ClinicalTrials.gg
RecruitingNCT05495087Updated Apr 29, 2026

IHT for Mild Cognitive Impairment

An interventional study of IHT Treatment and Sham-IHT Control in Mild Cognitive Impairment and Memory Impairment, sponsored by University of North Texas Health Science Center. Recruiting at 1 site in United States. Open to participants aged 55 Years to 79 Years. Per ClinicalTrials.gov, last updated 2026-04-29.

Sponsored by University of North Texas Health Science Center · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Apr 2026, 6 months ago, but the record still lists the study as recruiting.
  • Started Feb 2023; still recruiting 3 years 8 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
66
Allocation
Randomized
Ages
55 Years to 79 Years
Sex
All
01

Study summary

This phase I clinical trial will examine the safety and efficacy of intermittent hypoxia training (IHT) for up to 12 weeks to treat subjects with mild cognitive impairment (MCI).

Read the detailed description

Volunteer subjects 55-79 years age will sign an informed consent and complete a medical history form. The number of recruited minority subjects will be targeted to approximate the ethnic/racial demographics of the general population in Fort Worth-Dallas area. After they pass the physical screening, all subjects must have an orientation visit in the lab to ensure the ability to tolerate wearing a face masker and breathing hypoxia air up to 5 minutes. In addition, they must undergo a series of cognitive assessments including clinical dementia rating to be determined to have MCI. Only the subjects who have been diagnosed with MCI are eligible to enroll to the study. Up to 66 MCI subjects will be recruited and assigned to two groups: intervention group to have intermittent hypoxia training (IHT) or control group with sham-IHT. The subjects in IHT group will breathe 10% O2 up to 5-min periods alternated with 5-min recovery on room air, repeated for 8 cycles per session, 3 sessions/week up to 12 weeks. The subjects in sham-IHT group will breathe 21% O2 and room air, each 5 min per cycle, for 8 cycles per session, 3 sessions/week for 12 weeks. Before and after 12-week interventions, the subjects' cognitive performances (including short-term memory, concentration ability, visuospatial orientation, and executive function), cardiovascular function during mental, physical and physiological challenges, blood plasma EPO, BDNF, and beta-amyloid proteins, carotid arterial morphology and function, brain MRI will be assessed and compared. In addition, the subjects' short-term memory, concentration ability, visuospatial orientation, and executive function in both groups will be assessed after 5-week and 8-week interventions to determine the IHT effect of a dose-response on the cognitive functions.

02

Conditions studied

  • Mild Cognitive Impairment
  • Memory Impairment

Keywords

  • intermittent hypoxia training or preconditioning
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 66 is close to the median of 64 across 2,794 interventional studies indexed under Cognitive Dysfunction.

Browse Cognitive Dysfunction studies →

Lead sponsor

University of North Texas Health Science Center is the lead sponsor of 31 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
55 Years to 79 Years
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

  • Adult men and women ages 55 to 79 years old who have been diagnosed with MCI.
  • Must be willing to be assigned to either group: treatment or sham-treatment control.
  • Able to pay multiple visits to the lab for the proposed assessments.
  • Able to breathe moderately hypoxic air via an air-cushioned, disposable facemask.
  • To have controlled stabilized chronic conditions of at least 6 months duration, such as hypertension, coronary artery disease, diabetes or metabolic disease, chronic bronchitis, degenerative osteoporosis or arthritis and/or other aging-related chronic conditions.
  • Must be depression-free at the time of enrollment.
  • Must have arterial oxygen saturation at or above 95% and cerebral tissue oxygenation at or above 50% at rest.
  • Woman subject must be .

Exclusion criteria

Exclusion Criteria:

  • Unwilling to sign a written consent to participate in this double-blinded placebo-controlled phase I trial.
  • Diagnosed with AD-dementia or have impaired independent daily functioning; with \<20 and/or CDR ≥1.
  • Unable to visit the lab independently.
  • Claustrophobic to facemask and hyper-reactive to hypoxia exposure.
  • Expecting any major surgery or transplant.
  • Have un-controlled chronic conditions including systolic-diastolic pressures over 150/90 mmHg with medications, diabetes, chronic renal failure (based on the medical history questionnaire), recurrent chest pain, seizures or epilepsies, moderate to severe carotid stenosis or calcification, brain aneurysm, uncontrolled allergic rhinitis, pulmonary fibrosis, emphysema, cancer, infectious disease, atrial fibrillation, regular pre-mature ventricular contractions, myocardial ischemia or infarct, 2nd or 3rd degree atrio-ventricular blockade.
  • Have severe head injury or traumatic brain injury, stroke (hemorrhagic and/or ischemic).
  • Have currently diagnosed depression.
  • Currently have COVID-19.
  • Have any metallic implants or who are claustrophobic.
  • Currently participating in any interventional study and/or have been previously exposed to hypoxia, such as residing more than two months at altitudes above 5000 ft. within the past 3 years or previously participated in a hypoxia training study.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
66 participants (estimated)

Study arms

  • Experimental
    IHT Treatment

    Exposures to hypoxic air (10% O2) up to 5 min intermittent with up to 5 min recovery (breathing room air) per session, 3 sessions/week, up to 12 weeks.

    Device: IHT Treatment

  • Placebo comparator
    Sham-IHT control

    Exposures to normoxic air (21% O2) up to 5 min intermittent with up to 5 min recovery (breathing room air) per session, 3 sessions/week, up to 12 weeks.

    Other: Sham-IHT Control

Interventions

  • DeviceIHT Treatment

    IHT Treatment: IH exposure to 10% O2 for up to 5 min, interspersed with breathing room air recovery for up to 5 min, with up to 8 cycles/session, 3 sessions/week, for up to 12 weeks.

  • OtherSham-IHT Control

    Sham-IHT Control: Exposure to 21% O2 for up to 5 min, interspersed with breathing room air recovery for up to 5 min, with up to 8 cycles/session, 3 sessions/week, for up to 12 weeks.

06

What researchers measure

Primary outcomes

  1. Overall Cognitive Function

    Change in scores or points (from 0 to 30) in Mini-mental State Examination. Higher scores indicate better testing performance or function.

    Time frame: Change from baseline after 12-week interventions

  2. Attention and Short-term Memory

    Change in scores or points in California-Verbal Learning Test - 2nd edition (CVLT-II), and Brief Visuospatial Memory Test - Revised (BVMT-R). Immediate Free-Recall (FR) and delay FR for word-verbal memory and visuospatial memory.

    Time frame: Change from baseline after 12-week interventions with IHT or sham-IHT

  3. Cognitive Function in digit-verbal memory

    Change in scores or points in Digit-Span test - Forward, backward and sequence. Digit-Span recalls test attention and short-term memory. More correct recalls indicate better testing performance and function in digit-verbal memory.

    Time frame: Change from baseline after 12-week interventions

  4. Visual Orientation and Executive Function

    Change in time to complete Trail-making tests. Less time (in sec) to complete the tests indicates better performance and function in executive function, attention and processing speed.

    Time frame: Change from baseline after 12-week interventions

Secondary outcomes

  1. Brain Morphology

    Cortical volume assessed by brain MRI scans. Increased cerebral cortical gray matter indicates a better outcome.

    Time frame: before vs after up to 12-week intervention

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

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 Feb 2023 (actual). Primary completion is estimated for Apr 2026, 38 months after the start.

Of 1,442 non-industry interventional studies with no phase under Cognitive Dysfunction, half reached primary completion within 27 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 51. This study's planned 38 months is above that.

Counting every sponsor, half of 1,511 studies reached it within 27 months; a quarter within 12 and three quarters within 50.

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

Registered
Jul 13, 2022
First posted
Aug 10, 2022
StartActual
Feb 27, 2023
Primary completionEst.
Apr 30, 2026
CompletionEst.
Apr 30, 2026
Last update
Apr 29, 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 Apr 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05495087
Lead sponsor
University of North Texas Health Science Center
Responsible party
Xiangrong Shi (Professor, University of North Texas Health Science Center) — Principal investigator
First posted
Aug 10, 2022
Start date
Feb 27, 2023
Primary completion
Apr 30, 2026 (estimated)
Completion
Apr 30, 2026 (estimated)
Last update
Apr 29, 2026

Study contacts

Xiangrong Shi, PhD
Contact
xiangrong.shi@unthsc.edu
817-735-2073

Oversight

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

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