Mild Neurocognitive DisorderPhase 1NCT06718140
tFUS for Memory in mNCD and Healthy Adults
A Phase 1 study testing Transcranial Focused Ultrasound in people with Mild Neurocognitive Disorder and Healthy Aging, run by Medical University of South Carolina at 1 site in United States.
Trial summary
Dementia is an ongoing and growing public health crisis in the US and worldwide. The purpose of this study is to examine a form of noninvasive brain stimulation called transcranial focused ultrasound (tFUS) to the hippocampus with the goal of improving memory. Read more about this study
- Who is it for?
- Ages 50 to 85 yearsHealthy volunteers can take part
- Conditions the study is for
- Mild Neurocognitive Disorder, Healthy Aging
- What is being tested?
- Transcranial Focused Ultrasound
- Type of treatment
- Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 25 participants
- Where
- 1 siteUnited States
- Study dates
- 30 Mar 2025to 1 Dec 2027
- Phase
- Phase 1
- Are there results?
- Not yet: the study is under way
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 to 85 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Age 50-85
- English as a first/primary language
- Capacity to consent
- No Diagnosis of mNCD or dementia
- Age 50-85
- English as a first/primary language
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- Diagnosed with mNCD by a healthcare provider within the past 2 years per NIA-AA or DSM-5 criteria
- Has ≥ 2 impaired scores within one cognitive domain OR ≥ 1 impaired score in ≥ 3 domains, where impaired score is defined as ≤ 16th percentile using demographically-corrected norms
- Must have a co-participant (e.g., spouse, adult child, relative, sibling, cohabitor, friend, or caregiver) with at least weekly in-person contact with the participant
Who cannot join
- Current substance use disorder, bipolar disorder, or schizophrenia spectrum or other psychotic diagnosis
- Daily/weekly anticholinergic or sedative use. Stimulants may be used pending investigator review. Cholinesterase inhibitors, NMDA receptor antagonists, and antidepressants are allowed if on a stable regimen for 4 weeks prior to enrollment
- History of significant or unstable conditions that may impact cognition, such as significant cardiac, cerebrovascular, or metabolic disease, developmental disorder, or other neurologic disease (e.g., moderate to severe TBI, seizures)
- MRI or tFUS contraindications (e.g., metal implants, claustrophobia, conditions or treatments that lower seizure threshold, taking medications that have short half-lives)
- Enrolled in a clinical trial or has received an investigational medication or device in the last 30 days
- Prior diagnosis of dementia or major neurocognitive disorder per NIA-AA or DSM-5 criteria, and telephone interview for cognitive status (TICS) score ≤ 22
Show all 11Show fewer
- Current substance use disorder, bipolar disorder, or schizophrenia spectrum or other psychotic diagnosis
- Daily/weekly anticholinergic or sedative use. Stimulants may be used pending investigator review. Cholinesterase inhibitors, NMDA receptor antagonists, and antidepressants are allowed if on a stable regimen for 4 weeks prior to enrollment
- History of significant or unstable conditions that may impact cognition, such as significant cardiac, cerebrovascular, or metabolic disease, developmental disorder, or other neurologic disease (e.g., moderate to severe TBI, seizures)
- MRI or tFUS contraindications (e.g., metal implants, claustrophobia, conditions or treatments than lower seizure threshold, taking medications that have short half-lives)
- Enrolled in a clinical trial or has received an investigational medication or device in the last 30 days
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United States1 site
Medical University of South Carolina
Charleston, South Carolina, 29414
About this study
Official title: Personalized Transcranial Focused Ultrasound for Mild Neurocognitive Disorder and Healthy Aging
Dementia is an ongoing and growing public health crisis in the US and worldwide. The purpose of this study is to examine a form of noninvasive brain stimulation called transcranial focused ultrasound (tFUS) to the hippocampus with the goal of improving memory.
Read the detailed description
Dementia is an ongoing and growing public health crisis in the US and worldwide. Currently, there are an estimated 6.2 million Americans living with Alzheimer's Disease (AD) the most common form of dementia accounting for roughly 75% of cases. With a growing aging population, this number is estimated to be 13.8 million in the US and 152.8 million people worldwide by 2050 with a 14% lifetime prevalence. It is difficult to treat AD, making it critical to intervene as early as possible. Mild neurocognitive disorder (mNCD) is an early stage of memory and cognitive ability loss that is more severe than normal cognitive decline due to aging. Each year, approximately 15% of people with mNCD develop dementia, making it a critical juncture where intervention could be particularly impactful. Previous research has utilized a novel technique, called transcranial focused ultrasound (tFUS), to change brain function and has measured changes to brain activity through electroencephalography (EEG) using scalp electrodes. This study will apply tFUS to the hippocampus to examine the effects on memory in healthy adults in mNCD.
