Network-guided, personalized brain stimulation for behavioral symptoms in Alzheimer's disease
Official title: The Safety and Efficacy of Functional Impairment Network-Guided Individualized Transcranial Magnetic Stimulation for Behavioral and Psychological Symptoms in Alzheimer's Disease (NET-BPSD): A Randomized, Double-blind, Sham-Controlled Trial
Run by Anhui Medical University · NCT07692542 · Data updated 2026-11-12
This trial tests whether personalized network-guided rTMS can help reduce behavioral and psychological symptoms in people with Alzheimer's disease who meet eligibility criteria.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 50 Years to 90 Years |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | Anhui Medical University Academic / other |
| Locations | 1 site (Hefei, Anhui) |
| Status | Recruiting |
| Started | July 20, 2026 |
| Main results expected | December 31, 2026 |
| Study ends | February 2027 |
| Registry record updated | November 3, 2026 |
| Trial ID | NCT07692542 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 50 and older with Alzheimer's disease, MMSE 10–24, CDR 0.5–2, NPI ≥4, right-handed, and stable anti-dementia medication use for at least one month.
✕Probably not a fit
Individuals with recent rTMS exposure, major depression or other psychiatric disorders, history of head injury or epilepsy, or contraindications to MRI or TMS may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This double-blind, randomized trial compares real versus sham network-guided repetitive transcranial magnetic stimulation (rTMS) over two weeks in adults with Alzheimer's disease. Each participant receives an individualized stimulation target based on MRI data aligned to a predefined behavioral network, with outcomes assessed before and after treatment through cognitive and neuropsychiatric measures. Participants and raters are unaware of group assignment, and only one researcher handles randomization. The study aims to determine safety and potential efficacy of this personalized approach, enrolling 40 participants total to achieve adequate statistical power.
Why it matters
Potential benefit: If successful, participants may experience a reduction in behavioral and psychological symptoms and potential stabilization or improvement in related cognitive measures.
How similar studies have gone: Previous studies in TMS for Alzheimer's–related behavioral symptoms have shown mixed results; this study uses a novel network-guided, individualized targeting approach that is exploratory.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 1.Diagnosis of Alzheimer's disease according to the 2011 NIA-AA diagnostic criteria. 2.Mini-Mental State Examination (MMSE) score between 10 and 24; 3.Clinical Dementia Rating (CDR) score between 0.5 and 2; 4.Neuropsychiatric Inventory (NPI) score ≥4; 5.Education duration ≥5 years, or ability to complete the required cognitive and neuropsychological assessments; 6.Age ≥50 years and right-handedness; 7.Stable use of anti-dementia medications, including an NMDA receptor antagonist and/or cholinesterase inhibitors, for at least one month before rTMS intervention; 8.The patient and his or her family member or legal representative are able to understand the study procedures and provide written informed consent. Exclusion Criteria: * 1\. Recevied rTMS treatment in the past 3 months. 2. Depression or other psychiatric disorders. 3. History of head injury, stroke, epilepsy or other neurologic disease. 4. Organic brain defects on T1 or T2 images. 5. History of unexplained loss of consciousness. 6. Implanted pacemaker, medication pump, vagal stimulator, deep brain stimulator, or any implanted medical device that is incompatible with MRI. 7. Family history of medication refractory epilepsy. 8. History of substance abuse within the last 6 months.
Where it's running
-
Anhui Medical University
Hefei, Anhui, China Recruiting
Study contacts
- Study coordinator: Kai Wang
- Email: wangkai1964@126.com
- Phone: +86-0551-62922263
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
rTMS to improve movement after brain tumor surgery
This pilot will try whether short courses of daily TMS can help adults with new or ongoing movement weakness after brain tumor surgery recover strength and function.
-
Comparing cervical versus thoracic trans‑spinal magnetic stimulation added to brain TMS to improve walking in Parkinson's disease
This trial will test whether adding cervical or thoracic trans‑spinal magnetic stimulation to repetitive brain TMS helps people with Parkinson's and gait problems walk better and move more easily.
-
Accelerated intermittent vs continuous theta-burst stimulation for treatment-resistant depression
This trial will test whether two accelerated theta-burst magnetic stimulation approaches—intermittent (iTBS) and continuous (cTBS)—work better for adults with treatment-resistant depression.
-
Personalized brain-guided iTBS for schizophrenia in routine clinics
This project will test whether personalized, neuronavigation-guided intermittent theta-burst stimulation (iTBS) can help reduce symptoms in adults with schizophrenia treated in routine clinical settings.
-
Varenicline plus enhanced TMS to help adults quit smoking and vaping
This study tests whether adding active enhanced accelerated transcranial magnetic stimulation (aTMS) to varenicline helps adults 18–65 quit nicotine use more effectively than varenicline with sham stimulation.
-
Using patterned non-invasive brain stimulation (iTBS) to improve hand strength after chronic stroke
This trial will test whether a high-dose patterned non-invasive brain stimulation (iTBS) can help people with chronic stroke regain hand muscle strength and motor control.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.