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CompletedNCT05411822Updated Jun 24, 2025Results posted

Understanding Circadian Responses to Light in Persons With Mild Cognitive Impairment

An interventional study of Lighting Intervention Blue light and Lighting Intervention Green light in Mild Cognitive Impairment and Alzheimer Disease, sponsored by Icahn School of Medicine at Mount Sinai. Completed at 1 site in United States. Open to participants aged 55 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-06-24.

Sponsored by Icahn School of Medicine at Mount Sinai · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 11 months after the study started (first participant enrolled Jun 2021, registered Jun 2022).
Phase
Not applicable
Study type
Interventional
Enrollment
36
Allocation
Not applicable
Ages
55 Years and older
Sex
All
01

Study summary

The purpose of this research study is to investigate the relationship between light, the thickness of the pigment at the back of your eye, melatonin levels, and memory. The study will investigate whether changing light distribution pattern from "on-axis"' (i.e., directed along the eye's visual axis to the fovea) to "off-axis" (i.e., directed on the periphery of the eye's visual axis) impact melatonin suppression in 24 mild cognitive impairment participants and 24 healthy, age-matched controls.

Read the detailed description

Eligible enrolled subjects will be exposed to 4 different lighting conditions in addition to one dark control condition. There will be 5 study session and each one will last for 90 minutes and will be separated by one week. Subjects will collect 3 saliva samples, each one 30 minutes apart for melatonin levels during each study session.

02

Conditions studied

  • Mild Cognitive Impairment
  • Alzheimer Disease
03

In context

Cognitive Dysfunction

3,843 studies on the registry are indexed under Cognitive Dysfunction; 1,100 are open to participants now.

This study's enrollment of 36 is below the median of 65 across 2,808 interventional studies indexed under Cognitive Dysfunction.

Browse Cognitive Dysfunction studies →

Lead sponsor

Icahn School of Medicine at Mount Sinai is the lead sponsor of 764 studies on the registry; 181 are open to participants now.

Of its 121 completed or terminated interventional studies of FDA-regulated products, 82 (68%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
55 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • mild cognitive impairment
  • age matched healthy control
  • macular pigment density either \< 0.3 or > 0.5

Exclusion criteria

Exclusion Criteria:

  • extensive brain vascular disease
  • Parkinson's disease
  • bipolar disorder
  • seasonal depression
  • diabetes
  • high blood pressure
  • obstructing cataracts
  • macular degeneration
  • diabetic retinopathy
  • use of melatonin supplements
  • use of beta blockers
  • use of sleep medications
  • use of antidepressant medication
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
36 participants (actual)

Study arms

  • Experimental
    Participants with Mild Cognitive Impairment

    Every participant experienced all 5 conditions: Blue light (λmax = 451 nm) on axis and off axis. Green light (λmax = 522 nm) on and off axis Dim-light control condition (\< 5 lux at the eye) for 30 min each narrowband source will have distinct lighting distribution patterns but calibrated to deliver the same targeted levels of circadian light (CLA) and circadian stimulus (CS) at the eye.

    Device: Lighting Intervention Blue light · Device: Lighting Intervention Green light · Other: Dim-light control condition

Interventions

  • DeviceLighting Intervention Blue light

    Custom made lighting fixture that will deliver the blue lighting intervention. Blue light (λmax = 451 nm) on axis and off axis.

  • DeviceLighting Intervention Green light

    Custom made lighting fixture that will deliver the green lighting intervention. Green light (λmax = 522 nm) on and off axis

  • OtherDim-light control condition

    (\< 5 lux at the eye) for 30 min

06

What researchers measure

Primary outcomes

  1. Melatonin Levels

    Saliva samples collected for melatonin levels for the different conditions. Blue light (λmax = 451 nm) on axis and off axis: for each narrowband source, designated on-axis or off-axis, will have distinct lighting distribution patterns but calibrated to deliver the same targeted levels of circadian light (CLA) and circadian stimulus (CS) at the eye. Green light (λmax = 522 nm) on and off axis: for each narrowband source, designated on-axis or off-axis, will have distinct lighting distribution patterns but calibrated to deliver the same targeted levels of circadian light (CLA) and circadian stimulus (CS) at the eye. Dim-light control condition: (\< 5 lux at the eye) for 30 min

