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Subjective Cognitive Decline (SCD)NCT07445945

Physiological Effect of Non-invasive Photobiomodulation on Cognition and Mood in Older Adults With Subjective Cognitive Impairment

A study testing Photobiomodulation in people with Subjective Cognitive Decline (SCD) and Subjective Cognitive Impairment, run by Baycrest at 1 site in Canada.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

Subjective cognitive impairment (SCI) is a non-clinical condition manifesting as a self-reported decline in cognitive function without objective clinical evidence, and is prevalent among older adults and strongly associated with declining mood. Read more about this study

Who is it for?
Ages 50 to 75 years
What is being tested?
Photobiomodulation
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
80 participants
Where
1 siteCanada
Study dates
Jun 2026to Jul 2028
Phase
Interventional
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Affirmative responses to two questions on a self-report questionnaire: "Do you feel your memory is becoming worse?" "If so, are you concerned?"

Who cannot join

  • Presence of clinically diagnosed dementia, mild cognitive impairment, depression, post-traumatic stress disorder, obsessive-compulsive disorder, eating disorder(s), schizophrenia, or other psychiatric disorders.
  • History of a manic, hypomanic, or mixed depressive episode.
  • Treatment with electroconvulsive therapy, intravenous and/or intranasal ketamine in the 6-weeks prior to study enrolment.
  • History of substance-use disorder in the past 12 months.
  • Presence of current alcohol-use disorder.
  • A positive urine toxicology screen for non-prescribed substance use.
Show all 12Show fewer
  • A positive pregnancy test at screening.
  • A history of major medical or neurological illness.
  • A history of traumatic brain injury, stroke, seizures, or previous brain surgery.
  • Current use of anti-coagulants.
  • Contraindications to magnetic resonance imaging (MRI) scanning.
  • Being currently involved in other intervention studies.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Principal Investigator contact

416-785-2500 ext. 2017

jean.chen@utoronto.ca

Canada1 site
  • Rotman Research Institute

    Toronto, Ontario, M6A 2E1

    Principal Investigator, 416-785-2500 ext. 2017, jean.chen@utoronto.ca

Other trials in Canada

About this study

Subjective cognitive impairment (SCI) is a non-clinical condition manifesting as a self-reported decline in cognitive function without objective clinical evidence, and is prevalent among older adults and strongly associated with declining mood. This study explores the potential of photobiomodulation (PBM) as a therapeutic intervention for SCI. PBM, using near-infrared light, is a non-invasive neuromodulation approach that has shown promise in improving neuronal function, blood flow, and reducing inflammation in both healthy adults and patients with neurological conditions, including dementia and depression. This study proposes investigating the potential of forehead (tPBM), intranasal (iPBM) and vagal (vPBM) PBM to enhance mood and cognitive function in individuals with SCI as a proof of concept for the future use of PBM as therapy for cognitive decline in general.

This study will recruit approximately 80 participants with SCI for the study, and the total expected duration of the participant\'s participation in the study is 5 weeks. The active and sham Neuro 5T device consisting of a headset with a built-in controller, nasal and neck applicators will be used. The nasal and neck applicators each contains a single LED and will be placed into the nostril or neck and secured into place. The headset contains multiple LEDs in a wearable applicator and may be adjusted. The Neuro 5T also contains telemetry features to allow documentation of patient usage of the device. LEDs are semiconductor electronic components that emit light. Participants will be given PBM devices for in-home usage, 2 times a day, 7 days a week, for 5 weeks. Participants will undergo EEG, MRI, cognitive and nasal microbiome assessments before and after the 5-week period.

Read the detailed description

This study will recruit approximately 80 participants with SCI for the study, and the total expected duration of the participant's participation in the study is 5 weeks. The active and sham Neuro 5T device consisting of a headset with a built-in controller, nasal and neck applicators will be used. The nasal and neck applicators each contains a single LED and will be placed into the nostril or neck and secured into place. The headset contains multiple LEDs in a wearable applicator and may be adjusted. The Neuro 5T also contains telemetry features to allow documentation of patient usage of the device. LEDs are semiconductor electronic components that emit light. Participants will be given PBM devices for in-home usage, 2 times a day, 7 days a week, for 5 weeks. Participants will undergo EEG, MRI, cognitive and nasal microbiome assessments before and after the 5-week period.

