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Older PeopleActiv4BrainNCT07108413

Study of the Cognitive and Neurophysiological Effects of the Activ4Brain Program for Older Adults

A study testing Activ4Brain Program and Aerobic Exercise Program in people with Older People, run by University of Coimbra at 1 site in Portugal.

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

This study aims to examine the cognitive, neuronal, and physical effects of the Activ4Brain program in older men and women between 55 and 75 years of age. The program Activ4Brain consists of 24 sessions of aerobic exercise classes (twice a week over 3 months) that include computerized games designed to train… Read more about this study

Who is it for?
Ages 55 to 75 years
Conditions the study is for
Older People
What is being tested?
Activ4Brain Program and Aerobic Exercise Program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
72 participants
Where
1 sitePortugal
Study dates
1 Jan 2024to 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 55 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men and women between 55 and 75 years of age

Who cannot join

  • Presence of contraindications for physical exercise screened with the Physical Activity Readiness Questionnaire (PAR-Q)
  • Presence of objective cognitive impairment screened with the Addenbroke's Cognitive Examination - Revised, which also incorporates the Mini Mental State Examination, providing a double score
  • Presence of high fall risk screened with the Timed Up and Go test (TUG)
  • Presence of severe neurological or psychiatric conditions

Trial locations and contacts

1 site in 1 country.

Portugal1 site
  • University of Coimbra

    Coimbra

Other trials in Portugal

About this study

Official title: Study Protocol to Investigate the Effect of a Novel Aerobic Exercise Intervention With Integrated Cognitive Training, Active4Brain, on Cognition, Neurophysiology, and Neuroprotective Markers in Older Adults

This study aims to examine the cognitive, neuronal, and physical effects of the Activ4Brain program in older men and women between 55 and 75 years of age. The program Activ4Brain consists of 24 sessions of aerobic exercise classes (twice a week over 3 months) that include computerized games designed to train cognition. Participants are tested before and after the 3-months intervention. Researchers will study changes in cognitive function, brain and body physiological activity, and inflammation and neuroprotective markers in 3 groups of participants: the Activ4Brain group that engages in the Activ4Brain program, an active control group that engages in aerobic exercise classes and a passive control group that does not engage in any intervention.

This study aims to answer the following questions.

  • Does the program Activ4Brain improve cognition in cognitively healthy older adults?
  • Does the program Activ4Brain change brain function and body physiology in cognitively healthy older adults?
Read the detailed description

Cognitive training and physical exercise hold the potential to be successful non-pharmacological treatments for age-related cognitive decline and dementia. However, existing interventions show little to no benefit for preventing or delaying cognitive decline, highlighting the need to develop alternative tools. With this in mind, the Activ4Brain program was designed as a non-pharmacological strategy to reduce the impact of age-related cognitive decline. The Activ4Brain program consists of group aerobic exercise classes where computerized games targeting different cognitive domains are applied during the session to potentiate the effect of physical exercise on cognition. This study investigates the impact of this novel program on cognitive and brain function.

The primary objective of this study is:

  • Evaluation of the efficacy of the Activ4Brain program in improving cognition in older people

Secondary objectives are:

  • Evaluation of the impact of the Activ4Brain program on brain and autonomic function and physical health markers
  • Evaluation of participants' adherence and retention through attendance rates across all intervention sessions and participation trends over time
  • Evaluation of the feasibility of the Activ4Brain program including its acceptability, accessibility, and usability.
Conditions
Older People
Being tested
Activ4Brain Program, Aerobic Exercise Program
Keywords
Aerobic exercise, Cognitive training, Age-related cognitive decline, Electroencephalography (EEG), Immune function biomarkers

What participants receive

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

  • Activ4Brain ProgramBehavioural

    The Activ4Brain Program consists of 24 sessions, twice a week for 3 months. Participants engage in 50 min exercise sessions of moderate intensity (60-80% of maximal heart rate) including 5 min warm-up, 40 min aerobic exercises, and 5 min cool-down. The warm-up period includes similar body movements as the main part of the exercise and dynamic stretching while the cool down period consists of static stretching. The main part of the exercise session is divided in four blocks. Each block consists of 5 min aerobic exercises and 5 min of cognitive training. Participants are instructed to keep moving, marching in place, while performing the cognitive training tasks to maintain the increased heart rate. Each group class is composed of four participants with as must as possible a narrow age range given the participants' schedule convenience.

  • Aerobic Exercise ProgramBehavioural

    The Aerobic Exercise Program consists of 24 sessions, twice a week for 3 months. Participants engage in 50 min exercise sessions of moderate intensity (60-80% of maximal heart rate) including 5 min warm-up, 40 min aerobic exercises, and 5 min cool-down. The warm-up period includes similar body movements as the main part of the exercise and dynamic stretching while the cool down period consists of static stretching. The main part of the exercise session consists of a sequence of four different 5 min blocks of aerobic exercise repeated twice. Each block consists of a combination of three different rhythmic movements. Each group class is composed of four participants.

