NIH-funded research R01 grant

Investigating the effects of indoor cycling on slowing Alzheimer's disease progression in older adults at genetic risk.

Official title: CYCLE-AD: Randomized Controlled Trial to Assess the Efficacy of Indoor Cycling in Slowing Disease Progression in Healthy Older Persons at Genetic Risk for Alzheimer’s Disease

Funded at Cleveland Clinic Lerner Com-Cwru · NIH-11009531 · Data updated 2026-11-12

This study is looking at how high-intensity indoor cycling might help protect the brain health of healthy older adults aged 65 to 80 who have a specific gene linked to Alzheimer's disease, by comparing their cognitive function and brain scans before and after the exercise program.

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Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionCleveland Clinic Lerner Com-Cwru
NIH-funded
Lab location1 site (Cleveland, United States)
Project startJanuary 15, 2021
Project endDecember 31, 2025
Funding year2025
Award (this year)$1,355,971
NIH project number5R01AG070736-05
Project IDNIH-11009531 on NIH RePORTER

Who could benefit from this research

Could help

Ideal candidates for this research are healthy older adults aged 65 to 80 who carry the APOE ε4 allele and are currently sedentary.

Less likely to help

Patients who are not genetically at risk for Alzheimer's disease or those who are already highly active may not benefit from this research.

What this research studies

This research focuses on the impact of high-intensity indoor cycling on healthy older adults who carry the APOE ε4 allele, a significant genetic risk factor for Alzheimer's disease. Participants aged 65 to 80 will be randomly assigned to either a cycling group or a control group, with the cycling group engaging in home-based high-intensity interval training. The study aims to assess changes in cognitive function and brain imaging over time, providing insights into how physical activity may protect against cognitive decline. By monitoring participants' activity levels and health outcomes, the research seeks to establish a clear link between exercise and brain health in at-risk individuals.

Why it matters

Potential benefit: If successful, this research could provide a new, effective intervention to slow cognitive decline and delay the onset of Alzheimer's disease in genetically at-risk older adults.

How similar studies have gone: Previous research has indicated that physical activity can have protective effects against cognitive decline, suggesting that this approach may yield positive results.

Where this research is happening

  • Cleveland Clinic Lerner Com-Cwru
    Cleveland, United States
    Active

Researchers

  • Principal investigator: Rao, Stephen Mark — Cleveland Clinic Lerner Com-Cwru
  • Study coordinator: Rao, Stephen Mark

Related research

Other NIH-funded projects on the same topics.

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.