- Conditions
- Mild Neurocognitive Disorder, Healthy Aging
- Being tested
- Transcranial Focused Ultrasound
- Keywords
- Memory, Mild neurocognitive disorder, Brain stimulation
- Medical subject headings
- Neurocognitive Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Transcranial Focused UltrasoundDevice
Using MRI-guided targeting, we will administer focused ultrasound to one of the 4 brain locations
| Study group | Role | What they receive |
|---|---|---|
| Focused Ultrasound to Location A | Experimental | Focused Ultrasound will be administered to location A as condition 1. Stimulation will last 1-10 minutes Receives: Device: Transcranial Focused Ultrasound |
| Focused Ultrasound to Location B | Experimental | Focused Ultrasound will be administered to location B as condition 2. Stimulation will last 1-10 minutes Receives: Device: Transcranial Focused Ultrasound |
| Focused Ultrasound to Location C | Experimental | Focused Ultrasound will be administered to location C as condition 3. Stimulation will last 1-10 minutes Receives: Device: Transcranial Focused Ultrasound |
| Focused Ultrasound to Location D | Sham comparator | Focused Ultrasound will be administered to location D as condition 4. Stimulation will last 1-10 minutes Receives: Device: Transcranial Focused Ultrasound |
What is being measured
The primary outcome is the main question the study is designed to answer.
Face Name Associative Memory Task (Episodic Memory) effects
Determine the within-subject effects of tFUS on episodic memory (Face Name Associative Memory Task)
Measured: Pre- to post-stimulation (within approximately a 1 hour time period)
Electroencephalography (EEG) effects
Determine the effects of tFUS on EEG recorded from scalp electrodes from pre- to post-stimulation. The investigators will evaluate broadband effects ranging from delta (1-4Hz) to beta (25-40Hz) ranges.
Measured: Pre- to post-stimulation (within approximately a 1 hour time period)
Secondary outcomes (1)
Tolerability of tFUS (self report 0-10 scale)
Ratings on a scale of 0-10 gauging the side effects of stimulation on headache, pain, and other potential side effects.
Measured: Pre- to post-stimulation (within approximately a 1 hour time period)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Dec 2024
- Study start30 Mar 2025
- Primary completion1 Dec 2026 (estimated)
- Study completion1 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Mild Neurocognitive DisorderStudies 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 1
- Primary purpose
- Basic science
- Allocation
- Non-randomised
- Intervention model
- Crossover
- Model description
- Within-subject crossover between participants; each participant will receive each condition on different days in a counterbalanced order.
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 25 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Medical University of South Carolina
- Sponsor type
- University, hospital or other
- Collaborators
- National Center of Neuromodulation for Rehabilitation
- Responsible party
- Sponsor
- Investigators
- Kevin Caulfield, PhD, Principal investigator, Medical University of South Carolina
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06718140
- Sponsor's protocol ID
- Pro00135826
- Status last verified
- Nov 2025
- First submitted
- 11 Jun 2024
- Last updated
- 24 Nov 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 24 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Personalized Transcranial Focused Ultrasound for Mild Neurocognitive Disorder and Healthy Aging
- ClinicalTrials.gov ID
- NCT06718140
- Acronym / sponsor ID
- Pro00135826
- Conditions
- Mild Neurocognitive Disorder, Healthy Aging
- Keywords
- Memory, Mild neurocognitive disorder, Brain stimulation
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Enrolling by invitation
- Enrolment
- 25 participants (estimated)
- Lead sponsor
- Medical University of South CarolinaUniversity, hospital or other
- Collaborators
- National Center of Neuromodulation for Rehabilitation
- Study start
- 30 Mar 2025 (actual)
- Primary completion
- 1 Dec 2026 (estimated)
- Study completion
- 1 Dec 2027 (estimated)
- First posted
- 5 Dec 2024 (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.
Dementia is an ongoing and growing public health crisis in the US and worldwide. The purpose of this study is to examine a form of noninvasive brain stimulation called transcranial focused ultrasound (tFUS) to the hippocampus with the goal of improving memory.