Study groups in NCT07108413
Study groupRoleWhat they receive
Activ4Brain GroupExperimentalParticipants in this group perform the Activ4Brain program during 3 months
Receives: Behavioral: Activ4Brain Program
Aerobic exercise groupActive comparatorParticipants in this group perform an Aerobic Exercise program during 3 months
Receives: Behavioral: Aerobic Exercise Program
Control groupNo interventionParticipants in this group receive no intervention during the study and are instructed to carry on their daily routines.

What is being measured

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

  1. Change from Baseline in Executive Function - Multitasking test from the CANTAB Research Connect

    Executive function will be assessed with the Multitasking test from the CANTAB Research Connect (Cambridge Cognition Ltd) - 3-months score change in MTT Multitasking cost (median). The score is calculated by subtracting the median latency of response during single task block(s) from the median latency of response during multitasking block(s). A positive score indicates that the subject responds more slowly during multitasking blocks and indicates a higher cost of managing multiple sources of information. Lower values are associated with better executive function.

    Measured: From one month before the 3-months intervention up to one month after the end of the intervention.

  2. Change from Baseline in Working Memory - Spatial Working Memory (SWM) test from the CANTAB Research Connect

    Working memory will be assessed with the Spatial Working Memory (SWM) test from the CANTAB Research Connect (Cambridge Cognition Ltd)- 3-months score change in SWM Between Errors: the number of times the subject incorrectly revisits a box in which a token has previously been found. Lower values are associated with better working memory abilities.

    Measured: From one month before the 3-months intervention up to one month after the end of the intervention.

  3. Change from Baseline in Episodic Memory - Auditory Verbal Learning Test

    Auditory Verbal Learning Test (AVLT) - 3-months score change in Total Learning: the sum of words remembered across Trial 1 through Trial 5. Higher values represent better memory abilities.

    Measured: From one month before the 3-months intervention up to one month after the end of the intervention.

  4. Change from Baseline in Sustained Attention - Rapid Visual Information Processing test from the CANTAB Research Connect

    Sustained attention will be assessed with the Rapid Visual Information Processing test from the CANTAB Research Connect (Cambridge Cognition Ltd) - 3-months score changes in RVPA (subject's sensitivity to the target sequence). Higher values represent better sustained attention scores.

    Measured: From one month before the 3-months intervention up to one month after the end of the intervention.

  5. Change from Baseline in Processing Speed - Rapid Visual Information Processing test from the CANTAB Research Connect

    Processing speed will be assessed with the Rapid Visual Information Processing test from the CANTAB Research Connect (Cambridge Cognition Ltd) - 3-months score change in RVP Median Response Latency (median response latency on correct trials). Lower values represent faster processing speed.

    Measured: From one month before the 3-months intervention up to one month after the end of the intervention.

  6. Change from Baseline in Processing Speed - Multitasking test from the CANTAB Research Connect

    Processing speed will be assessed with the Multitasking test from the CANTAB Research Connect (Cambridge Cognition Ltd) - 3-months score change in MTT Incongruency cost (difference between the median response latency on the congruent versus incongruent trials). A lower incongruency cost indicates that the subject processes conflicting information faster.

    Measured: From one month before the 3-months intervention up to one month after the end of the intervention.

Secondary outcomes (15)
  1. 1. Change from Baseline in the Amplitude of Event-Related Potentials Evoked during a Reinforcement Learning Task

    Change in event-related potentials evoked during a reinforcement learning task are assessed using amplitude (microV) measures of event-related potentials recorded using a 64-channel Neuroscan system (Compumedics EUROPE GmbH) with scalp electrodes placed according to the International 10-20 electrode system (500 Hz sampling rate).

    Measured: From one month before the 3-months intervention up to one month after the end of the intervention.

  2. Change from Baseline in Amplitude of Pupil Responses during a Reinforcement Learning Task.

    Amplitude of task-related pupil responses during cognitive task performance are assessed using pupil size data obtained with an eye tracking system recorded during a reinforcement learning task. Amplitude of pupil responses are measured in normalized units as percentage of the mean pupil size for each participant.

    Measured: From one month before the 3-months intervention up to one month after the end of the intervention.

  3. Change from Baseline in the Amplitude of Task-Related Heart Rate Responses Evoked during a Reinforcement Learning Task.

    Task-related heart rate responses that occur during a reinforcement learning task are calculated from the electrocardiogram recorded with bipolar electrodes attached to the participants' chest. Task-related heart rate responses are measured as changes in cardiac interbeat-interval associated with task events.

    Measured: From one month before the 3-months intervention up to one month after the end of the intervention.

  4. Change from Baseline in Heart Rate Variability during Rest - time domain measures

    3-month change in Mean RR (ms), SDNN (ms), RMSSD (ms).

    Measured: From one month before the 3-months intervention up to one month after the end of the intervention.

  5. Change from Baseline in Heart Rate Variability during Rest - frequency domain measures

    3-month change in VLF (ms^2), LF (ms^2), and HF (ms^2).

    Measured: From one month before the 3-months intervention up to one month after the end of the intervention.

