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RecruitingNCT05446584PATHUpdated Jul 20, 2026

Pathways Relating Amnestic MCI to a Mild Traumatic Brain Injury History

A Phase 2 interventional study of High Definition Transcranial Direct Current Stimulation in Mild Cognitive Impairment, Amnestic Mild Cognitive Disorder and Amnestic Mild Cognitive Impairment, sponsored by University of Texas Southwestern Medical Center. Recruiting at 1 site in United States. Open to participants aged 55 Years and older. Per ClinicalTrials.gov, last updated 2026-07-20.

Sponsored by University of Texas Southwestern Medical Center · Phase 2, Interventional, and Diagnostic

From the registry’s dates

  • Started Apr 2023; still recruiting 3 years 6 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
75
Allocation
Randomized
Ages
55 Years and older
Sex
All
01

Study summary

This study will probe if the biological changes in amnestic mild cognitive impairment (aMCI) are related to a history of mild traumatic brain injury (mTBI) using high definition transcranial direct current stimulation (HD-tDCS) and blood-derived biomarker tools. Participants who Do as well as those who Do Not have a history of mTBI will be enrolled in the study.

Read the detailed description

Ten study visits will be completed by each participant. The initial visit will include a blood draw and a baseline memory evaluation. Afterwards, participants will be randomized to begin with one of 3 conditions of HD-tDCS. The three conditions are sham-control, active stimulation to frontal region, and active stimulation to left temporal region. All participants will be expected to completed each HD-tDCS condition, which will be counterbalanced and separated by 14 days. Active HD-tDCS will be applied at 2 mA for 30 minutes over 3 consecutive daily sessions while sham stimulation will be applied for the same duration and timespan. All subjects will complete memory assessments again immediately following each HD-tDCS condition for a total of four test sessions.

02

Conditions studied

  • Mild Cognitive Impairment
  • Amnestic Mild Cognitive Disorder
  • Amnestic Mild Cognitive Impairment
  • Mild Traumatic Brain Injury
  • Concussion, Brain

Keywords

  • MCI
  • TBI
  • memory
  • biomarker
  • Alzheimer
03

In context

Cognitive Dysfunction

3,872 studies on the registry are indexed under Cognitive Dysfunction; 1,119 are open to participants now.

This study's planned enrollment of 75 is above the median of 64 across 2,794 interventional studies indexed under Cognitive Dysfunction.

Browse Cognitive Dysfunction studies →

Lead sponsor

University of Texas Southwestern Medical Center is the lead sponsor of 1,010 studies on the registry; 199 are open to participants now.

Of its 139 completed or terminated interventional studies of FDA-regulated products, 105 (76%) have results posted.

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

04

Who can participate

Ages eligible
55 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Active diagnosis of amnestic mild cognitive impairment
  2. Presence of an mTBI history for the mTBI+ group; absence of an mTBI history for a control sample
  3. Female and male subjects
  4. All races/ethnicities
  5. Age 55 years and older
  6. Fluent in English

Exclusion criteria

Exclusion Criteria:

  1. Mild traumatic brain injury within past year
  2. Lifetime history of moderate or severe brain injury
  3. Lifetime major neurologic syndromes (e.g., stroke, epilepsy, brain tumor)
  4. Lifetime major cardiovascular conditions (e.g., heart attack, heart failure)
  5. Current substance use disorder
  6. Current major psychiatric disorders (e.g., major depressive disorder, bipolar disorder)
  7. Current vision or hearing impairment that interferes with testing
  8. Any electronic and or metallic implants in the skull or brain
  9. Current medication use known to alter HD-tDCS reactivity
05

Study design

Phase
Phase 2
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
75 participants (estimated)

Study arms

  • Active comparator
    Active left frontal HD-tDCS

    Electrodes will be placed in a 4x1 ring configuration over the frontal region in accordance with the International 10-10 EEG system. Stimulation will consist of a ramp up period in which the electrical current is gradually increased, 30 minutes of stimulation at 2 mA, and a ramp down period during which the electrical current is gradually removed. Stimulation will be applied back-to-back over three consecutive days.

