- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06079411
Virtual Therapeutics for MCI (VR-MCI)
Low-Cost Virtual Therapeutics and Digital Biomarkers for the Early Assessment and Personalized Treatment of Mild Cognitive Impairment
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The current study aims to design, develop and test virtual therapeutics to train MCI spatial memory through virtual reality rehabilitation. 36 Participants will be randomly assigned to three different conditions: embodied low-end spatial VR training vs. the treatment as usual (TAU; i.e., visuospatial "paper and pencil" stimulation) vs. a non-embodied low-end spatial VR training. The three conditions will consist of at least 8 sessions of 30/40 minutes 3 times a week.
The study will measure changes in spatial memory, in particular in egocentric and allocentric memory. Each patient will be tested 3 times: 3 weeks before the pre-test (control waiting period), at the pre-test and after the intervention, namely post-test (3 time points).
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Cosimo Tuena
- Phone Number: 2726 0261911
- Email: c.tuena@auxologico.it
Study Contact Backup
- Name: Chiara Stramba-Badiale
- Email: c.strambabadiale@auxologico.it
Study Locations
-
-
Lombardia
-
Milan, Lombardia, Italy, 20145
- Recruiting
- Istituto Auxologico Italiano
-
Contact:
- Cosimo Tuena
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- a change in cognition recognized by patients or observers (Caregiver/examiner)
- an objective impairment in one or more cognitive domains using traditional neuropsychological tests;
- autonomy or slight dependence on daily life activities;
- absence of diagnosis of dementia
- absence of cognitive impairment measured by the mini-mental state examination;
- aged 65 or over
Exclusion Criteria:
- the presence of acute stroke/transient ischemic attack occurred in the 6 months prior to the enrollment visit;
- the presence of aphasia and/or neglect;
- the presence of other concomitants severe neurological/psychiatric diseases (e.g., hemiparesis, multiple system atrophy, muscular skeletal/orthopedic deficits that limit movement)
- the presence of physical and/or functional deficits;
- the comorbidity with severe neurological and/or psychiatric diseases (e.g., neoplasms, multiple sclerosis, amyotrophic lateral sclerosis, Huntington's disease, schizophrenia, addiction, personality disorder, eating disorder) or with psychiatric conditions not under drug treatment (anxiety-depressive syndrome, bipolarism);
- the history of head trauma with loss of consciousness
- recurrent vertigo.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: TAU
the treatment as usual (TAU; i.e., visuospatial "paper and pencil" stimulation) will consist of "paper and pencil" exercises used in clinical routine of 8 sessions of 30/40 minutes 3 times a week.
|
the treatment as usual (TAU; i.e., visuospatial "paper and pencil" stimulation) will consist of "paper and pencil" exercises
|
Experimental: VR non-embodied
the non-embodied spatial training will consist of egocentric and allocentric spatial memory training with passive navigation of 8 sessions of 30/40 minutes 3 times a week.
|
the non-embodied virtual reality spatial training will consist of egocentric and allocentric spatial memory training with passive navigation of 8 sessions of 30/40 minutes 3 times a week.
|
Experimental: VR embodied
the embodied spatial training will consist of egocentric and allocentric spatial memory training with active navigation of 8 sessions of 30/40 minutes 3 times a week.
|
the embodied virtual reality spatial training will consist of egocentric and allocentric spatial memory training with active navigation of 8 sessions of 30/40 minutes 3 times a week.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The long-term visuospatial memory scores from Corsi supra span
Time Frame: change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
A lower Corsi supra span score represents a lower visuospatial memory.
The minimum score is 0.06 and the maximum is 29.16.
Scores will be corrected for age and education and they depend on the score of the Corsi Block Tapping Test.
|
change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
the spatial rotation score from the Manikin Test
Time Frame: change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
A lower score in The Manikin test represents lower spatial rotation ability.
The minimum score is 0, and the maximum score is equal to 30.
|
change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
the cognitive global scores from Mini Mental State Examination
Time Frame: change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
A lower score in Mini Mental State Examination represents a worse symptom severity.
The minimum score is 0, and the maximum score is equal to 30.
Scores will be corrected for age and education.
|
change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
The verbal memory scores from the Babcock test
Time Frame: change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
A lower score in the Babcock test represents a worse symptom severity.
The minimum score is 0, and the maximum score is equal to 8 for the immediate score; The minimum score is 0, and the maximum score is equal to 8 for the delayed score.
Scores will be corrected for age and education
|
change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
The short term visuospatial memory scores from the Corsi Block Tapping Test- Forward
Time Frame: change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
A lower score in the Corsi Block Tapping Test- Forward represents a worse symptom severity.
The minimum score is 3, and the maximum score is equal to 9. Scores will be corrected for age and education.
|
change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
the visuospatial working memory scores from the Corsi Block Tapping Test- Backward
Time Frame: change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
A lower score in the Corsi Block Tapping Test- Backward represents a worse symptom severity.
The minimum score is 3, and the maximum score is equal to 8. Scores will be corrected for age and education.
|
change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
The attention and executive functions score from the Trail Making Test
Time Frame: change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
A higher score in the Trail Making Test represents a worse symptom severity.
The minimum score is 0 and no time limit for the maximum score for Trail Making Test part A, Trail Making Test part B and Trail Making Test part BA scores.
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change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
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the visuospatial score from the Clock Drawing Test
Time Frame: change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
A lower score in the Clock Drawing Test represented a worse symptom severity.
The minimum score is 0, and the maximum score is equal to 13.
|
change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
the spatial rotation score from the Money Roadmap test
Time Frame: change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
A lower score in the Money Roadmap test represented a worse symptom severity.
The minimum score is 0, and the maximum score is equal to 32.
|
change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
Subjective Subjective Spatial Navigation Complaints sub-scale number 7
Time Frame: change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
A higher score in Subjective Spatial Navigation Complaints represented a worse symptom severity.
The minimum score is 0, and the maximum score is 3.
|
change from waiting list to pre-test (after 3 weeks from waiting list) and post-test (after 6 weeks from waiting list) and change from pre-test to post-test (after 3 weeks from pre-test)
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 39M202
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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