Being tested
Photobiomodulation, Sham (No Treatment)
Keywords
Photobiomodulation, Light Therapy, Electroencephalography, MRI, Neuromodulation

What participants receive

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

  • PhotobiomodulationOther

    the application of red and near-infrared light

  • Sham (No Treatment)Other

    Control intervention; no photobiomodulation

Study groups in NCT07445945
Study groupRoleWhat they receive
ShamSham comparatorParticipants will have the devices positioned but not turned on
Receives: Other: Sham (No Treatment)
tPBM (forehead PBM)Active comparatorParticipants will have the devices positioned but only the tPBM device turned on
Receives: Other: Photobiomodulation
iPBM (intranasal PBM)Active comparatorParticipants will have the devices positioned but only the iPBM device turned on
Receives: Other: Photobiomodulation
vPBM (vagus PBM)Active comparatorParticipants will have the devices positioned but only the vPBM device turned on
Receives: Other: Photobiomodulation

What is being measured

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

  1. Geriatric Depression Scale (Short Form)

    The Geriatric Depression Scale (Short Form), or GDS-SF, is a 15-item questionnaire used to screen older adults for depression. It is a simplified version of the original 30-item GDS, designed to be easier to administer, especially to those who are physically ill, easily fatigued, have short attention spans, or have mild cognitive impairment. A score of 5 or greater suggests the need for further evaluation for depression.

    Measured: The first assessment will take place before participants receive treatment, and another session no more than 2 weeks after their final treatment session.

  2. Montreal Cognitive Assessment

    The Montreal Cognitive Assessment (MoCA) is a rapid screening instrument designed to detect mild cognitive impairment. It assesses various cognitive domains, including attention, memory, language, and executive functions. The MoCA is a brief test, taking approximately 10 minutes to administer, and is widely used in clinical and research settings.

    Measured: The first assessment will take place before participants receive treatment, and another session no more than 2 weeks after their final treatment session.

Secondary outcomes (4)
  1. EEG signal metrics and spatial-temporal pattern

    The electroenphalography (EEG) recordings will be conducted at Baycrest on a 256 channel EGI-Magstim system. We will position an electrode net over the subject's head and face with small sponges soaked in a saline solution. We will also place two single electrodes on the chest. We will assess the power and entropy of alpha, low-frequency (delta and theta) and high (beta and gamma) EEG bands in the resting state.

    Measured: Two sessions, to be completed no more than 2 weeks before the start of the treatment sessions and then no more than 2 weeks after the conclusion of all treatment sessions

  2. Alpha diversity

    Alpha diversity measures diversity within a single sample, beta diversity focuses on the differences between samples.

    Measured: Two nasal swab samples collected; one before the administration of the first treatment session, and one after the last treatment session.

  3. Resting-state fMRI

    Acquired using a research-dedicated whole-body 3T MRI system (Prisma, Siemens Medical Solutions). We will compute resting-state global functional-connectivity density.

    Measured: Two scans, to be completed no more than 2 weeks before the start of the first treatment session and no more than 2 weeks after the conclusion of the last treatment session.

  4. Beta diversity

    Beta diversity in the microbiome refers to the dissimilarity or differences in microbial community composition between two or more samples. It essentially quantifies how much the microbial communities vary across different environments, sites, or conditions.

    Measured: Two nasal swab samples collected; one before the administration of the first treatment session, and one after the last treatment session.

Timeline

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

  1. First posted3 Mar 2026
  2. Study startJun 2026 (estimated)
  3. Primary completionJul 2028 (estimated)
  4. Study completionJul 2028 (estimated)

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
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07445945
Sponsor's protocol ID
REB 25-12
Status last verified
Oct 2025
First submitted
14 Jul 2025
Last updated
3 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Zomorrodi R, Loheswaran G, Pushparaj A, Lim L. Pulsed Near Infrared Transcranial and Intranasal Photobiomodulation Significantly Modulates Neural Oscillations: a pilot exploratory study. Sci Rep. 2019 Apr 19;9(1):6309. doi: 10.1038/s41598-019-42693-x.

    PubMed 31004126
  • Zollinger I, Bauer A, Blotenberg I, Brettschneider C, Buchholz M, Czock D, Dohring J, Escales C, Fankhaenel T, Frese T, Hoffmann W, Kaduszkiewicz H, Konig HH, Luppa M, Oey A, Pabst A, Sanftenberg L, Thyrian JR, Weiss J, Wendel F, Wiese B, Riedel-Heller SG, Gensichen J. Associations of Depressive Symptoms with Subjective Cognitive Decline in Elderly People-A Cross-Sectional Analysis from the AgeWell.de-Study. J Clin Med. 2023 Aug 10;12(16):5205. doi: 10.3390/jcm12165205.

    PubMed 37629244
  • Wang X, Tian F, Reddy DD, Nalawade SS, Barrett DW, Gonzalez-Lima F, Liu H. Up-regulation of cerebral cytochrome-c-oxidase and hemodynamics by transcranial infrared laser stimulation: A broadband near-infrared spectroscopy study. J Cereb Blood Flow Metab. 2017 Dec;37(12):3789-3802. doi: 10.1177/0271678X17691783. Epub 2017 Feb 9.

    PubMed 28178891
  • Van Lankveld, H., Chen, J.X., Zhong, X.Z., Chen, J.J., 2025. Consistent and real-time BOLD fMRI response to pulsed transcranial and intranasal photobiomodulation. , in: OHBM 2025 Annual Meeting. Presented at the OHBM 2025 Annual meeting.