    Device: High Definition Transcranial Direct Current Stimulation

  • Active comparator
    Active left temporal HD-tDCS

    Electrodes will be placed in a 4x1 ring configuration over the left temporal region in accordance with the International 10-10 EEG system. Stimulation will consist of a ramp up period in which the electrical current is gradually increased, 30 minutes of stimulation at 2 mA, and a ramp down period during which the electrical current is gradually removed. Stimulation will be applied back-to-back over three consecutive days.

    Device: High Definition Transcranial Direct Current Stimulation

  • Sham comparator
    Sham HD=tDCS

    Electrodes will be placed in the same 4x1 ring configuration over the frontal region as the active left frontal condition to ensure a useful control condition. Stimulation will consist of a 30-second ramp up period until reaching 2 mA, followed immediately by a 30-second ramp down, and off for 29 minutes. The same ramp up and down process will be repeated in the final minute of the session to help preserve masking of conditions. Sham stimulation will be applied back-to-back over three consecutive days.

    Device: High Definition Transcranial Direct Current Stimulation

Interventions

  • DeviceHigh Definition Transcranial Direct Current Stimulation

    HD-tDCS for this study is not intended to be a treatment, and will be applied continuously for 30 minutes at sham (0 mA) or 2 mA for active conditions across 3 consecutive daily sessions to probe neural circuit integrity. This specific HD-tDCS device is completely computer driven, running on a laptop using specialized software. Circular electrodes (12-mm in diameter) filled with conductive gel will be placed in a 4x1 ring configuration with the central electrode being the anode surrounded by four cathodes.

06

What researchers measure

Primary outcomes

  1. Changes in Rey Auditory Verbal Learning Test Score

    The RAVLT is a verbal episodic memory test that is sensitive to mesial and lateral verbal episodic memory circuit dysfunction. The primary outcome measure for this task is the total number of items immediately recalled during the learning trials and after the 20 minute delayed recall trial. Changes in scores from baseline to testing immediately following the completion of each condition will be examined.

    Time frame: Baseline and immediately after completion of each HD-tDCS condition

Secondary outcomes

  1. Changes in Delis Kaplan Executive Function System (DKEFS) Trail Making Test

    The DKEFS Trail Making Test is a measure of cognitive flexibility and executive functions. The task requires the subject to as quickly as possible complete five conditions, involving number cancellation, number sequencing, letter sequencing, number-letter switching, and line tracing. The outcome measure for this task is the time to complete each of the five conditions. Changes in scores from baseline to testing immediately following the completion of each condition will be examined.

    Time frame: Baseline and immediately after completion of each HD-tDCS condition

  2. Changes in Delis Kaplan Executive Function System (DKEFS) Color-Word Interference Test

    The DKEFS Color-Word Interference test is a measure of information processing speed and complex attention. The task requires the subject to as quickly as possible complete four conditions, involving color naming, word reading, response inhibition, and then switching back-and-forth between two response patterns. The outcome measure for this task is the time to complete each of the four conditions. Changes in scores from baseline to testing immediately following the completion of each condition will be examined.

    Time frame: Baseline and immediately after completion of each HD-tDCS condition

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2023 (actual). Primary completion is estimated for May 2027, 48 months after the start.

Of 145 non-industry phase 2 interventional studies under Cognitive Dysfunction, half reached primary completion within 53 months of starting (the median), counting those still running; a quarter within 29 and three quarters within 64. This study's planned 48 months is close to that.

Counting every sponsor, half of 186 studies reached it within 44 months; a quarter within 22 and three quarters within 62.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 28, 2022
First posted
Jul 6, 2022
StartActual
Apr 20, 2023
Primary completionEst.
May 1, 2027
CompletionEst.
May 31, 2027
Last update
Jul 20, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05446584
Responsible party
Christian Lobue (Associate Professor, University of Texas Southwestern Medical Center) — Principal investigator
First posted
Jul 6, 2022
Start date
Apr 20, 2023
Primary completion
May 1, 2027 (estimated)
Completion
May 31, 2027 (estimated)
Last update
Jul 20, 2026

Study contacts

Hannah Cabrera, MCRC
Contact
Hannah.Cabrera@utsw.edu
214-865-9508

Oversight

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

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