Effects of Auditory Brain Stimulation by "Pink Noise" on Memory Capacities in Alzheimer's Disease: Proof of Concept Study (PINK-AD)
Alzheimer's disease (AD) is a neurodegenerative disorder affecting almost 6% of the world's population over the age of 65. This disease, in its most typical sporadic form, is characterized by an episodic memory impairment linked to a deficit in consolidation. Many studies indicate that sleep promotes this consolidation stage during the deep slow sleep stage by facilitating the transfer of information between the hippocampus and the neocortex.
A method of acoustic brain stimulation at night by pink noises has been recently developed and has shown its effectiveness in strengthening memory consolidation in healthy volunteers. Actually, there is no study observing the effect of this new stimulation method on populations with neurodegenerative pathologies, in particular in AD for which this technique could potentially become a therapeutic option.
The hypothesis is that of a strengthening of the memory consolidation capacities in subjects with AD as has been shown in healthy subjects.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Alzheimer's disease (AD) is a neurodegenerative disorder affecting almost 6% of the world's population over the age of 65. This disease, in its most typical sporadic form, is characterized by an episodic memory impairment linked to a deficit in consolidation. Many studies indicate that sleep promotes this consolidation stage during the deep slow sleep stage by facilitating the transfer of information between the hippocampus and the neocortex.
A method of acoustic brain stimulation at night by pink noises has been recently developed and has shown its effectiveness in strengthening memory consolidation in healthy volunteers. Actually, there is no study observing the effect of this new stimulation method on populations with neurodegenerative pathologies, in particular in AD for which this technique could potentially become a therapeutic option.
The hypothesis is that of a strengthening of the memory consolidation capacities in subjects with AD as has been shown in healthy subjects.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Anna-Chloé BALAGEAS, PhD
- Phone Number: +33 0234378952
- Email: a.balageas@chu-tours.fr
Study Locations
-
-
-
Tours, France, 37044
- University Hospital of TOURS
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria common to all participants:
- Age> 50 years at the inclusion
- Patient with regular sleep patterns
- Patient having given written consent
- Patient affiliated to a social security regimen
Inclusion criteria for subjects with Alzheimer's disease:
- Patient with a beginning Alzheimer's disease defined according to the criteria of the National Institute on Aging-Alzheimer's Association or carriers of a prodromal Alzheimer's disease defined according to the criteria of the International Working Group IWG-2; the diagnosis must be supported by brain imaging and a blood test carried out in routine care
- MMSE score ≥ 24
Inclusion criteria for healthy volunteers:
- Absence of neurodegenerative pathologies
- Matched in age (+/- 5 years) and in sex with a patient
Non-inclusion criteria common to all participants:
- Psychiatric pathologies (except depression or anxiety disorders stabilized for more than 3 months)
- History of pathology which may have consequences on cognitive functioning and / or sleep: brain tumor, constituted stroke, epilepsy, head trauma (with clinical or parenchymal sequelae objectified on brain imagery), brain surgery
- Any significant comorbidity likely to constitute a confounding factor according to the clinician
- Psychotropic treatments introduced or modified <3 months before inclusion
- Hypnotic and / or sedative treatments
- Chronic consumption of alcohol or drugs
- Legal incapacity and / or other circumstance rendering the patient unable to understand the nature, objective or consequences of the study
- Major under guardianship or curatorship
- Patient not French-speaking by birth or illiterate
Exclusion Criteria common to all participants:
- Sleep disorders defined by a score> 5 on the Pittsburg sleep quality index (PSQI)
- A score> 10 on the Epworth sleepiness index
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: ON-Stim
acoustic stimulation
|
acoustic stimulation
|
|
Sham Comparator: OFF-Stim
no acoustic stimulation
|
acoustic stimulation
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
difference between morning and eve of the number of reminders found between the "ON-stimulation" condition and the "OFF-stimulation" condition, on the memory task of word matching.
Time Frame: Day 7
|
gross variation of the difference between morning and eve of the number of reminders found between the "ON-stimulation" condition and the "OFF-stimulation" condition, on the memory task of word matching.
|
Day 7
|
|
difference between morning and eve of the number of reminders found between the "ON-stimulation" condition and the "OFF-stimulation" condition, on the memory task of word matching.
Time Frame: Day 8
|
gross variation of the difference between morning and eve of the number of reminders found between the "ON-stimulation" condition and the "OFF-stimulation" condition, on the memory task of word matching.
|
Day 8
|
|
difference between morning and eve of the number of reminders found between the "ON-stimulation" condition and the "OFF-stimulation" condition, on the memory task of word matching.
Time Frame: Day 14
|
gross variation of the difference between morning and eve of the number of reminders found between the "ON-stimulation" condition and the "OFF-stimulation" condition, on the memory task of word matching.
|
Day 14
|
|
difference between morning and eve of the number of reminders found between the "ON-stimulation" condition and the "OFF-stimulation" condition, on the memory task of word matching.