Detailed description
Dementia is an ongoing and growing public health crisis in the US and worldwide. Currently, there are an estimated 6.2 million Americans living with Alzheimer's Disease (AD) the most common form of dementia accounting for roughly 75% of cases. With a growing aging population, this number is estimated to be 13.8 million in the US and 152.8 million people worldwide by 2050 with a 14% lifetime prevalence. It is difficult to treat AD, making it critical to intervene as early as possible. Mild neurocognitive disorder (mNCD) is an early stage of memory and cognitive ability loss that is more severe than normal cognitive decline due to aging. Each year, approximately 15% of people with mNCD develop dementia, making it a critical juncture where intervention could be particularly impactful. Previous research has utilized a novel technique, called transcranial focused ultrasound (tFUS), to change brain function and has measured changes to brain activity through electroencephalography (EEG) using scalp electrodes. This study will apply tFUS to the hippocampus to examine the effects on memory in healthy adults in mNCD.
Study design
- Primary purpose
- Basic science
- Allocation
- Non-randomised
- Intervention model
- Crossover
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
- Model description
- Within-subject crossover between participants; each participant will receive each condition on different days in a counterbalanced order.
| Arm | Type | Receives |
|---|---|---|
| Focused Ultrasound to Location A | Experimental | Device: Transcranial Focused UltrasoundFocused Ultrasound will be administered to location A as condition 1. Stimulation will last 1-10 minutes |
| Focused Ultrasound to Location B | Experimental | Device: Transcranial Focused UltrasoundFocused Ultrasound will be administered to location B as condition 2. Stimulation will last 1-10 minutes |
| Focused Ultrasound to Location C | Experimental | Device: Transcranial Focused UltrasoundFocused Ultrasound will be administered to location C as condition 3. Stimulation will last 1-10 minutes |
| Focused Ultrasound to Location D | Sham comparator | Device: Transcranial Focused UltrasoundFocused Ultrasound will be administered to location D as condition 4. Stimulation will last 1-10 minutes |
Who may qualify
- Ages
- 50 to 85 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Age 50-85
- English as a first/primary language
- Capacity to consent
- No Diagnosis of mNCD or dementia
- Age 50-85
Key exclusion criteria (11 listed)
- Current substance use disorder, bipolar disorder, or schizophrenia spectrum or other psychotic diagnosis
- Daily/weekly anticholinergic or sedative use. Stimulants may be used pending investigator review. Cholinesterase inhibitors, NMDA receptor antagonists, and antidepressants are allowed if on a stable regimen for 4 weeks prior to enrollment
- History of significant or unstable conditions that may impact cognition, such as significant cardiac, cerebrovascular, or metabolic disease, developmental disorder, or other neurologic disease (e.g., moderate to severe TBI, seizures)
- MRI or tFUS contraindications (e.g., metal implants, claustrophobia, conditions or treatments that lower seizure threshold, taking medications that have short half-lives)
- Enrolled in a clinical trial or has received an investigational medication or device in the last 30 days
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 |
|---|---|---|
| Transcranial Focused UltrasoundUsing MRI-guided targeting, we will administer focused ultrasound to one of the 4 brain locations | Device | Focused Ultrasound to Location A, Focused Ultrasound to Location B, Focused Ultrasound to Location C, Focused Ultrasound to Location D |
Primary outcome
Face Name Associative Memory Task (Episodic Memory) effects
Time frame: Pre- to post-stimulation (within approximately a 1 hour time period)
Determine the within-subject effects of tFUS on episodic memory (Face Name Associative Memory Task)
Electroencephalography (EEG) effects
Time frame: Pre- to post-stimulation (within approximately a 1 hour time period)
Determine the effects of tFUS on EEG recorded from scalp electrodes from pre- to post-stimulation. The investigators will evaluate broadband effects ranging from delta (1-4Hz) to beta (25-40Hz) ranges.
1 secondary outcome
Tolerability of tFUS (self report 0-10 scale)
Time frame: Pre- to post-stimulation (within approximately a 1 hour time period)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Nov 2025.
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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.
Kevin Caulfield, PhD principal investigator
Medical University of South Carolina
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Transcranial Focused Ultrasound in people with Mild Neurocognitive Disorder and Healthy Aging, run by Medical University of South Carolina at 1 site 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 9 inclusion and 11 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: enrolling by invitation, as of the sponsor's last update on 24 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
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?
Face Name Associative Memory Task (Episodic Memory) effects (time frame: Pre- to post-stimulation (within approximately a 1 hour time period)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 24 Nov 2025.