RecruitingNot ApplicableNCT05561205

rTMS for Apathy Clinical Trial

Repetitive Transcranial Magnetic Stimulation for Apathy Clinical Trial (REACT)


Sponsor

Sunnybrook Health Sciences Centre

Enrollment

10 participants

Start Date

Feb 9, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

Apathy is a common, early, and disabling symptom in dementias and mild behavioural impairment such as Alzheimer's disease (AD) and is characterized by lack of interest and enthusiasm. Both repetitive transcranial magnetic stimulation (rTMS), a form of non-invasive brain stimulation, and methylphenidate, a medication, have been shown to improve apathy. This pilot study will investigate rTMS as a treatment for apathy in neurocognitive disorders and mild behavioural impairment in individuals receiving methylphenidate and individuals not receiving medication for apathy.


Eligibility

Inclusion Criteria4

  • mild or major neurocognitive disorder OR mild behavioural impairment
  • Apathy for at least 4 weeks
  • Stable dose of medication (\>4 weeks) that may affect cognition or behaviour
  • Care partner who spends at least 10 hours a week with the subject

Exclusion Criteria6

  • Current major depressive episode
  • Agitation, delusions, hallucination
  • Medical contraindications to rTMS
  • Currently taking an amphetamine product
  • Central nervous system abnormalities, Tourette's syndrome, or motor tics
  • Current participation in another clinical trial

Interventions

DEVICErTMS

repetitive transcranial magnetic stimulation

DRUGmethylphenidate

methylphenidate


Locations(1)

Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada

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NCT05561205


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