Time Frame: Day 15
|
gross variation of the difference between morning and eve of the number of reminders found between the "ON-stimulation" condition and the "OFF-stimulation" condition, on the memory task of word matching.
|
Day 15
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of reminders found between the "ON-stimulation" condition and the "OFF-stimulation" condition, on the ecological memory task.
Time Frame: Day 7
|
gross variation of the difference between morning and eve of the number of reminders found between the "ON-stimulation" condition and the "OFF-stimulation" condition, on the ecological memory task.
|
Day 7
|
|
Number of reminders found between the "ON-stimulation" condition and the "OFF-stimulation" condition, on the ecological memory task.
Time Frame: Day 8
|
gross variation of the difference between morning and eve of the number of reminders found between the "ON-stimulation" condition and the "OFF-stimulation" condition, on the ecological memory task.
|
Day 8
|
|
Number of reminders found between the "ON-stimulation" condition and the "OFF-stimulation" condition, on the ecological memory task.
Time Frame: Day 14
|
gross variation of the difference between morning and eve of the number of reminders found between the "ON-stimulation" condition and the "OFF-stimulation" condition, on the ecological memory task.
|
Day 14
|
|
Number of reminders found between the "ON-stimulation" condition and the "OFF-stimulation" condition, on the ecological memory task.
Time Frame: Day 15
|
gross variation of the difference between morning and eve of the number of reminders found between the "ON-stimulation" condition and the "OFF-stimulation" condition, on the ecological memory task.
|
Day 15
|
|
The memory complaint for Mc Nair's Questionnaire
Time Frame: Baseline
|
score from 0 to 156.156 control of a bad score.
The variation between J0 and J15 will be studied.
|
Baseline
|
|
Psychoaffective aspects (Depression) for MADRS (Montgomery Asberg Depression Rating Scale)
Time Frame: Baseline
|
score from 0 to 60.60 control of a bad score.
The variation between J0 and J15 will be studied.
|
Baseline
|
|
Psychoaffective aspects (Anxiety) for HAMA (Hamilton Anxiety)
Time Frame: Baseline
|
score from 0 to 56.56 control of a bad score.
The variation between J0 and J15 will be studied.
|
Baseline
|
|
Quality of sleep for Pittsburgh Index (PSQI)
Time Frame: Baseline
|
It is more an index of tolerance than efficiency.
If the score is higher, the tolerance is lower.
|
Baseline
|
|
The memory complaint for Mc Nair's Questionnaire
Time Frame: Day 15
|
score from 0 to 156.156 control of a bad score.
The variation between J0 and J15 will be studied.
|
Day 15
|
|
Psychoaffective aspects (Depression) for MADRS (Montgomery Asberg Depression Rating Scale)
Time Frame: Day 15
|
score from 0 to 60.60 control of a bad score.
The variation between J0 and J15 will be studied.
|
Day 15
|
|
Psychoaffective aspects (Anxiety) for HAMA (Hamilton Anxiety)
Time Frame: Day 15
|
score from 0 to 56.56 control of a bad score.
The variation between J0 and J15 will be studied.
|
Day 15
|
|
Quality of sleep for Pittsburgh Index (PSQI)
Time Frame: Day 15
|
It is more an index of tolerance than efficiency.
If the score is higher, the tolerance is lower.
|
Day 15
|
|
amplitude of slow waves in deep slow sleep between the "ON-stimulation" condition and the "OFF-stimulation" condition
Time Frame: Day 7
|
gross variation in the amplitude of slow waves in deep slow sleep between the "ON-stimulation" condition and the "OFF-stimulation" condition, on an ambulatory EEG device
|
Day 7
|
|
amplitude of slow waves in deep slow sleep between the "ON-stimulation" condition and the "OFF-stimulation" condition
Time Frame: Day 8
|
gross variation in the amplitude of slow waves in deep slow sleep between the "ON-stimulation" condition and the "OFF-stimulation" condition, on an ambulatory EEG device
|
Day 8
|
|
amplitude of slow waves in deep slow sleep between the "ON-stimulation" condition and the "OFF-stimulation" condition
Time Frame: Day 14
|
gross variation in the amplitude of slow waves in deep slow sleep between the "ON-stimulation" condition and the "OFF-stimulation" condition, on an ambulatory EEG device
|
Day 14
|
|
amplitude of slow waves in deep slow sleep between the "ON-stimulation" condition and the "OFF-stimulation" condition
Time Frame: Day 15
|
gross variation in the amplitude of slow waves in deep slow sleep between the "ON-stimulation" condition and the "OFF-stimulation" condition, on an ambulatory EEG device
|
Day 15
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- DR200077
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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