to their personal profile and real-time performance. The intervention dosage is 30 minutes per time, 5 times a week. | Behavioural | Adaptive cognitive training |
| Basic cognitive training with no difficulty changeThe basic cognitive training for the control arm will also be delivered via a tablet. The training tasks will be fixed at a primary difficulty level without adaptive algorithm. The intervention dosage is also 30 minutes per time, 5 times a week. | Behavioural | Active control |
Primary outcome
Global cognitive function change measured by BCAT in 12 weeks
Time frame: 12 weeks after randomization
The proportion of patients whose global cognitive function improves 0.67SD compared to the baseline cognitive function measured by Basic Cognitive Ability Test (BCAT). BCAT is a set of neuropsychological battery tests which was designed to measure global cognitive fucntion and cognitive function of sub-domains. Higher scores of BCAT means a better global cognitive function.
7 secondary outcomes
Global cognitive function change measured by BCAT in 24 weeks
Time frame: 24 weeks after randomization
Sub-domain cognitive function improvement including memory, attention, and execution memory
Time frame: 12 weeks, 24 weeks after randomization
Cognitive score change
Time frame: 12 weeks, 24 weeks after randomization
Self-efficacy score
Time frame: 12 weeks, 24 weeks after randomization
Quality of life score
Time frame: 12 weeks, 24 weeks after randomization
Anxiety score
Time frame: 12 weeks, 24 weeks after randomization
Depression score
Time frame: 12 weeks, 24 weeks after randomization
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Jan 2023.
- Derived from this study: PubMed 38423771Kong Y, Guo QH, Zhou L, He L, Zeng Y, Du X, Dong JZ, Jiang C, Wang JG, Ma CS. Digital computerised cognitive training for preventing cognitive decline among hypertensive patients: a study protocol for a multicentre randomised controlled trial (DELIGHT trial). BMJ Open. 2024 Feb 29;14(2):e079305. doi: 10.1136/bmjopen-2023-079305.
- 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.
Chang sheng Ma principal investigator
Beijing Anzhen Hospital
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Multi-domain adaptive cognitive training and Basic cognitive training with no difficulty change in people with Mild Cognitive Impairment and Hypertension, run by Beijing Anzhen Hospital at 2 sites in China.
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 6 inclusion and 17 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: status not confirmed, as of the sponsor's last update on 30 Jan 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 China. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Yu Kong (086-13811901076, ky5166@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Global cognitive function change measured by BCAT in 12 weeks (time frame: 12 weeks after randomization). 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 NCT05704270, 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 30 Jan 2023; AzTrials last refreshed its copy on 30 Oct 2026.