  6. Change from Baseline in the Concentration of Blood Plasma Levels of Inflammatory Biomarkers

    Changes in concentration of inflammatory blood biomarkers are assessed in blood samples collected from venous blood (15 ml) in a fasting state, in the morning. Plasma samples will be quantified by ELISA for Interleukin (IL)-6 (pg/ml), IL-1β (pg/ml), Tumor Necrosis Factor (TNF)-α (pg/ml), Interferon(IFN) -γ (pg/ml), IL-17, (pg/ml).

    Measured: From one month before the 3-months intervention up to one month after the end of the intervention.

  7. Change from Baseline in the Concentration of Blood Plasma Levels of Anti-Inflammatory Biomarkers

    Changes in concentration of anti-inflammatory biomarkers are assessed in blood samples collected from venous blood (15 ml) in fasting state, in the morning. Plasma samples will be quantified by ELISA (Thermofisher, UK) for IL-1Ra (pg/ml), IL-10 (pg/ml).

    Measured: From one month before the 3-months intervention up to one month after the end of the intervention.

  8. Change from Baseline in the Concentration of Vascular Endothelial Growth Factor-D (VEGF-D) Blood Serum Levels

    Changes in concentration of Vascular Endothelial Growth Factor-D (VEGF-D) are assessed in blood samples collected from venous blood (15 ml) in fasting state, in the morning. Serum samples will be quantified by ELISA for VEGF-D (pg/ml).

    Measured: From one month before the 3-months intervention up to one month after the end of the intervention.

  9. Change from Baseline in the Concentration of Insulin-Like Growth Factor 1 (IGF-1) Blood Serum Levels

    Changes in concentration of Insulin-Like Growth Factor 1 (IGF-1) are assessed in blood samples collected from venous blood (15 ml) in fasting state, in the morning. Serum samples will be quantified by ELISA for IGF-1 (ng/ml).

    Measured: From one month before the 3-months intervention up to one month after the end of the intervention.

  10. Change from Baseline in the Concentration of Neurotrophic Factors Blood Serum Levels

    Changes in concentration of Neurotrophic Factors are assessed in blood samples collected from venous blood (15 ml) in fasting state, in the morning. Serum samples will be quantified by ELISA for Brain-Derived Neurotrophic Factor (BDNF)(ng/ml) and Glial cell line-Derived Neurotrophic Factor (GDNF)(ng/ml).

    Measured: From one month before the 3-months intervention up to one month after the end of the intervention.

  11. Change from Baseline in the Concentration of Irisin Blood Serum Levels

    Changes in concentration of Irisin (pg/ml) are assessed in blood samples collected from venous blood (15 ml) in fasting state, in the morning. Serum samples will be quantified by ELISA.

    Measured: From one month before the 3-months intervention up to one month after the end of the intervention.

  12. Feasibility Outcomes: Adherence to the Intervention Protocols

    Adherence to the intervention protocols is assessed by evaluating the attendance rates (percentage of intervention sessions that were attended per participant).

    Measured: One month after the intervention

  13. Feasibility Outcomes: Retention

    Retention is quantified at the end of the study from dropout data: percentage of participants that terminated the intervention and completed the follow-up testing procedures in each group.

    Measured: One month after the intervention

  14. Feasibility Outcomes: Average Group Scores in Acceptability Scale

    Program acceptability measured with custom made acceptability scale applied to the Activ4Brain and Aerobic Exercise groups. The scale is composed of 4 items and the responses are recorded on a scale ranging from 1 to 5 where larger values are associated with higher acceptability. The acceptability score is calculated as the average score of the 4 items.

    Measured: From the end of the intervention up to one month after the intervention.

  15. Feasibility Outcomes: Average Group Scores in the System Usability Scale (SUS)

    Usability of the Activ4Brain cognitive training system measured with the System Usability Scale (SUS) applied to the Activ4Brain group. SUS is composed of 10 items, each measured on a scale from 1 to 5, and yields a single number representing a composite measure of the overall usability of the system being studied. Each item's score contribution ranges from 0 to 4. For items 1, 3, 5, 7, and 9 the score contribution is the scale position minus 1. For items 2, 4, 6, 8 and 10, the contribution is 5 minus the scale position. The sum of the scores is then multiplied by 2.5 to obtain the overall value of System Usability. SUS scores have a range of 0 to 100.

    Measured: From the end of the intervention up to one month after the intervention.

Timeline

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

  1. First posted7 Aug 2025
  2. Study start1 Jan 2024
  3. Primary completion30 Mar 2025
  4. Study completion30 Mar 2025

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
Supportive care
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
72 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07108413
Sponsor's protocol ID
Activ4Brain
Acronym
Activ4Brain
Status last verified
Aug 2025
First submitted
7 Jul 2025
Last updated
7 Aug 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A study testing Activ4Brain Program and Aerobic Exercise Program in people with Older People, run by University of Coimbra at 1 site in Portugal.

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 1 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 7 Aug 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 Portugal. 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 - Multitasking test from the CANTAB Research Connect (time frame: From one month before the 3-months intervention up to one month after the end of the intervention.). The study lists 6 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 7 Aug 2025.

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