VR pupillometry to detect cognitive impairment
Official title: Task-evoked Pupillometry in AD, MCI, and Depression-Related Cognitive Impairment
Run by Max-Planck-Institute of Psychiatry · NCT07402356 · Data updated 2026-11-12
This project will try VR-based eye-tracking pupillometry to see if pupil responses can detect and track cognitive problems in adults with Alzheimer's, mild cognitive impairment, depression-related cognitive impairment, or no cognitive issues.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 140 (estimated) |
| Sponsor | Max-Planck-Institute of Psychiatry Academic / other |
| Locations | 1 site (München, Bavaria) |
| Status | Recruiting |
| Started | May 1, 2025 |
| Main results expected | December 31, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | February 17, 2026 |
| Trial ID | NCT07402356 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–80 who can read German, can give informed consent, and fall into one of the cohorts (CSF-supported Alzheimer's, MCI without AD, depressive disorder with cognitive impairment, or healthy control) are ideal candidates.
✕Probably not a fit
People with recent stroke, Parkinson's syndrome, multiple sclerosis, lifetime psychotic or bipolar disorder, acute substance abuse, recent psychotropic medication changes, inability to consent, or who cannot read German may not be suitable or likely to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This prospective, single-center, repeated-measures study uses VR headsets with eye-tracking to record pupil responses alongside behavioral tests at baseline and at 3- and 6-month follow-ups. Adults (18–80 years) are assigned to one of four cohorts (n=35 each): biomarker-supported Alzheimer's disease, MCI without Alzheimer pathology, depressive disorder with cognitive impairment, or healthy controls. The protocol links pupil dynamics to locus coeruleus–noradrenergic arousal systems that are implicated early in Alzheimer pathology and may change with cognitive decline. Data will be used to compare pupil metrics across cohorts and over time to determine whether VR-based pupillometry offers a practical, noninvasive longitudinal biomarker.
Why it matters
Potential benefit: If successful, this approach could provide a noninvasive, practical tool for earlier detection and monitoring of cognitive decline, potentially enabling timelier interventions.
How similar studies have gone: Pupillometry and LC-related pupil metrics have shown promising signals in prior Alzheimer's and cognitive research, but VR-based eye-tracking approaches are newer and have limited longitudinal validation.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Written informed consent. 2. Age 18-80 years. 3. Ability to read and understand German. 4. For patient cohorts: suspected or confirmed diagnosis of AD/MCI/depressive disorder with cognitive impairment according to clinical assessment and routine documentation. Exclusion Criteria: 1. Acute suicidality (e.g. BDI suicidality item \> 1). 2. Change of psychotropic medication within the last 4 weeks. 3. Lifetime psychotic disorder (ICD-10 F20-29). 4. Lack of capacity to consent. 5. Lifetime bipolar disorder (ICD-10 F31). 6. Acute substance abuse or harmful use of alcohol or other psychoactive substances. 7. Parkinson's syndrome (ICD-10 G20). 8. Multiple sclerosis (ICD-10 G35). 9. Stroke within the last 12 months.
Where it's running
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Max Planck Institute of Psychiatry
München, Bavaria, Germany Recruiting
Study contacts
- Principal investigator: Victor I. Spoormaker, PhD — Max-Planck-Institute of Psychiatry
- Study coordinator: Eva Vidovic, MD
- Email: eva_vidovic@psych.mpg.de
- Phone: 089-30622-1402
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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.