  • Thompson SL, O'Leary GH, Austelle CW, Gruber E, Kahn AT, Manett AJ, Short B, Badran BW. A Review of Parameter Settings for Invasive and Non-invasive Vagus Nerve Stimulation (VNS) Applied in Neurological and Psychiatric Disorders. Front Neurosci. 2021 Jul 13;15:709436. doi: 10.3389/fnins.2021.709436. eCollection 2021.

    PubMed 34326720
  • Schiffer F, Johnston AL, Ravichandran C, Polcari A, Teicher MH, Webb RH, Hamblin MR. Psychological benefits 2 and 4 weeks after a single treatment with near infrared light to the forehead: a pilot study of 10 patients with major depression and anxiety. Behav Brain Funct. 2009 Dec 8;5:46. doi: 10.1186/1744-9081-5-46.

    PubMed 19995444
  • Saltmarche AE, Naeser MA, Ho KF, Hamblin MR, Lim L. Significant Improvement in Cognition in Mild to Moderately Severe Dementia Cases Treated with Transcranial Plus Intranasal Photobiomodulation: Case Series Report. Photomed Laser Surg. 2017 Aug;35(8):432-441. doi: 10.1089/pho.2016.4227. Epub 2017 Feb 10.

    PubMed 28186867
  • Salehpour F, Majdi A, Pazhuhi M, Ghasemi F, Khademi M, Pashazadeh F, Hamblin MR, Cassano P. Transcranial Photobiomodulation Improves Cognitive Performance in Young Healthy Adults: A Systematic Review and Meta-Analysis. Photobiomodul Photomed Laser Surg. 2019 Oct;37(10):635-643. doi: 10.1089/photob.2019.4673. Epub 2019 Sep 24.

    PubMed 31549906
  • Salehpour F, Khademi M, Hamblin MR. Photobiomodulation Therapy for Dementia: A Systematic Review of Pre-Clinical and Clinical Studies. J Alzheimers Dis. 2021;83(4):1431-1452. doi: 10.3233/JAD-210029.

    PubMed 33935090
  • Salehpour F, Gholipour-Khalili S, Farajdokht F, Kamari F, Walski T, Hamblin MR, DiDuro JO, Cassano P. Therapeutic potential of intranasal photobiomodulation therapy for neurological and neuropsychiatric disorders: a narrative review. Rev Neurosci. 2020 Apr 28;31(3):269-286. doi: 10.1515/revneuro-2019-0063.

    PubMed 31812948
  • Rashidi-Ranjbar, N., Churchill, N.W., Graham, S.J., Schneider, R., Rajji, T.K., Andreazza, A.C., Lim, L., Coull, J., Munoz, D.G., Fornazzari, L.R., Tom A. Schweizer, Fischer, C.E., 2024. A pilot study evaluating the feasibility, safety, and efficacy of transcranial photobiomodulation (tPBM) for the treatment of mild cognitive impairment (MCI): preliminary findings. Alzheimers. Dement. 20. https://doi.org/10.1002/alz.095049

  • Peruzzotti-Jametti L, Donega M, Giusto E, Mallucci G, Marchetti B, Pluchino S. The role of the immune system in central nervous system plasticity after acute injury. Neuroscience. 2014 Dec 26;283:210-221. doi: 10.1016/j.neuroscience.2014.04.036. Epub 2014 Apr 29.

    PubMed 24785677
  • Nawashiro H, Wada K, Nakai K, Sato S. Focal increase in cerebral blood flow after treatment with near-infrared light to the forehead in a patient in a persistent vegetative state. Photomed Laser Surg. 2012 Apr;30(4):231-3. doi: 10.1089/pho.2011.3044. Epub 2011 Nov 2.

    PubMed 22047598
  • Nairuz T, Sangwoo-Cho, Lee JH. Photobiomodulation Therapy on Brain: Pioneering an Innovative Approach to Revolutionize Cognitive Dynamics. Cells. 2024 Jun 3;13(11):966. doi: 10.3390/cells13110966.

    PubMed 38891098
  • Mou YK, Song XY, Wang HR, Wang Y, Liu WC, Yang T, Zhang MJ, Hu Y, Ren C, Song XC. Understanding the nose-brain axis and its role in related diseases: A conceptual review. Neurobiol Dis. 2024 Nov;202:106690. doi: 10.1016/j.nbd.2024.106690. Epub 2024 Oct 9.

    PubMed 39389156

Questions about this trial

What is this clinical trial studying?

A study testing Photobiomodulation in people with Subjective Cognitive Decline (SCD) and Subjective Cognitive Impairment, run by Baycrest at 1 site in Canada.

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 12 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: opening soon, as of the sponsor's last update on 3 Mar 2026. 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 Canada. 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.

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?

Contact Principal Investigator (416-785-2500 ext. 2017, jean.chen@utoronto.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Geriatric Depression Scale (Short Form) (time frame: The first assessment will take place before participants receive treatment, and another session no more than 2 weeks after their final treatment session.). 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?

On the ClinicalTrials.gov record for NCT07445945, which also lists 35 linked publications.

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 Mar 2026.

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