    Time frame: post-intervention (60 minutes) on each night of intervention (one night a week for 5 weeks)

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Results

Posted Jun 24, 2025

Participant flow

Participant flow — Overall Study
MilestoneParticipants With Mild Cognitive ImpairmentMatched Control
Started1719
Completed1518
Not completed21
Withdrew: Withdrawal by subject21

Outcome measures

PrimaryMelatonin Levels

Saliva samples collected for melatonin levels for the different conditions. Blue light (λmax = 451 nm) on axis and off axis: for each narrowband source, designated on-axis or off-axis, will have distinct lighting distribution patterns but calibrated to deliver the same targeted levels of circadian light (CLA) and circadian stimulus (CS) at the eye. Green light (λmax = 522 nm) on and off axis: for each narrowband source, designated on-axis or off-axis, will have distinct lighting distribution patterns but calibrated to deliver the same targeted levels of circadian light (CLA) and circadian stimulus (CS) at the eye. Dim-light control condition: (\< 5 lux at the eye) for 30 min

Time frame:
post-intervention (60 minutes) on each night of intervention (one night a week for 5 weeks)
Reported as:
Mean · pg/mL
Melatonin Levels
pg/mLMild Cognitive ImpairmentHealthy Control
Blue light (λmax = 451 nm) on axis0.89 ± 0.490.84 ± 0.51
Blue light (λmax = 451 nm) off axis0.9 ± 0.460.68 ± 0.21
Green light (λmax = 522 nm) on axis0.73 ± 0.140.73 ± 0.3
Green light (λmax = 522 nm) off axis0.82 ± 0.390.79 ± 0.24
Dim Light1.53 ± 0.71.27 ± 0.3

Adverse events

Collected over 60 minutes of intervention over 1 day per week for 5 weeks.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Mild Cognitive Impairment - Lighting Intervention Blue - On Axis0/13 (0%)0/13 (0%)0/13 (0%)
Mild Cognitive Impairment - Blue - Off Axis0/13 (0%)0/13 (0%)0/13 (0%)
Mild Cognitive Impairment - Lighting Intervention Green - On Axis0/13 (0%)0/13 (0%)0/13 (0%)
Mild Cognitive Impairment - Green - Off Axis0/13 (0%)0/13 (0%)0/13 (0%)
Mild Cognitive Impairment - Dim Light0/13 (0%)0/13 (0%)0/13 (0%)
Healthy Control - Lighting Intervention Blue - On Axis0/15 (0%)0/15 (0%)0/15 (0%)
Healthy Control - Blue - Off Axis0/15 (0%)0/15 (0%)0/15 (0%)
Health Control - Lighting Intervention Green - On Axis0/15 (0%)0/15 (0%)0/15 (0%)
Healthy Control - Green - Off Axis0/15 (0%)0/15 (0%)0/15 (0%)
Health Control Dim Light0/15 (0%)0/15 (0%)0/15 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Participants With Mild Cognitive ImpairmentHealthy Age-Matched ControlTotal
Mean59.1 ± 7.458.7 ± 7.658.8 ± 7.4
Sex: Female, Male
Sex: Female, Male(Participants)Participants With Mild Cognitive ImpairmentHealthy Age-Matched ControlTotal
Female151328
Male268
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Participants With Mild Cognitive ImpairmentHealthy Age-Matched ControlTotal
Count of participants——0
08

Study locations

1 site
  • Light and Health Research Center at Mount Sinai
    Menands, New York 12204, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Apr 20, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05411822
Lead sponsor
Icahn School of Medicine at Mount Sinai
Collaborators
National Institute on Aging (NIA)
Responsible party
Mariana Figueiro (Professor, Icahn School of Medicine at Mount Sinai) — Principal investigator
First posted
Jun 9, 2022
Start date
Jun 14, 2021
Primary completion
May 31, 2024
Completion
May 31, 2024
Results posted
Jun 24, 2025
Last update
Jun 24, 2025

Study contacts

Mariana Figueiro, PhD
principal investigator · Icahn School of Medicine

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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