Clinical trial Recruiting at 1 site Interventional Ages 18 to 90

Using brain stimulation to improve cognitive control in older adults with mild cognitive impairment

Official title: Closed-Loop Brain Stimulation as a Potential Intervention for Cognitive Decline

Run by University of Texas at Austin · NCT05907343 · Data updated 2026-11-12

This study is testing if a new type of brain stimulation can help older adults with mild cognitive impairment improve their thinking skills while they play a video game.

Quick facts

Study typeInterventional
Ages18 Years to 90 Years
SexAll
Enrollment180 (estimated)
SponsorUniversity of Texas at Austin
Academic / other
Locations1 site (Austin, Texas)
StatusRecruiting
StartedMay 31, 2023
Main results expectedOctober 31, 2027
Study endsOctober 31, 2027
Registry record updatedSeptember 2, 2026
Trial IDNCT05907343 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include older adults aged 60 to 90 years with a diagnosis of mild cognitive impairment and cognitively healthy younger adults aged 18 to 35.

Probably not a fit

Patients with severe cognitive impairment or those outside the specified age ranges may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical study investigates the effectiveness of non-invasive theta burst stimulation (TBS) to enhance cognitive control in older adults diagnosed with mild cognitive impairment (MCI). Participants will engage in a cognitive video game while their brain activity is monitored through a brain-computer interface (BCI) that detects cognitive engagement. The study aims to compare the therapeutic effects of closed-loop TBS, which adapts stimulation based on real-time EEG signals, against open-loop TBS and a sham treatment. The goal is to determine if closed-loop TBS can restore cognitive functions more effectively than traditional methods.

Why it matters

Potential benefit: If successful, this intervention could significantly improve cognitive control and memory function in older adults with mild cognitive impairment.

How similar studies have gone: Other studies have shown promise with brain stimulation techniques, but the closed-loop approach in this context is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Older adults

  1. Ages between 60 to 90 years
  2. Good general health
  3. Normal or corrected vision
  4. Completed elementary school education or able to understand middle school level experiment instructions
  5. Self reports cognitive complaints
* Cognitively normal young adults

  1. Ages between 18 to 35 years
  2. Good general health
  3. Normal or corrected vision
  4. Completed elementary school education or able to understand middle school level experiment instructions

Exclusion Criteria:

1. Self-report of neurological or psychiatric diseases that could be contraindicated for TMS (e.g., personal history of epilepsy/seizure brain damage, history of fainting, bipolar disorder, schizophrenia, current substance use disorder, etc.).
2. Medications that elevate seizure threshold (e.g., stimulant medication, high dose bupropion).
3. Factors hindering EEG acquisition and rTMS delivery (e.g., skin infection, wounds, dermatitis, unable to access the scalp of the participant (e.g., unremovable wig).
4. Current participation in amyloid infusion treatment for Alzheimer's disease.
5. Do not have the capacity to provide informed consent and does not have a Legally Authorized Representative.
6. Resting motor threshold below the power limit in the laboratory. (Will be check on the first visit)

Where it's running

  • Health Discovery Building
    Austin, Texas, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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.